Thyroid dysfunctions must be suspected in patients with mood episodes. Thyrotoxicosis may manifest as manic episodes with mixed features, with a severe presentation, including suicidality. Patients with affective disorders should be screened for thyroidopathy. A strategy combining thionamides, betablockers and psychotropics may lead to an efficient stabilization of mood symptoms.

中文翻译：

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全部在我脖子上吗？-与甲状腺毒症有关的混合性双相情感障碍和自杀意念：一例。

患有情绪发作的患者必须怀疑甲状腺功能异常。甲状腺毒症可能表现为躁狂发作，具有混合特征，表现为严重，包括自杀。有情感障碍的患者应筛查甲状腺疾病。结合使用亚硫酰胺，β受体阻滞剂和精神药物的策略可能导致情绪症状的有效稳定。