title: Hypothyroidism and psychosis: a case illustration of the diagnostic dilemma in psychiatry.
abstract: A case of a forty-eight year old woman with myxedema and acute psychosis is reported to illustrate the difficulties of diagnosis in psychiatry. A specific focus is placed on the problem of differentiating organic from functional illness. Several guidelines are offered to aid the clinician with the problem of diagnosis.
mesh_terms: D000208:Acute Disease; D001714:Bipolar Disorder / Q000175:diagnosis; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007037:Hypothyroidism / Q000150:complications*; D008875:Middle Aged; D009230:Myxedema / Q000150:complications; D011605:Psychoses, Substance-Induced / Q000175:diagnosis* / Q000209:etiology; D012559:Schizophrenia / Q000175:diagnosis