The Thyroid Solution: A Mind-Body Program for Beating Depression and Regaining Your Emotional and Physical Health

( 6 )


The Thyroid Solution is a must-read for anyone who suffers from a thyroid condition. Written by a medical pioneer and leading authority in the field of thyroid research, this groundbreaking book offers Dr. Ridha Arem's practical program for maintaining thyroid health through diet, exercise, and stress control-and through his revolutionary medical plan, which combines two types of hormone treatments and produces astounding results. This revised and updated edition provides new information on: the reasons thyroid ...
See more details below
Available through our Marketplace sellers.
Other sellers (Paperback)
  • All (112) from $1.99   
  • New (1) from $58.77   
  • Used (111) from $1.99   
Sort by
Page 1 of 1
Showing All
Note: Marketplace items are not eligible for any coupons and promotions
Seller since 2008

Feedback rating:



New — never opened or used in original packaging.

Like New — packaging may have been opened. A "Like New" item is suitable to give as a gift.

Very Good — may have minor signs of wear on packaging but item works perfectly and has no damage.

Good — item is in good condition but packaging may have signs of shelf wear/aging or torn packaging. All specific defects should be noted in the Comments section associated with each item.

Acceptable — item is in working order but may show signs of wear such as scratches or torn packaging. All specific defects should be noted in the Comments section associated with each item.

Used — An item that has been opened and may show signs of wear. All specific defects should be noted in the Comments section associated with each item.

Refurbished — A used item that has been renewed or updated and verified to be in proper working condition. Not necessarily completed by the original manufacturer.


Ships from: Chicago, IL

Usually ships in 1-2 business days

  • Standard, 48 States
  • Standard (AK, HI)
Page 1 of 1
Showing All
Sort by
Sending request ...


The Thyroid Solution is a must-read for anyone who suffers from a thyroid condition. Written by a medical pioneer and leading authority in the field of thyroid research, this groundbreaking book offers Dr. Ridha Arem's practical program for maintaining thyroid health through diet, exercise, and stress control-and through his revolutionary medical plan, which combines two types of hormone treatments and produces astounding results. This revised and updated edition provides new information on: the reasons thyroid imbalance continues to be underdiagnosed, how stress can trigger and perpetuate autoimmune thyroid conditions, the links between low-grade hypothyroidism and heart disease-and practical ways to minimize cardiovascular risks, the major role the thyroid system plays in maintaining emotional stability, and how thyroid imbalance can lead to a wide range of mood and anxiety disorders, how thyroid hormone affects weight, metabolism, and eating behavior, how thyroid dysfunction affects women's health, in particular premenstrual syndrome, menopause, and post-partum depression-and what steps women can take to alleviate these conditions. Featuring a brand-new thyroid eating plan, inspiring patient histories, and candid interviews that document the dramatic success of Dr. Arem's bold new treatments, The Thyroid Solution remains the essential resource for doctors and patients on maintaining thyroid health.
Read More Show Less

Editorial Reviews

Library Journal
Arem, a clinical endocrinologist and researcher, says that 20 million Americans one in ten have a thyroid disorder. He argues that millions more suffer from undiagnosed thyroid dysfunction and the resulting mental and physical symptoms. Arem clearly and extensively examines the fundamentals of thyroid disease, including diagnosis and therapy, although his focus is on the significance of the thyroid in cognition and emotion--the mind/body connection. Arem's thesis, derived from mainstream medicine but illustrated throughout by anecdotal reports, is that abnormal thyroid hormone production and dispersal can lead to health problems that range from the psychiatric to ophthalmologic. However, he may be overstating the case when he suggests that thyroid disturbances can underlie depression, anxiety, decreased motivation, and sexual difficulties even in those with normal blood tests. Further, he asserts that thyroid hormone is a bona fide antidepressant. Although thyroid hormone regulation can be important, it isn't the answer to all problems. This book should be of interest to those with thyroid disease; for others, it provides appropriate encouragement to remind their physicians to consider thyroid issues. Recommended for libraries with large budgets.--Linda M.G. Katz, MCP Hahnemann Univ., Philadelphia Copyright 1999 Cahners Business Information.
From the Publisher
"This book has had a profound impact on the way I think, on how I see patients, and on my perception of the connection between the brain and hormones."
—Mona Lisa Schulz, M.D., Ph.D.
   Author of Awakening Intuition

"At last, a nationally known endocrinologist with impeccable credentials discusses vital issues of thyroid disease and treatment never previously addressed in print. Dr. Arem provides solid explanations for symptoms of hypothyroidism in patients with normal blood levels of thyroid hormones and particularly addresses the needs of women who have thyroid and hormonal disorders."
—Gillian Ford
   Author of Listening to Your Hormones
   and The Link Between Thyroid and Depression

"This book will be of tremendous help to the many people with thyroid disease and residual depressive symptoms. Dr. Arem elegantly addresses the important interplay of thyroidology and psychiatry."
—Lauren Marangell, M.D.
    Baylor College of Medicine

Read More Show Less

Product Details

  • ISBN-13: 9780345429209
  • Publisher: Random House Publishing Group
  • Publication date: 1/28/1999
  • Pages: 389
  • Product dimensions: 6.16 (w) x 9.19 (h) x 0.75 (d)

Meet the Author

Dr. Ridha Arem is Associate Professor of Medicine in the Division of Endocrinology and Metabolism at Baylor College of Medicine in Houston, Texas. He is also Chief of Endocrinology and Metabolism at Ben Taub General Hospital in Houston. In addition to teaching medical students and physicians-in-training, he regularly speaks to primary-care physicians and specialists at various educational programs. Dr. Arem is a nationally recognized thyroid specialist. For the past ten years he has been the author and editor of Clinical Thyroidology, a well respected widely read periodical publication for physicians on thyroid disorders. He also contributes to Thyroid USA, the official newsletter of the American Foundation of Thyroid Patients, and participates in patient education programs.

Read More Show Less

Read an Excerpt

When obvious precipitating reasons for depression are present--such as a difficult divorce, a stressful job, or other personal problems--a doctor is unlikely to consider a thyroid dysfunction as a possible cause or a contributing factor to the depression. The patient, family members, and the doctor become convinced that the overwhelming stress and life situations are responsible for the symptoms. Yet, as we'll see in Chapter 2, stress itself can trigger a thyroid imbalance and contribute to depression. Stress generated by the effects of thyroid hormone imbalance can lead to an escalating cycle of stress/illness/stress. Stressful life events may then be blamed for what are really thyroid-related symptoms, allowing these symptoms to linger and intensify. I recommend that everyone who has experienced a major stressful event, such as a difficult divorce or the death of a loved one, and has ongoing anxiety symptoms have his or her thyroid tested.

Doctors are even more likely to miss a thyroid problem and misdiagnose you if you have previously suffered from depression, panic attacks, or any other mood disorder. Symptoms of a thyroid imbalance are then likely to be attributed to the mood disorder, and the physician searches no further. One patient told me, "I learned quickly after I had been in the psychiatric hospital the first time what not to tell doctors, because once they hear that you had a mental condition, they disregard everything else you say."

Depression and anxiety disorders are the most common psychiatric conditions in the general population as well as the most common mental effects of thyroid disease. Therefore, patients with thyroid imbalance may see apsychiatrist rather than a medical practitioner. Because depression and anxiety disorders can cause the same physical symptoms as thyroid imbalance (such as a rapid heartbeat, increased sweating, and lack of sleep), psychiatrists are likely to come up with a psychiatric diagnosis when they see a thyroid patient. Often psychiatrists do not perform physical examinations that could lead them to detect physical causes for mental symptoms. One study showed that when psychiatrists use conventional psychiatric criteria to assess hyperthyroid patients, they diagnose nearly half of the patients as depressed or suffering from an anxiety disorder. Unfortunately, some psychiatrists do not always assess their patients for an underlying thyroid condition that might explain their fatigue, lack of interest in life, and inability to function as before.

The apparently close link between depression and thyroid imbalance has wide-ranging consequences. For a person like Rachel, a young wife and real estate agent I treated recently, uncovering that link was crucial for overall health and happiness. Before her true, thyroid-related condition was identified and treated, Rachel showed many of the signs of clinical depression. "I was always tired," she related.

I couldn't exercise anymore, and that was very frustrating. I would come home and fall asleep. If I wasn't sleeping, I was doing nothing more than watching TV. I didn't cook. I didn't clean. I didn't even let the dog out. I also put on twenty pounds in one month and lost a lot of hair, which was terrible for my looks and my self-esteem. I became cold and was constantly turning up the thermostat. Jimmy, my husband, couldn't believe I was so cold. I just had no willpower. I had to take a broker's license test, which cost my firm $2,000, but I couldn't even get motivated to study for it. I just wanted to go home and put on my nightgown and sit there on the couch. I lost interest in having any social life with my husband. I didn't want to see anyone. We quit going out. Our sexual relationship went to zero, too.

Given Rachel's symptoms, it is not surprising that for a long time she was diagnosed as depressed. Yet many of these same symptoms are associated with an underactive thyroid, and when Rachel was treated for her thyroid imbalance, she began to improve. "I gradually woke up and began to feel good," she said. "I didn't feel groggy or rushed anymore. I started eating right. I was more active and doing moderate exercise, and I lost thirty pounds. My husband and I went dancing, and I reunited with my friends again. They all asked, 'Where were you?'" For Rachel to fully answer that question, she would need to understand more about the interplay of thyroid, mind, and mood. Clearly, an underactive thyroid frequently causes depression, and an overactive thyroid tends to result in an anxiety disorder. Nevertheless, anxiety is also common in hypothyroid patients, and some patients with an overactive thyroid suffer from depression. Although when hyperthyroid patients suffer from depression, the bouts of depression tend to be short-lived, some of these patients may have persistent, lingering depression that fulfills the psychiatric criteria for depression.

Patients aren't totally aware of the full range of their symptoms or don't communicate them to their doctors. Patients themselves sometimes unintentionally hinder a proper diagnosis by failing to volunteer all of their complaints to their doctors. The statement "I'm tired and exhausted" usually reflects only surface symptoms. The symptom of fatigue may hide a multitude of feelings and emotional problems that patients may be reluctant to reveal. Most people have difficulty analyzing and clearly expressing how they feel or how their mind has been affected. Often we are not taught to recognize how our hearts feel, and many of us are taught to ignore or discount our emotions. We frequently lump all discomfort and mental suffering into "I'm tired, I'm exhausted, and I can't function the way I used to." Also, we tend to dismiss any mental or physical dysfunction as temporary.

Many people experiencing fatigue, lack of interest in life, and an inability to function as they once did suffer for years. They adjust to these feelings and are able to work and take care of responsibilities at home. But inside they are hurting. They have to struggle to appear normal to those around them. They live in a state of denial or self-dismissal and may not seek help or treatment for their symptoms.

Some of this self-dismissal stems from the stigma our culture puts on any and all mental conditions. The prevailing view that mental suffering is less serious than physical suffering may cause some persons with a thyroid imbalance to hide their anxiety, depression, or pain and not seek medical help. Others may fear ridicule from friends and relatives if they do seek treatment.

One patient who was suffering from lingering depression due to hypothyroidism told me, "I knew I was depressed and something was inadequate within me. I didn't want my family to know. I didn't want my company to know. I didn't have health insurance coverage for depression treatment, so I couldn't afford proper help." Many patients who seek psychiatric care may encounter significant difficulties in obtaining life and disability insurance. Many people with depression choose not to be diagnosed and treated because they know they will be discriminated against when they change jobs.

A second-year law student whom I evaluated for a possible thyroid disorder had suffered from a severe anxiety disorder for two years. He had correctly diagnosed his anxiety disorder a year earlier but had not reached out for help. "I could not go see a psychiatrist because later on, when I sit for my bar exams, just having a record saying I saw a psychiatrist will affect my entire career." This patient turned out to have an overactive thyroid due to Graves' disease.

I cannot emphasize enough how important it is for you to seek help as soon as possible after the onset of your symptoms rather than accepting them and doing nothing about them.

The wide range of physical symptoms can mask a thyroid imbalance. Another reason why doctors may miss a diagnosis of thyroid disease is that thyroid patients' mental suffering may be buried amid the multiple physical effects of thyroid disease. When physical symptoms of thyroid disease are quite prominent, doctors may treat patients for those specific symptoms and fail to diagnose the thyroid condition that is causing the symptoms. For instance, rapid heartbeat is a common symptom of an overactive thyroid that often leads physicians to consider heart disease. But if the heart evaluation is normal, doctors often dismiss the patient as anxious.

Judy, a forty-one-year-old divorced woman whose mother had died three years previously, was experiencing many symptoms of anxiety and depression. Even more disturbing to her were frequent palpitations and weakness in her arms and legs. Hyperthyroidism may be associated with muscle weakness, which should not be confused with the intermittent general weakness accompanying acute anxiety. In Judy's words:

Read More Show Less

Table of Contents

Preface to the 2007 Edition     ix
Introduction     xv
The Emerging Mind-Thyroid Connection: How a Tiny Endocrine Gland Intimately Affects Your Mood, Emotions, and Behavior
Thyroid Imbalance: A Hidden Epidemic     3
Stress and Thyroid Imbalance: Which Comes First?     20
Hypothyroidism: When the Thyroid Is Underactive     37
Hyperthyroidism: When the Thyroid Is Overactive     56
Thyroid Imbalance, Depression, Anxiety, and Mood Swings     77
Medicine from the Body: Thyroid Hormone as an Antidepressant     100
No, You Are Not Making It Up: Common Emotional and Physical Interactions
Weight, Appetite, and Metabolism: The Thyroid's Actions     119
Hormones of Desire: The Thyroid and Your Sex Life     142
"You've Changed": When the Thyroid and Relationships Collide     157
Overlapping Symptoms: Fatigue, Chronic Fatigue, Hypoglycemia, and Fibromyalgia     170
Women's Thyroid Problems: Your Symptoms Are Not All in Your Head
Premenstrual Syndrome and Menopause: Tuning the Cycles     193
Infertility and Miscarriage: Is Your Thyroid a Factor?     211
Postpartum Depression: The Hormonal Link     220
Diagnosing and Treating Common Thyroid Disorders: The Journey to Wellness
Getting the Proper Diagnosis     231
Treating the Imbalance     251
Curing the Lingering Effects of Thyroid Imbalance     277
The New T4/T3 Protocol: "It Made Me Feel Better All Over"     300
Living a Thyroid-Friendly Life: Healthful Choices Day by Day     313
Living with Thyroid Eye Disease     336
Thyroid Cancer: Curable but Anguishing     350
Eight Steps for the Future: How to Promote a Better Understanding of Thyroid, Mind, and Mood     371
Acknowledgments     377
Notes     379
Resources     417
Suggested Readings     429
Index     431
Read More Show Less

First Chapter

Could you have an overactive or underactive thyroid and not even know it? Millions of Americans--and a high percentage of women in menopause and perimenopause (the decade or so before menopause during which hormonal, emotional, and physical changes begin)--do. Thyroid imbalances are not always easy to recognize. Only recently have physicians even begun to accept that minimal thyroid imbalances have an important effect on mental and physical health.

Do you have any of the following symptoms?
  • Always fatigued or exhausted
  • Irritable and impatient
  • Feeling too hot or too cold
  • Depressed, anxious, or panicky
  • Bothered by changes in your skin or hair
  • At the mercy of your moods
  • Inexplicably gaining or losing weight
  • Losing your enthusiasm for life
  • Sleeping poorly or insomniac

Are you feeling burned out from having acted on an excess of energy for several months? Are you listless, forgetful, and feeling disconnected from your friends and family? Are people telling you that you've changed? Are you taking Prozac® or a similar drug for mild depression but still feeling that your mind and mood are subpar? Or have you been treated for a major depression in the past five years?

If you suffer from more than one of these symptoms or answered yes to one or more of these questions, you could be one of the many people with an undiagnosed thyroid condition. Although some of these symptoms may seem contradictory, all of them can be indications of a thyroid imbalance.

You could also be one of the many people who has been treated for a thyroid imbalance but still suffers from its often-overlooked, lingering effects--effects that may continue to haunt you even after treatments have presumably restored your thyroid levels to normal. If you've ever been treated for a thyroid imbalance, answer these questions:

  • Do you feel better but still not quite your old self?
  • Do you have unusual flare-ups of anger?
  • Are you less socially outgoing than you used to be?
  • Are you less tolerant of the foibles of family and friends?
  • Do you suffer from occasional bouts of mild depression?
  • Do you have frequent lapses in memory?
  • Are you often unable to concentrate on what you're doing?
  • Do you feel older than your chronological age?

If you've had a thyroid problem in the past but still answer yes to one or more of these questions, it is quite likely that your symptoms are thyroid-related. You don't have to suffer any longer. The Thyroid Solution will show you how you can work with your physician to heal these lingering symptoms.

The Thyroid and the Mind

At any given time in the United States, more than 20 million people suffer from a thyroid disorder, more than 10 million women have low-grade thyroid imbalance, and nearly 8 million people with thyroid imbalance remain undiagnosed. Some 500,000 new cases of thyroid imbalance occur each year. All of these people are vulnerable to mental and emotional effects for a long time even after being diagnosed. Incorrect or inadequate treatment leads to unnecessary suffering for millions of these people. But these are numbers. Behind the numbers are the symptoms and ravaging mental effects experienced by real human beings.

The 1990s have seen a major increase in the recognition and detection of previously unsuspected thyroid diseases among presumably healthy people. This stems in part from improved medical technology, which has led to the development of sensitive methods of screening and diagnosing thyroid disease. It also stems from the increased public awareness that thyroid disease may remain undiagnosed for a long time and that even mild thyroid dysfunction may affect your health. Recently, some medical associations such as the American Association of Clinical Endocrinologists have initiated public screenings for thyroid disease, much as cholesterol testing has become available in shopping malls and other public places. At any given time, more than half the patients in our population with low-grade hypothyroidism remain undiagnosed. In a recent thyroid-screening program involving nearly two thousand people that I directed in the Houston area, 8 percent of those tested had an underactive thyroid. Many people screened had never heard of the thyroid gland but rushed to be tested when they recognized that they were suffering many of the symptoms listed in the announcement of the screening. The public's awareness of thyroid disease was boosted by press reports about former president George Bush and his wife Barbara, Russian president Boris Yeltsin, and Olympic track champion Gail Devers when they were diagnosed with thyroid disease. Thanks to these factors, people with nonspecific, undiagnosed complaints are becoming increasingly likely to ask their physicians whether their symptoms might be related to an undiagnosed thyroid disorder.

As an endocrinologist who has focused his research, teaching, and patient care on thyroid conditions, I realized early on in my practice that taking care of thyroid patients was not as easy as I had expected. Treating and correcting a thyroid condition with medication may not always make the patient feel entirely better. I discovered that to care fully for my patients, to help them heal completely, I had to treat their feelings as well as their bodies. If they didn't feel better even though their lab tests said they were cured, I learned to listen to them, believe them, and work with them to help them become wholly cured. In taking care of thyroid patients, the physician's role is not merely to address physical discomfort, test the thyroid, and make sure blood test results are normal (indicating that the right amounts of the various thyroid hormones are circulating in the body). Addressing the effects of thyroid disorders on the mind, helping patients cope with their condition, and counseling them sympathetic ally are equally important.
Read More Show Less

Customer Reviews

Average Rating 4.5
( 6 )
Rating Distribution

5 Star


4 Star


3 Star


2 Star


1 Star


Your Rating:

Your Name: Create a Pen Name or

Barnes & Review Rules

Our reader reviews allow you to share your comments on titles you liked, or didn't, with others. By submitting an online review, you are representing to Barnes & that all information contained in your review is original and accurate in all respects, and that the submission of such content by you and the posting of such content by Barnes & does not and will not violate the rights of any third party. Please follow the rules below to help ensure that your review can be posted.

Reviews by Our Customers Under the Age of 13

We highly value and respect everyone's opinion concerning the titles we offer. However, we cannot allow persons under the age of 13 to have accounts at or to post customer reviews. Please see our Terms of Use for more details.

What to exclude from your review:

Please do not write about reviews, commentary, or information posted on the product page. If you see any errors in the information on the product page, please send us an email.

Reviews should not contain any of the following:

  • - HTML tags, profanity, obscenities, vulgarities, or comments that defame anyone
  • - Time-sensitive information such as tour dates, signings, lectures, etc.
  • - Single-word reviews. Other people will read your review to discover why you liked or didn't like the title. Be descriptive.
  • - Comments focusing on the author or that may ruin the ending for others
  • - Phone numbers, addresses, URLs
  • - Pricing and availability information or alternative ordering information
  • - Advertisements or commercial solicitation


  • - By submitting a review, you grant to Barnes & and its sublicensees the royalty-free, perpetual, irrevocable right and license to use the review in accordance with the Barnes & Terms of Use.
  • - Barnes & reserves the right not to post any review -- particularly those that do not follow the terms and conditions of these Rules. Barnes & also reserves the right to remove any review at any time without notice.
  • - See Terms of Use for other conditions and disclaimers.
Search for Products You'd Like to Recommend

Recommend other products that relate to your review. Just search for them below and share!

Create a Pen Name

Your Pen Name is your unique identity on It will appear on the reviews you write and other website activities. Your Pen Name cannot be edited, changed or deleted once submitted.

Your Pen Name can be any combination of alphanumeric characters (plus - and _), and must be at least two characters long.

Continue Anonymously
Sort by: Showing all of 6 Customer Reviews
  • Anonymous

    Posted July 7, 2004

    Living with hypothyroidism

    I've been taking thyroid meds for 15 years now and will have to for the rest of my life. I can honestly say it DOES affect you in many ways; from being tired all the time, to having no energy to even get out if bed sometimes. I'm also taking an antidepressant which has helped wonders in my 6 month TSH lab work; it was never stable before, but after 15 years of meds and the antidepressant, I can finally say I feel fine.

    2 out of 2 people found this review helpful.

    Was this review helpful? Yes  No   Report this review
  • Anonymous

    Posted December 18, 2008

    The Absolute BEST book on Thyroid disease EVER!!!!

    I recommend this book to anyone living with thyroid disease, family members, friends, Doctors, students etc... This book was by far the most imformative of them all. It covers everything you could possibly know. I was so disappointed when my endocrinologist failed to explain the symptoms. This book enlightened me on my disease and reassured me that I wasnt crazy or imagining the things that I was feeling/going through.<BR/>It is an easy read, its very interesting, not boring, was very well written! It is a must read!!!

    1 out of 1 people found this review helpful.

    Was this review helpful? Yes  No   Report this review
  • Anonymous

    Posted November 12, 2012

    Before I received a thyroid pill which was to change me for the

    Before I received a thyroid pill which was to change me for the better, I felt better.
    Now I feel tired, practically lethargic, have a greater lust for food and I must live around this pill requirements because of the time required before and after eating. How did my grandparents survive who made it close to 90 before this magic pill?
    So here I am looking for help and I'm concerned. Will this book save me? Stay tuned....

    Was this review helpful? Yes  No   Report this review
  • Anonymous

    Posted January 28, 2007


    I bought this book a few years ago when I was first diagnosed with Hashimoto's Thyroid Disease. It answered so many questions that I had and helped me to understand what I was going through . . . mood swings, weight gain, irritability, etc . . . YOU ARE NOT CRAZY! I bought this book for my doctor after I read it and asked her to read it too!

    Was this review helpful? Yes  No   Report this review
  • Anonymous

    Posted January 24, 2003

    Marginally helpful

    Arem's book offers a great deal of insight into the psychological manifestations of thyroid disease. But although he seems to recognize the mind body connection, he offers no solutions, particularly for hyperthyroidism, that address immune system health and the role of stress, iodine and other common triggers. His eagerness to guide hyperthyroid patients into destroying their thyroid glands shows that little thought was given to the life-long well-being of patients with this condition.

    Was this review helpful? Yes  No   Report this review
  • Anonymous

    Posted April 24, 2002

    Best book on Thyroid function for layman

    A family history of thyroid imbalance had me checking thyroid from early twenties to cope with infertility, depression, et al. I've watched my thyroid values climb and plummet throughout the past 15 years. When thyroid values 'normal' by establishment I was given antidepressant (TSH value was 3.0+). It didn't change symptoms. At 40 years, my TSH value walked out of 'norm' and I was given thyroid hormone. I hadn't felt so well since I was 25! This book includes many charts and values of tests, how to interpret results of tests, diet for optimum health, etc. His book was a great help in understanding my condition. Depression cleared, memory restored, fatigue gone since on thyroid hormone. Dr. Arem's information enabled me to become a participant in my healthcare--not a sickly compliant. Thank you Dr. Arem!

    Was this review helpful? Yes  No   Report this review
Sort by: Showing all of 6 Customer Reviews

If you find inappropriate content, please report it to Barnes & Noble
Why is this product inappropriate?
Comments (optional)