The butterfly in the room: Therapists need to be alert to the mental health effects of physically generated symptoms in clients.

The article discusses the need for therapists to be alert to the mental health effects of physically generated symptoms in clients. It is noted that while myxoedema is thankfully rare, clients who have been diagnosed with a thyroid issue are often living with challenging physical symptoms that affect their mental state. Some research suggests an element of permanence to a client's psychological state due to its biological origin.