“…In one study that assessed thyroid dysfunction in patients hospitalized for psychiatric disease, over 90% of patients had thyroid levels checked but only 4.4% had low TSH levels, and of these, only 1% had elevated free T4 levels. 37 Assessments for other common symptoms of hyperthyroidism should be conducted to guide screening for thyroid dysfunction. Physical findings in hyperthyroidism include tachycardia, tremor, palpable goiter, and in the case of Graves' disease, ocular changes such as proptosis, lid lag, and stare.…”