Living with Hypothyroidism

Living with hypothyroidism can bring daily challenges, but with the right support, it’s possible to live well, achieve your goals and maintain meaningful employment.

At APM, we support people living with a range of health conditions, including hypothyroidism, through Disability Employment Services (DES).

If you’re looking for work or need help keeping a job, we can help you take the next step with support that suits your needs.

This guide is designed to support anyone living with hypothyroidism to better understand their condition, take practical steps for managing it, and access the right help when needed.

Share this page

What is hypothyroidism?

Hypothyroidism (also known as an underactive thyroid) is a condition where your thyroid gland doesn’t produce enough thyroid hormones.

These hormones are essential for regulating your metabolism, energy, body temperature and even your mood.

Your thyroid gland is a small, butterfly-shaped gland located at the base of your neck, just below your Adam’s apple.

It plays a crucial role in regulating your metabolism by producing hormones that affect energy levels, body temperature, heart rate and more.

A woman has her thyroid examined in a health clinic

When your thyroid is underactive, it slows down many bodily functions. This can result in symptoms that affect your body and mind, sometimes gradually and subtly over time.

Common causes of hypothyroidism include:

Autoimmune conditions like Hashimoto’s thyroiditis
Certain medications
Thyroid surgery or radiation therapy
Iodine deficiency (though rare in Australia)

There is no cure for hypothyroidism, but daily medication and healthy lifestyle changes can help manage it effectively.

Signs and symptoms of hypothyroidism

Symptoms of hypothyroidism can vary, and many people don’t realise they have it until symptoms become more obvious. If left untreated, these symptoms can significantly impact daily life.

Some of the most common include:

Fatigue and low energy
Unexplained weight gain
Sensitivity to cold
Depression or low mood
Constipation
Memory issues or ‘brain fog’
Dry skin and hair
Muscle weakness or cramps
Slower heart rate
Hoarseness
Puffy face
Menstrual changes or fertility issues
Thinning hair or hair loss

Many of these symptoms overlap with other conditions, so a blood test from your doctor is the best way to confirm if you have hypothyroidism.

A woman has her hand on her head at a desk

Strategies for coping with hypothyroidism in daily life

Living with hypothyroidism means taking a proactive and compassionate approach to your daily life. It’s about learning to recognise your body’s signals, managing your energy wisely, and making choices that support both your physical and mental wellbeing.

From establishing consistent routines that reduce fatigue, to prioritising rest, nutrition and gentle movement, managing hypothyroidism is a day-by-day process.

With the right habits, support systems, and medical care, you can build a lifestyle that works with your condition, not against it, and continue to do the things that matter most to you.

Here are some practical coping strategies:

1. Stick to your medication schedule

For people living with hypothyroidism, treatment typically involves taking synthetic thyroid hormone medication to restore hormone levels.

One of the most widely prescribed options is levothyroxine, which helps replace what the thyroid is no longer producing naturally.

Your medication works best when taken consistently. Follow your doctor’s instructions regarding the dosage and method of administration, and follow this consistently.

A smiles in conversation with work colleagues about hypothyroidism

2. Nourish your body with healthy food

A balanced diet can support your energy and mood. Try to include:

Lean protein
Whole grains
Fresh fruit and veg
Foods rich in selenium and zinc

Avoid excessive soy, fatty or heavily processed foods, which can interfere with hormone absorption.

3. Move your body regularly

Exercise can lift your energy and help with weight management. Even low-impact activities like walking or stretching can make a difference. Start small and build up gradually.

4. Get enough quality sleep

Set a regular sleep routine and create a calming bedtime environment. Quality sleep helps your body recover and improves mental clarity.

5. Manage your stress

Chronic stress can worsen symptoms. Mindfulness, deep breathing, or talking with a therapist can help reduce stress and improve emotional wellbeing.

6. Keep a symptom tracker

Noting how you feel daily can help you and your doctor adjust your treatment and understand what works best for you.

7. Ask for help when you need it

Whether it’s from family, friends, or professionals, don’t be afraid to lean on others. Having support can make a big difference.

Two female colleagues talk infront of a desktop computer

If you are experiencing symptoms or think you may have hypothyroidism, please consult a qualified healthcare provider. They can help assess your condition and recommend appropriate treatment.

Employment and hypothyroidism

Living with hypothyroidism doesn’t mean you have to give up on a career or settle for work that doesn’t suit your needs. Many people with hypothyroidism build successful, fulfilling careers—especially when they have the right support, tools, and workplace strategies in place.

Like any long-term health condition, hypothyroidism may come with challenges that can affect your work life. Understanding how the condition impacts you personally is key to finding ways to adapt and thrive in your role.

Some common work-related challenges include:

Reduced energy or fatigue: You might find that certain times of the day are more difficult, or that you tire more quickly than colleagues. This can affect your ability to complete tasks or stay focused for long periods.
Difficulty concentrating or remembering tasks: Sometimes referred to as ‘brain fog’, this symptom can make it harder to stay organised, meet deadlines, or recall details discussed in meetings.
Mood fluctuations: Changes in mood or motivation can impact how you communicate with others or respond to stress in the workplace.
Physical symptoms: Sensitivity to cold, joint discomfort, or general sluggishness can be uncomfortable, especially in physically demanding jobs or environments with poor temperature control.

These symptoms don’t always follow a pattern and can vary from day to day. That unpredictability can make it hard to maintain consistency at work, especially in fast-paced or inflexible roles.

However, being aware of your symptoms and how they affect you is the first step in building a sustainable work-life balance. By recognising your limits and exploring solutions that support your wellbeing, you can still perform well in your role and enjoy a sense of achievement and independence.

With the right adjustments—like flexible scheduling, regular breaks, or a quieter workspace—you can reduce the impact of symptoms and maintain your productivity. It also helps to work in an environment where open communication and understanding are encouraged.

Three women talk and smile including on in a black APM top, sitting at a coffee shop table

At APM, we believe everyone deserves the opportunity to work in a role that suits their strengths and supports their health. Through Disability Employment Services (DES), we help people with hypothyroidism and other health conditions find jobs where they can thrive, and provide ongoing support to help them succeed long-term.

Choosing the right role

Some job environments are naturally more suited to managing hypothyroidism. You might prefer:

Flexible hours or part-time options
A role with predictable routines
Opportunities to take short breaks throughout the day
Indoor work if you’re sensitive to weather and temperature changes

Office-based roles, remote work, and supportive team environments can often make it easier to manage symptoms. However, many people succeed in physically active or customer-facing roles too, especially with the right adjustments.

At APM, we work with you to explore your interests, strengths, and any barriers you might face. We help you find a role that fits, so you feel confident starting work and continuing long-term.

For more information, read our article Jobs for people with hypothyroidism.

Talking to your employer

You don’t have to disclose your health condition at work, but if hypothyroidism is impacting your performance or wellbeing, it might be helpful to share what you’re experiencing.

Open communication with your manager or HR team can lead to:

Workplace adjustments like flexible start times or rest breaks
Supportive conversations about workload and performance expectations
Access to employee assistance programs (EAP)

If you need help having this conversation, your DES consultant at APM can support you in preparing what to say and how to ask for reasonable adjustments.

Staying supported

If you’re already working, but struggling to manage your symptoms at work, APM can support you through:

Health and wellbeing strategies
Workplace assessments
Ongoing coaching and mentoring
Coordination with your employer

We understand that everyone’s experience with hypothyroidism is different, and our approach is always personalised.

With the right support, it’s possible to maintain employment that brings purpose, connection and financial independence – even with a long-term health condition.

Three women talk about hypothyroidism at work

How to manage hypothyroidism in your workplace

Managing hypothyroidism at work is often about making practical, small changes to reduce stress and manage your energy throughout the day. It’s not always about big adjustments—it’s the little things that add up to make a real difference.

Whether it’s rearranging your daily schedule to match your natural energy levels, having access to a more comfortable work environment, or using planning tools to stay focused, small steps can help you feel more in control and less overwhelmed.

The more you understand your personal triggers and how your symptoms show up, the easier it becomes to create a routine that works for you. Maybe it’s starting your day with lower-stress tasks, building in short breaks to recharge, or keeping a water bottle and healthy snacks nearby to maintain energy.

Even talking with your manager about small accommodations can make your workday more manageable.

By making these adjustments, and knowing that it’s okay to ask for support, you can continue to perform your job well without pushing yourself beyond your limits. It’s about working smarter, not harder, and making your wellbeing part of the plan.

Here are a few ways to better manage your condition at work:

1. Plan around your energy levels

Notice when you have the most energy and try to schedule your important tasks then. If you tend to feel tired in the afternoon, arrange lighter tasks during that time when possible.

2. Request flexible arrangements

If your workplace allows it, consider flexible hours, part-time options or remote work. A less rigid schedule can make a big difference in managing fatigue and medical appointments.

3. Create a comfortable workspace

Sensitivity to cold or joint stiffness is common with hypothyroidism. Dress in layers, use a space heater if needed, and make sure your workspace is ergonomically set up.

4. Take regular short breaks

Frequent short breaks can improve focus and help manage physical symptoms. A quick walk, stretch or even stepping away from your desk can help reset your energy.

A man drinks coffee and takes a break looking out an office window

5. Stay organised

Use to-do lists, calendars or reminder apps to support your memory and concentration. Breaking big tasks into smaller steps can also help you stay on track.

6. Stay hydrated and snack smart

Keep a water bottle at your desk and choose snacks that support energy, like fruit, nuts or yoghurt. Avoid too much caffeine or sugar, which can cause energy crashes.

7. Know your rights

Under Australian workplace law, you have the right to reasonable adjustments for a medical condition. If you're unsure how to start the conversation, APM can help advocate for you.

How to support someone living with hypothyroidism

Whether you're a family member, friend, manager or co-worker, your support can make a huge difference in someone’s ability to live and work well with hypothyroidism.

This condition often comes with invisible symptoms, like fatigue, brain fog, or mood changes, that can impact daily life in ways that aren’t always obvious.

By offering empathy, patience, and practical assistance, you can help ease some of the pressure they may be feeling. Encouragement, flexibility and a willingness to listen can go a long way toward helping someone feel understood and empowered.

Your support not only helps them manage their condition more effectively, but also boosts their confidence, independence and quality of life—at home, at work and in the community.

Here are some practical ways you can help:

1. Learn about the condition

Understanding the basics of hypothyroidism helps you better relate to what the person is going through. It shows empathy and builds trust.

2. Be patient and flexible

Symptoms can vary from day to day. If they’re having a slower morning or need extra time, try to be patient and understanding.

3. Offer emotional support

Sometimes, just checking in or listening without judgment can help someone feel seen and valued. Let them share at their own pace.

4. Avoid assumptions

Fatigue, brain fog or mood changes aren’t signs of laziness or lack of interest. These are real symptoms that can be tough to manage.

5. Help with practical tasks

Offering a lift to appointments, helping with errands, or just being a sounding board for decisions can be a big help.

6. Respect their privacy

Let the person decide who they share their diagnosis with. Support them without oversharing or pressuring them to talk.

7. Encourage self-care

Gently support healthy routines like rest, exercise, nutrition, and regular medical care.

8. Support visual comfort with better lighting and breaks

People with hypothyroidism may experience eye strain. As an employer, you can offer natural-light desk lamps and encourage regular screen breaks, which can ease discomfort and improve focus.

9. Encourage open conversations about health needs

Creating a safe space for employees to share their health concerns can lead to simple, effective adjustments like temperature control or ergonomic equipment that make a big difference.

If you’re a manager or colleague, check if they need adjustments at work and be open to changes that help them thrive.

A woman in an APM top smiles with a worker

APM is by your side

At APM Employment Services, we support people living with long-term health conditions like hypothyroidism to find and maintain meaningful work.

Through Disability Employment Services (DES), we help individuals access personalised support, health-aware job matching, and practical workplace adjustments.

We also work with employers to create more inclusive environments, offering expert advice on workplace modifications, including flexible work arrangements, ergonomic setups, and communication strategies.

Whether you're managing hypothyroidism yourself or supporting someone in your team, APM Employment Services can help you take the next step.

At APM, we’re here to help you access the support you need to stay healthy and thrive in your career. To learn more or get personalised support, contact our team at APM Employment Services today.

Please note, if you are concerned that you may have Hypothyroidism, the first step is to see a doctor. They can assess your symptoms, rule out other conditions, and discuss a diagnosis and treatment plan with you.