It&#x27;s really hard to tell just from symptoms whether it is mental or physical. And from your explanation, it sounds like you&#x27;re saying it was from stress (i.e. mental), but caused physical effects (reduced cortisol, etc). It&#x27;s well known that stress causes these effects. I&#x27;m not sure it&#x27;s helpful calling it either physical or mental. Psychosomatic is the correct term, but it is widely misunderstood (most people think it means &quot;imaginary&quot;). Perhaps functional is the best term to use.<p>As for treatment: what exactly is compacted thyroid, and how would it help with cortisol? The low cortisol in chronic stress is central in nature (due to changes in the brain), so how would any of your treatments change your brain?<p>Bear in mind that psychiatric interventions and have been proven to treat low cortisol, so it could just be the lifestyle changes you made that resulted in improvement.