The Connection between Mental Health and Lyme Disease

[@jeaniescott4840]

Why do so many physicians fail to follow patterns of chronic illness over time?🤷‍♀️ ABL(anything but Lyme) should never be an acceptable approach to those of us who fail to produce the bullseye rash! I believe that my bite occurred on the back of my head, which was incredibly sore and took several weeks to heal. Looking back at the increasing constellation and severity of my symptoms over many years, I can correlate the decline of my health to that exposure in my last year working in animal rescue.😣in 🇨🇦

[@143mmiller]

Thank you for this wonderful presentation!

[@stephenbloomer567]

Lots of interesting information (I have many of the psychological systems, but my Lyme is in remission). Are there recommended treatments for anxiety and depression? None of the normal treatments seem to help.

[@sebek12345]

🎯 Key Takeaways for quick navigation: 00:00 🧠 *Understanding Lyme Disease Psychiatric Implications* - Lyme disease symptoms result from infections, immune reactions, and other processes. - Variances in symptoms depend on factors like age, co-infections, genetic predispositions, and tick-related variables. - Psychiatric issues in Lyme disease involve impairments in cognitive, vegetative, emotional, and neurological functions. 03:09 🩺 *Assessment Approaches for Lyme Disease* - Clinical evaluation involves a detailed history, symptom review, thorough examination, and pattern recognition. - Various assessment tools, including screening exams and comprehensive evaluations, aid in diagnosing Lyme disease. - Assessments consider co-infections, neurological symptoms, psychiatric syndromes, and physiological manifestations. 07:40 💊 *Psychological Symptoms and Impact of Lyme Disease* - Cognitive impairments include attention deficits, memory problems, processing issues, and executive function challenges. - Emotional symptoms encompass mood swings, frustration, diminished pleasure, and dissociative experiences. - Behavioral manifestations involve decreased productivity, substance abuse, suicidal ideation, and interpersonal difficulties. 14:41 📉 *Prevalence and Impact of Lyme Disease-Related Psychiatric Syndromes* - Depression, anxiety disorders, and PTSD are prevalent psychiatric syndromes associated with Lyme disease. - Fatigue, sleep disturbances, and cognitive deficits significantly affect patients' quality of life. - Lyme disease correlates with increased risk of suicide, substance abuse, and other psychiatric issues. 18:04 🧬 *Comprehensive Evaluation and Treatment Approaches* - Comprehensive evaluations consider neurological, physiological, and immunological aspects of Lyme disease. - Treatment strategies target both the infection and immune system dysregulation. - Understanding the complex interaction between infections, immune responses, and symptoms is crucial for effective management. 22:18 🧬 *The interplay of pathophysiology, immune system functioning, and symptoms in Lyme disease.* - Lyme disease involves a complex interplay of pathophysiology, immune system dysregulation, and symptoms. - Interventions can target normalizing immune function, reducing infection load, or managing symptom severity. - Chronic stress, sleep deprivation, and psychological symptoms can exacerbate the severity of Lyme disease. 27:19 🩺 *Diagnostic challenges and clinical considerations in tickborne diseases.* - Neuroborreliosis diagnosis based solely on antibody presence in spinal fluid is inadequate. - Testing limitations and the need for broader testing panels to detect various tickborne pathogens. - Clinical diagnosis criteria for Lyme disease and the importance of thorough physical examinations. 32:09 🧪 *Laboratory testing methods and advancements in Lyme disease diagnosis.* - The limitations of indirect serological tests and the development of more sensitive and specific assays like the Imin blot. - Importance of detecting multiple species and strains of tickborne pathogens. - The role of T-cell response assays in cases of immune suppression. 41:27 🧪 *Lyme Disease Testing Methods Overview* - Explanation of the challenges with traditional Lyme disease testing methods. - Late appearing IgM antibodies can persist, leading to false positive results. - Overview of various testing methods including PCR, culture, and urine antigen testing. 43:18 🧬 *Direct Testing Methods for Lyme Disease* - Discussion on direct testing methods such as PCR, culture, and urine antigen testing. - Importance of timing for accurate testing, particularly in relation to treatment status. - Differences in sensitivity and specificity among direct testing methods. 46:56 🦠 *Clinical Features and Testing for Bartonella Infection* - Description of clinical features associated with Bartonella infection, including CNS symptoms and skin manifestations. - Overview of testing methods for Bartonella, emphasizing the need for multiple tests due to the complexity of the infection. - Importance of considering immune system function in interpreting test results. 51:29 🩸 *Clinical Features and Testing for Babesiosis Infection* - Differentiating clinical features of Babesiosis from Lyme disease, including fever patterns, fatigue, and balance issues. - Discussion on testing methods for Babesiosis, highlighting the limitations of traditional testing and the importance of using multiple methods for accurate diagnosis. - Emphasis on the prevalence of co-infections and the need for comprehensive testing approaches. 54:29 🦠 *Clinical Features and Testing for Rickettsia Infection* - Description of clinical features associated with Rickettsia infection, including acute and chronic manifestations. - Overview of testing methods for Rickettsia, including serologies and culture. - Importance of considering non-infectious factors such as inflammation and toxins in the diagnostic process. 59:46 🩺 *Lyme Disease Testing and Treatment Strategies* - Lyme disease testing and treatment strategies are essential for addressing potential psychiatric manifestations. - Target testing based on the patient's stage of infection and predominant symptoms. - Antibiotic treatment may take time to resolve psychiatric symptoms and requires careful monitoring for potential worsening due to the Herxheimer reaction. 01:00:19 💉 *Initial Testing Considerations and Antibiotic Treatment* - Consider initial testing with comprehensive panels like the IGeneX TBD 6 or the CCR TBD 6, tailored to the patient's stage of infection and symptoms. - Antibiotic treatment should be guided by clinical assessment, targeting specific infections based on predominant symptoms such as air hunger for babesiosis or joint issues for Lyme disease. - Psychiatric manifestations may take longer to resolve compared to rheumatologic or neurologic symptoms, often requiring months of treatment. 01:03:18 📚 *Resources for Lyme Disease and Psychiatric Symptoms* - Resources like the "Microbes and Mental Illness" journal article and the "International Clinical Perspective of Lyme Disease" KZbin series provide valuable insights into Lyme disease-associated psychiatric symptoms. - Expert opinions from clinicians with extensive experience in treating tick-borne diseases offer valuable guidance on assessment and management strategies. - Accessing comprehensive resources can aid in understanding the complexities of Lyme disease and its psychiatric implications. 01:04:27 💊 *Provocative Treatment and Serological Testing* - Provocative treatment for 30 days prior to testing may help stimulate antibody production in patients with advanced tick-borne diseases who initially test seronegative. - Antibiotic treatment can lead to a decrease in germ load, potentially resulting in seroconversion from seronegative to seropositive status. - Repeat serological testing after antibiotic treatment can help assess changes in antibody levels and aid in diagnosis confirmation. 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[@toniarall6388]

Where can I find the assessment. On which website ?

[@laurinmeador327]

I believe I am a victim of this syndrome.

[@edwingallagher2095]

"Promo SM" 💐