we discuss the controversy surrounding the diagnosis of cld and concerns and considerations in the treatment of suspected cld patients with comorbid psychiatric diagnoses. he felt that the sertraline was worsening his symptoms and was tapered off of it. he reported having presented to the er multiple times for his anxiety and neuromuscular complaints but that an elisa lyme antibody test, from 3 weeks prior, had been negative (no western blot was sent since the elisa was negative), as was the rest of his medical workup.
the patient was frustrated by the persistence of his neurological symptoms which further contributed to his hopelessness and passive thoughts of dying. his persisting psychiatric symptoms and lack of prior history of panic or depression bring up the possibility that his previous infection with lb played a role in the later development anxiety and panic attacks. in our case, the patient’s episodic pain and fatigue are not consistent with fibromyalgia (absence of the trigger points on exam) or cfs (severe fatigue did not persist for 6 or more months) and he had no history of either prior to his first lyme infection. it is further conceivable that beyond cld as an explanation for the patient’s symptoms is the well-documented response of depression and anxiety symptoms secondary to chronic illness .
particularly for those struggling with undiagnosed lyme disease, this suggestion is a popular “answer” when patients don’t otherwise fit into an easy diagnostic box. for lyme disease patients, however, depression is a symptom of that tick-borne infection. this elevated potential for mental disorders was highest in subjects ages 20-29. having struggled with depression throughout college and my early twenties, both as a side effect of being sick and as a side effect of lyme disease itself, i can certainly attest to the particular vulnerability of young people. while i do still struggle at times with anxiety and depression, they are much better than they were when i was first sick.
so has understanding the derivation of my anxiety and depression, and recognizing that when they do flare up, it generally means that lyme disease symptoms are flaring, too. neuropsychiatric lyme borreliosis: an overview with a focus on a specialty psychiatrist’s clinical practice. jennifer is a patient advocate who has dealt with chronic illness, including lyme and other tick-borne infections. connect with a doctor who understands lyme disease and how to treat it.
created for family members of people with alcohol abuse or drug abuse problems. answers questions about substance abuse, its symptoms, different brian fallon. he is a psychiatrist with the new york state psychiatric institute and director of the lyme and tick-borne diseases research lyme disease, or lyme borreliosis, caused by borrelia burgdorferi and spread by ticks, is mainly known to cause arthritis and neurological, .
when i was first wrestling with symptoms of tick-borne illness at age 19, a nurse at my college health center said, “maybe you should see a collaborative study from columbia university and the copenhagen research centre for mental health examines the relationship between lyme there is growing evidence that lyme disease can lead to psychiatric symptoms, including anxiety disorders and depression. there have been cases where, .
When you try to get related information on lyme disease depression, you may look for related areas. .