Neuropsychiatric Lyme Borreliosis: An Overview with a Focus on a Specialty Psychiatrist's Clinical Practice

Healthcare
R Bransfield

Abstract

There is increasing evidence and recognition that Lyme borreliosis (LB) causes mental symptoms. This article draws from databases, search engines and clinical experience to review current information on LB. LB causes immune and metabolic effects that result in a gradually developing spectrum of neuropsychiatric symptoms, usually presenting with significant comorbidity which may include developmental disorders, autism spectrum disorders, schizoaffective disorders, bipolar disorder, depression, anxiety disorders (panic disorder, social anxiety disorder, generalized anxiety disorder, posttraumatic stress disorder, intrusive symptoms), eating disorders, decreased libido, sleep disorders, addiction, opioid addiction, cognitive impairments, dementia, seizure disorders, suicide, violence, anhedonia, depersonalization, dissociative episodes, derealization and other impairments. Screening assessment followed by a thorough history, comprehensive psychiatric clinical exam, review of systems, mental status exam, neurological exam and physical exam relevant to the patient's complaints and findings with clinical judgment, pattern recognition and knowledgeable interpretation of laboratory findings facilitates diagnosis. Psychotropics and anti...Continue Reading

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Citations

Oct 11, 2019·Healthcare·Robert C Bransfield, Kenneth J Friedman
Sep 12, 2019·Healthcare·Robert C BransfieldDouglas R Bransfield
Nov 2, 2019·AJNR. American Journal of Neuroradiology·H A ValandR K Tu
Sep 18, 2020·BMC Neurology·Louise Nørreslet Gimsing, Anne-Mette Hejl
May 20, 2021·International Medical Case Reports Journal·Daniel A Kinderlehrer
Nov 23, 2021·Nursing·Danica StevensonBridget Parsh

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Methods Mentioned

BETA
enzyme-linked immunosorbent assay
PCR

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