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» LymeNet Flash » Questions and Discussion » Medical Questions » Can Bipolar be lyme

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Author Topic: Can Bipolar be lyme
briteeyes30
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Here is the story the pastor of my church, his son was bit and had lyme they took him to a homeopathic doctor and he treated him, how i don't know. Doc said he was cured.

Then his son was bit again no symptoms etc. Last sunday my grandfather was talking to the pastor and he mentioned that they were taking their son for testing for bipolar.

I read somewhere that lyme can mimic bipolar. I am looking for some kind of article or something saying so, so I can print it out and give it to the pastor and his wife.

In my opinion I think it is the lyme and he doesn't have bipolar. Can anyone here help me find something regarding this. Thank you so much!

Posts: 78 | From Port Jervis, NY USA | Registered: Aug 2005  |  IP: Logged | Report this post to a Moderator
kgg
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http://tinyurl.com/8xcas
1: Am J Psychiatry. 1994 Nov;151(11):1571-83. Related Articles, Links

Lyme disease: a neuropsychiatric illness.

Fallon BA, Nields JA.

Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York.

OBJECTIVE: Lyme disease is a multisystemic illness that can affect the central nervous system (CNS), causing neurologic and psychiatric symptoms. The goal of this article is to familiarize psychiatrists with this spirochetal illness. METHOD: Relevant books, articles, and abstracts from academic conferences were perused, and additional articles were located through computerized searches and reference sections from published articles. RESULTS: Up to 40% of patients with Lyme disease develop neurologic involvement of either the peripheral or central nervous system. Dissemination to the CNS can occur within the first few weeks after skin infection. Like syphilis, Lyme disease may have a latency period of months to years before symptoms of late infection emerge. Early signs include meningitis, encephalitis, cranial neuritis, and radiculoneuropathies. Later, encephalomyelitis and encephalopathy may occur. A broad range of psychiatric reactions have been associated with Lyme disease including paranoia, dementia, schizophrenia, bipolar disorder, panic attacks, major depression, anorexia nervosa, and obsessive-compulsive disorder. Depressive states among patients with late Lyme disease are fairly common, ranging across studies from 26% to 66%. The microbiology of Borrelia burgdorferi sheds light on why Lyme disease can be relapsing and remitting and why it can be refractory to normal immune surveillance and standard antibiotic regimens. CONCLUSIONS: Psychiatrists who work in endemic areas need to include Lyme disease in the differential diagnosis of any atypical psychiatric disorder. Further research is needed to identify better laboratory tests and to determine the appropriate manner (intravenous or oral) and length (weeks or months) of treatment among patients with neuropsychiatric involvement.

Lots of info here: http://www.lymeinfo.net/neuropsych.html

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pq
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Bb messes with all systems, the endocrine syst. being one such system that will affect mood.

a babesial infection, along with borreliosis, will cause signs and symptoms that one llmd says are w-a-y o-u-t of proportion to those when infected with lyme alone.

for brevity, i'm omitting many other causative factors.

he suggested this is a tip off to a babesiosis.

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BJG
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HI Brit,

Lyme is the great imitator,which means it can appear to be bipolar.

First, Bipolar has a specific criteria.
Many people, including prof/ministers/etc. can become confused when dealing Bi-polar.

The reason it it important to have a correct diagnosis is the need for appropriate meds.
Depression and bipolar are not medically treated the same,infact the wrong treatment has the potential to cause problems.

peace,
bjG

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Lymester
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Bi-polar and lyme are not the same.

People that are bipolar are not aware that they fluctuate between the manic and the depressive modes. They do not recognize it as a problem in their behaviour or mental state.

If you have lyme and all of a sudden you're standing there and you can feel the switch in your mindset, that is a symptom of lyme that is neurological.

They are nowhere near the same thing.

--------------------
Lymester

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pq
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Right, bi=polar and lyme not the same.

short story of a bi-polar, a 55y.o. former advertizing executive gone on disability, and lithium carbonate :

i would eat breakfast,whilst in 'coma,' at a lunchette after working the graveyard shift.
A true bi-polar frequented this place.

Some behavioral characteristics of this guy, both funny and deadly serious:

In the late 80s. or early 90's he's at the lunch counter talking sports with other businessmen, Ted Turner being tied into some event(s).
I'm sitting at my table nearby biting into my egg, careful not to get any food on the crossdword puzzle, when Ted Turner's name was spoken. The bipol.guy said that he was going to kill some guy that had something to do with one of Ted Turner's legal, or other difficulties, if Ted Turner's then problem(s)/situation didn't turn-out in Ted Turner's favor. The bipolar guy did not know Ted Turner.
The businessmen at the table, went from jovial, and thinking about the day ahead, to dropping dead silent, turning their heads in unisson, to look at their
"company," made non-inflammatory 'safe' comments, changing the subject, and went on about the business at hand of finishing their breakfast. The bipol. guy just went on talking........@&@

Another day, this guy is really 'ON', and talked NON-STOP from 8am to 11am. The short-order cook is slowly building up rage, making faces, and otherwise, uncharacteristically subtley smacking the spatula on the grill, flinging the veggies in some omelette, and so on.

finally, around 11a.m. the bipol. guy is going on discursively,as in,"...march 3rd is my birthday...lithium is the 3rd element in the periodic chart, this is the 3rd day of the week...the winning lottery ticket has all threes...," and o/w making all kinds of Jungian, 'mystical' causality "connections" about the number 3. Well, a short while after this, the cook, livid, went off on a postal verbal tirade on the bipol. guy, finally threatening to call the police if the guy didn't leave.
The cook: "...you've been talking non-stop all morning...you didn't shut up once...since you walked through the door..." The explectives omitted from mention.

The bi-pol. re-appears about a year+ later. I overheard him saying that he just got out of jail, and that he went to jail for attempting to hijack a bus to Cuba(!), and laughing after he said it. [Eek!]

the last 'escapade' was that he got busted by a German-borne landlord of a mansion-turned-rooming house in a wealthy neigborhood,and who spoke limited english, for swimming in the landlord's pool at 1a.m. in the morning. The bi-pol guy, relating the story to a friend, stated that he told the landlord that his name was Sergei[blah,blah,blah], that he was a Russian diplomat, and so on.... He convinced the landlord not to call the police, and walked away.
The bi-pol. guy stated that he had been going for a swim in private pools for the last two weeks.

So...if your neither incessantly bending somebody's ear for three hours with discursive talk, or talking about the jungian causality of disparate events, or not jumping illegally into someone's swimming pool at 2a.m as a drunk russian diplomat by the name of sergei who got the wrong address, nor attempting to hijack a public bus to cuba, perhaps for the purpose of winter shelter in jail, then your probably NOT bipolar.... [Razz] [Big Grin]

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tickedntx
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Please do some research on bipolar before making such assertions. There are varying degrees of this illness, and it doesn't always look like what you have described.

--------------------
Suzanne Shaps
STAND UP FOR LYME Texas (www.standupforlyme.org)
(Please email all correspondence related to protecting Texas LLMDs to [email protected] with copy to [email protected])

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treepatrol
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Cognitive Aspects in Adults:

Attention Problems: Easy distractibility; difficulty handling multiple tasks at the same time; trouble sustaining attention on tasks and completing tasks; trouble following the course of conversations or the text of a book.


Memory Problems: Retrieval difficulties are common in which patients may have a hard time recalling what they know; patients may forget conversations or children may forget that they've done homework assignments.

At other times, patients experience a problem with the "working memory": as if the material can't be kept on board long enough. Patients may find themselves keeping multiple lists, but then they lose track of where they put their lists.


Slower Processing Speed: Patients may find it takes them longer to respond to questions or to complete tasks. Reaction time and thinking feel sluggish.


Verbal Fluency problems: the ability to engage in normal conversations is impaired by the inability to retrieve the right word for the moment or the ability to "name" well-known people or objects. Patients may experience word substitutions or "paraphasias".

A patient trying to refer to a "microwave" might, for example, say "radiator". Or, trying to refer to "Amazon.com" the patient might say, "AOL". Or, trying to refer to "fireworks", the patient might say "skylights".

Patients may also experience an impairment in speech production, such that they stutter, particularly at times of sensory overload.
Psychiatric Aspects in Adults


Irritability and moodiness are common. These tend to be most severe in neurologic Lyme disease before treatment, during the first few days or weeks of treatment, and during resurgences or relapses of active Lyme Disease.

Antibiotic therapy can be very helpful at these times. Symptoms that persist despite appropriate antibiotic therapy should be treated with psychiatric medications.

It is very important for patients to take advantage of all opportunities for therapeutic benefit. These include consultation with a psychiatrist for both medication and therapy.

Psychotherapy with a psychiatrist, psychologist, or social worker can be very helpful to help the individual cope with the effects of a serious illness. Family and couples therapy can also be vitally important, particularly when family members are confused by the changed behavior or personality of the patient.

Psychiatric medication can be very helpful to combat mood and sleep disturbances, to enhance attention, to decrease central nervous system hyperacuities,

to decrease excessive worry and fear, and to contribute to overall good health by countering the negative impact of neuropsychiatric disorders on the immune system.

Mood Lability: spontaneous swings of mood; spontaneous tearfulness. At times, patients with these symptoms may appear to have a Bipolar II disorder.


Irritability: an inability to tolerate normal frustrations, with quick bursts of anger. Patients may seem to have undergone a personality change in that previously mild-mannered individuals may now become quite difficult.


Panic attacks: tachycardia, flushing, chest pain, , numbness and tingling, shortness of breath, choking feeling with the sensation of loss of control and/or of fear of death.


Needs to be distinguished from tachyarrhythmias. Panic attacks unrelated to Lyme disease are usually 10-20 minutes in duration. Lyme-related panic attacks may last for an hour or more.


Less commonly: manic or psychotic episodes (during encephalitic phase), paranoia, tics, obsessive/compulsive symptoms (may trigger a milder pre- existing condition or bring on symptoms de novo)


Neuropsychiatric Problems in Children
As noted among adults, when Lyme Disease is treated early in children, few children develop long term problems.

When Lyme Disease is not treated until later in the course of the illness, the clinical manifestations may be more neuropsychiatric and the response to treatment less robust.

In a large series of children with Lyme disease referred to a pediatric neurologist (Belman et al), headaches were the most commonly reported symptom.

The second most common symptom were disturbances of behavior and mood. MRI abnormalities may be seen in some children following Lyme infection, located predominantly in the deep white matter, which is consistent with reports of MRI lesions seen in adults with neuroborreliosis.


These findings are similar to the MRI findings of children with parainfectious or postinfectious acute disseminated encephalomyelitis.

Children in particular may appear to have "pseudo-tumor cerebri" because of an elevated opening pressure at lumbar puncture.

Complex partial seizures may also occur more commonly among children with neurologic Lyme Disease than among adults. Like adults, these children may appear to have chronic fatigue syndrome due to an extraordinary capacity for prolonged sleep at night and need for naps during the day.

Cognitive. In a study by Adams et al, children with relatively early manifestations of Lyme Disease appropriately treated with antibiotics were found to have an excellent prognosis for short-term and long-term (4 years) unimpaired cognitive functioning.

In contrast, a study by Bloom et al reported on an evaluation of 86 children for possible late manifestations of lyme disease, 12 of whom had neurocognitive symptoms thought to be related to Lyme infection.

Of these 12, 5 had past or present B. burgdorferi infection in serum and CSF and had developed neurocognitive symptoms either at the time of onset of Lyme infection or months after classic manifestations of the disease.

The most prevalent neurocognitive symptoms were behavioral changes, forgetfulness, declining school performance, headache and fatigue.

Two of these children had developed complex partial seizures. A comprehensive neuropsychological battery revealed that these children had normal intellectual functioning, but particular deficits related to auditory or visual sequential processing.


These deficits, as well as many other symptoms, gradually improved following ceftriaxone therapy, although two of the children continued to have auditory sequential processing deficits.

A controlled study by Dr. Tager at our Lyme Disease Research Program, reported at the 1999 VIII International Lyme Disease Conference in Munich Germany,

revealed that chronic Lyme Disease in children may be accompanied by cognitive and psychiatric disturbances, resulting in significant impairment in psychosocial and academic functioning.


The most prominent cognitive problems involved the domains of attention and learning specifically related to perceptual/organizational abilities, visual scanning, and sequential tracking.

Psychiatric.

Two studies from different institutions found that children with Lyme Disease may develop late problems with visual and auditory attention.

These children may be mistakenly diagnosed as having primary attention deficit disorder as opposed to attentional deficits secondary to a systemic infection.

Other findings in children include new onset phobias (e.g., fear of the dark, separation anxiety), depression, listlessness and irritability, oppositional behavior, obsessive-compulsive behaviors, and/or Tourettes Disorder.

http://www.columbia-lyme.org/flatp/lymeoverview.html#adult-cogn

--------------------
Do unto others as you would have them do unto you.
Remember Iam not a Doctor Just someone struggling like you with Tick Borne Diseases.

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