My patient had a long-standing history of Obsessive-Compulsive Disorder (OCD) that had been well-controlled for years. However, after being diagnosed with Lyme disease and completing a standard course of antibiotics, he began experiencing a significant resurgence of obsessive rumination. His mental health declined as he fixated on every symptom, convinced he would never recover. Post-Treatment […]
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Relapse in Lyme disease remains a critical issue, often due to the failure to completely eradicate the Borrelia burgdorferi bacterium with standard antibiotic treatment. This challenge has been recognized for decades, yet patients today still face persistent or recurring symptoms despite receiving what is considered adequate therapy. Chronic Lyme Disease and PTLDS For many patients,
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During my medical school, graduate school, and residency, Lyme disease wasn’t even on my radar. That’s not surprising, given that I was in training before Lyme disease had really entered the medical lexicon. Back then, the condition was a little-known illness, limited to a few regions and far from being the major public health concern
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Brain Fog and Cognitive Symptoms in Children With Lyme Disease Updated January 2026 Many parents notice something is wrong long before they have a name for it. A child who once learned easily may begin to struggle to concentrate. Homework takes longer. Instructions need to be repeated. Teachers mention inattention or declining performance. At home,
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It starts small. A tick bite you never noticed. A fever that comes and goes. An ache you blame on a long day, a restless night, a bad chair. But Lyme disease, left unchecked, doesn’t stay small. It spreads. It settles. It rewires. And sometimes, it doesn’t leave. The Joints: A Slow, Relentless Ache
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If Lyme disease is identified and treated promptly, many people recover fully. A standard course of antibiotics can effectively clear the infection, and symptoms typically resolve. However, some individuals experience lingering effects even after treatment. What Happens If Lyme Disease Is Left Untreated? If the infection spreads or is not diagnosed early, it can
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Can You Feel a Tick on You? The Short Answer: Sometimes — But Often Not If you’ve ever wondered, “Can you feel a tick on you?”, you’re not alone. Many patients assume they would notice a tick crawling or biting. In reality, ticks are exceptionally stealthy. In many cases, you won’t feel them at all—especially
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When timing changes everything What this page coversThis page explains what recovery from Lyme disease can look like, why some patients improve quickly while others don’t, and where to find more detailed information if symptoms persist. Lyme disease recovery looks different for each patient and depends heavily on timing, treatment, and whether symptoms persist after
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Preventing Chronic Lyme Disease Preventing chronic Lyme disease has been a central focus of my clinical practice for more than 37 years. While many patients recover fully with early recognition and treatment, others—despite appropriate care—develop persistent, disabling symptoms affecting multiple body systems. Chronic Lyme disease is rarely caused by a single failure. It is usually
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In 2020, investigators published a case involving a 13-year-old boy with Lyme arthritis, a common manifestation of Lyme disease, who developed a Herxheimer reaction when treated with doxycycline. On the 7th day of treatment, the boy developed a low-grade fever and severe arthralgias with intense hip, ankle and cervical spine pain and myalgias. You can
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