Practice Guidelines for the Psychiatric Evaluation of Adults, Third Edition

Statement 4. APA suggests (2C) that the initial psychiatric evaluation of a patient also include assessment of the following:

  • Height, weight, and body mass index (BMI)

  • Vital signs

  • Skin, including any stigmata of trauma, self-injury, or drug use

  • Cardiopulmonary status

  • Past or current endocrinological disease

  • Past or current infectious disease, including sexually transmitted diseases, HIV, tuberculosis, hepatitis C, and locally endemic infectious diseases such as Lyme disease

  • Past or current neurological or neurocognitive disorders or symptoms

  • Past or current symptoms or conditions associated with significant pain and discomfort




Microorganisms capable of his latency include a diverse range of taxa including viruses such as the herpesviruses herpes simplex virus types 1 and 2, cytomegalovirus, and Epstein Barr virus as well as retroviruses such as human immunodeficiency virus, measles virus, bacteria such as Chlamydiae and Borreliae, and protozoa such as Toxoplasma gondii…(See link for article)

They should have also included Bartonella as it has caused a host of psychiatric issues:


Various strains have been found in eye fluid, the heart (myocarditis and endocarditis), and cysts, and can infect by nearly anything puncturing the skin and exchanging bodily fluids – including needles. Evidence also suggests congenital transmission.

Symptoms are largely associated with where the blood flow is compromised. The reason many have pain in the soles of their feet is due to inflammation caused by microvascular trauma. It has been known to cause cysts around dental roots leading to chronic and hard to diagnose head and face pain as well as root canals. This microvascular trauma is also to blame for brain issues causing psychological issues such as anxiety, anger, and suicidal thoughts, since the small vessel disease affects executive function. A cog is literally caught in the wheel. As neurotransmitters become depleted due to overstimulation, depression rears its ugly head. A vicious cycle ensues.  Most doctors are oblivious to the mental issues that can arise from tick-borne illnesses.


One-third of psychiatric inpatients showed signs of a Borrelia infectionaccording to Holdorf Medical Group based on a 2002 published study in the Journal of Psychiatry. The severest behavioral symptoms were reversed or improved with proper treatment, but not psychiatric medications alone.

Some of these symptoms include but are not limited to:

Memory impairment or loss (“brain fog”)
Dyslexia and word-finding problems
Visual/spatial processing impairment (trouble finding things, getting lost)
Slowed processing of information
Violent behavior, irritability
Rage attacks/impulse dyscontrol
Panic attacks
Rapid mood swings that may mimic bipolarity (mania/depression)
Obsessive compulsive disorder (OCD)
Sleep Disorders
Attention deficit/hyperactivity disorder
(ADD/ADHD)-like syndrome
Autism-like syndrome
Crying spells


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