Archive for the ‘Psychological Aspects’ Category

Underlying Infections & Psychiatric Presentation – Podcast

Episode 38: Underlying Infections and Psychiatric Presentation

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Cindy Kennedy, FNP, is joined by Dr. Rosalie Greenberg, who discusses how underlying infections can manifest themselves with a psychiatric presentation, particularly among children with Lyme disease.

Greenberg, D.F.A.A.C.A.P., is a Board Certified Child and Adolescent Psychiatrist in private practice in New Jersey. She specializes in the diagnosis and psychopharmacological treatment of Pediatric Mood Disorders, psychiatric symptoms secondary to tick-borne infections and Pediatric Acute-onset Neuropsychiatric Syndromes.
She is an active member of The International Lyme and Associated Diseases Society (ILADS) and has authored articles and lectured at ILADS National and International Conferences on Tick-borne Illnesses and Childhood Psychiatric Symptoms.
In addition Dr. Greenberg is the author of “Bipolar Kids: Helping your Child Find Calm in the Mood Storm,” DaCapo Press (March 2007), co-producer of the film: Rescuing Childhood- Understanding Bipolar Disorders in Children and Adolescents (2009); host of The Telly Award winning show “Kids First with Rosalie Greenberg, MD” (2012, 2013, 2014, 2015), and recipient of multiple awards and acknowledgement as a Top Doctor in several publications. She maintains a private practice in Summit, New Jersey.

Schizophrenia Breakthrough Identifies Importance of Immune Cells

https://www.laboratoryequipment.com/news/2018/09/schizophrenia-breakthrough-identifies-importance-immune-cells

NeuRA and UNSW Professor Cynthia Shannon Weickert and NeuRA PhD student Helen Cai. Photo: NeuRA

 

In one of the biggest breakthroughs in schizophrenia research in recent times, Cynthia Shannon Weickert, a professor from Neuroscience Research Australia (NeuRA) and UNSW Sydney, has identified immune cells in greater amounts in the brains of some people with schizophrenia. 

The study, published in Molecular Psychiatry, has the potential to transform global schizophrenia research and open new avenues for developing targeted immune cell therapies​.

One in every 100 Australians lives with schizophrenia. No single cause of schizophrenia has been identified, and this has prevented the development of a cure.

The current treatments for schizophrenia are designed to suppress symptoms rather than target underlying causes of the disorder. These drugs only partially relieve symptoms and can produce unwanted side effects.

Most scientists have had a long held belief that immune cells were independent from the brain pathology in psychotic illnesses, Shannon Weickert said.

“In our study, we challenged this assumption that immune cells were independent of the brain in psychiatric illness and made an exciting discovery. We identified immune cells as a new player in the brain pathology of schizophrenia,” Shannon Weickert added.

Current schizophrenia research has focused on the status of three brain cells: the neurons; the glial cells that support the neurons; and the endothelial cells that coat the blood vessels.

Employing new molecular techniques allowed Shannon Weickert and her team to identify the presence of a fourth cell, the macrophage, a type of immune cell in the brain tissue of people with schizophrenia who show high levels of inflammation.

“Immune cells have previously been ignored as they had long been viewed simply as travelers just thought to be passing by, undertaking surveillance work. They have never been a suspect until now,” Shannon Weickert said. “To find immune cells along the blood brain barrier in increased amounts in people with schizophrenia is an exciting discovery. It suggests immune cells themselves may be producing these inflammatory signals in the brains of people living with schizophrenia. We have observed in people with schizophrenia, the glial cells, one of the local residents, become inflamed and produce distress signals which change the status of the endothelial cells. We think this may cause the endothelial cells to extend sticky tentacles, so when the immune cells travel by some are captured. These cells may transmigrate across the blood brain barrier entering the brain in greater amounts in some people with schizophrenia compared to people without the disorder.”

This discovery shows that specific immune cells are in the brains of some people with schizophrenia in close enough proximity to the neurons to do damage.

Peter Schofield, CEO of NeuRA, said this innovative new research has the ability to possibly alter the diagnosis and treatment schizophrenia.

“This breakthrough demonstrates the value of the NSW Government’s support for Professor Shannon Weickert as NSW Chair of Schizophrenia Research, which has delivered new insights that the community seeks,” Schofield said.

Shannon Weickert is encouraging a cross-collaborative approach between neuroscientists and immunologists globally, to work together to develop treatments targeting this abnormal immune pathology of schizophrenia.

“This opens whole new avenues for therapy, because it suggests that the pathology of schizophrenia could be within the immune cells and the immune cells could be contributing to the symptoms of schizophrenia,” Shannon Weickert concluded.

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**Comment**

https://madisonarealymesupportgroup.com/2017/10/03/treat-the-infection-psychiatric-symptoms-get-better/  LLMD, Dr. Horowtiz, goes on record stating that antibiotics are effective in Schizophrenia. With irony he points out that the authors attribute the reason minocycline helped these patients is due to its ability to affect glutamate pathways in the CNS, blocking nitric oxide-induced neurotoxicity, and inflammation in the brain. He reminds them that minocycline is a tetracycline antibiotic that very well may be treating an infection. He also emphatically states that he has had several schizophrenic patients test positive for Bb, the agent of Lyme Disease. After taking doxycycline they improved significantly and with the help of their psychiatrist, were able to reduce and in some cases eliminate all of their antipsychotic medication. It is important to note that patients remained stable on antibiotics but their symptoms returned if they stopped treatment.

https://madisonarealymesupportgroup.com/2017/06/04/minocycline-for-ms-and-much-more/  BTW:  Mino was one of the most effective meds for my neuro issues and severe occipital headaches.  It crosses the blood brain barrier.

https://madisonarealymesupportgroup.com/2017/01/17/lymemsids-and-psychiatric-illness/  In this presentation, Dr. Markes questions if psychiatric disorders are inflammatory diseases. She lists: Autism, Alzheimer’s, Schizophrenia, Bipolar, PTSD, Depression, Stress, Sleep Deprivation, Self-harm, and Suicide Attempts. She also describes a study in England observing children for over a decade in which children with a high IL-8 at age 8 have an 81% change of developing depression by age 18 and a 2-fold chance of becoming psychotic.  

She states that TBI’s (Tick Borne Illness) causes an impaired Hypopituitary Axis (HPA) which on a chronic basis decreases cortisol and increases inflammation.

Neurotoxins in the brain contribute to mental illness by causing problems with Homosysteine metabolism, which supresses remethylation, but that apoptosis (cell death) can be reversed by supplementing with SamE.

She says Post Treatment Lyme Syndrome (PTLS) is like a “dog whistle,” and usually demonstrates a bias on behalf of the authors who believe that 3 weeks of antibiotics cures LD. She then goes on to tell of a study that revealed that nearly 50% of those labeled as PTLS (with persistent symptoms) had anti-brain antibodies compared to 16.5% of Post Treatment Healthy Controls (no symptoms).

Depersonalization, Violence, self-harm, and schizophrenia can be a part of the picture with TBI’s. At 41:20 she tells the story of a little girl who would throw horrific temper tantrums in which she would destroy her room and then feel absolutely horrible after the fact. She also had a psychotic episode. Her MSIDS testing came back flagrantly positive.

 

 

 

 

 

Unique Chorus Giving Voice To People With Alzheimer’s

CBS This Morning

Published on Sep 1, 2018
People diagnosed with dementia often see their worlds narrow, becoming more homebound as their condition progresses. One program is giving patients a new and joyous way to step back into life, by literally giving voice to both patients and their caregivers.
Dr. Jonathan LaPook reports.
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Giving Voice inspires and equips organizations worldwide to bring together people with Alzheimer’s and their care partners to sing in choruses that foster joy, well-being, purpose and community understanding.
http://www.kimt.com/content/news/Meet-Resounding-Voices-choir-Music-has-a-power-481488831.html  Since May, 2018, a new chorus (Resounding Voices) for people with dementia & their caregivers, is meeting in Rochester, Minnesota.
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ROCHESTER, Minn. – Tuesday mornings for Joel Dunnette means music, friends, and a lot of fun.

“Frankly this group is fun. Singing together, making music with other people is fun. So I’m not good at it but they appreciate me being here which is nice,” he said.

This is all thanks to the Resounding Voices Choir. Joel is a member of the choir along with his wife, Sandra. While fun, the choir gives more than just a good time. It gives people with memory impairment and their caregivers a place to be social and help with memory.

The choir focuses on a person’s learning ability, rather than an inability to remember.

“Music has a power that you know, I come from a scientific background and it’s like we don’t know how this is working,” he said.
But it is working.

“I’ve noticed with my wife, she’s sharper after doing it, she’s happier after doing it,” Joel said. “I will hear her singing at home and there’s an enjoyment in that…I can see some of what I married 50 years ago.”

Resounding voices also helps Joel as a caregiver because he has the opportunity to hear and learn from other caregivers going through similar experiences.

“Times get a little hard. You got to take care of yourself so that you can take care of the other person,” he said. “You can always find some good in it. Even though there are things you wish were better you got to focus on what’s good.”

He encourages everyone to join in on what he calls, ‘the joyful noise.’

“If you have some memory loss, don’t hide away…get out of your house don’t be afraid, it’s a good friendly group. It’s a real opportunity to have a nicer, fun life,” he said.

To learn more about the choir, click here.  The chorus meets weekly and performs publicly.

 

 

Neuropsychiatric Lyme Borreliosis: An Overview With a Focus on a Specialty Psychiatrist’s Clinical Practice

http://www.mdpi.com/2227-9032/6/3/104

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

Department of Psychiatry, Rutgers-Robert Wood Johnson Medical School, Piscataway, NJ 08854, USA
Received: 10 July 2018 / Revised: 22 August 2018 / Accepted: 23 August 2018 / Published: 25 August 2018
View Full-Text   |   Download PDF [316 KB, uploaded 25 August 2018]

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
  • 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 antibiotics may help improve functioning and prevent further disease progression. Awareness of the association between LB and neuropsychiatric impairments and studies of their prevalence in neuropsychiatric conditions can improve understanding of the causes of mental illness and violence and result in more effective prevention, diagnosis and treatment. View Full-Text
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).
Bransfield, R.C. Neuropsychiatric Lyme Borreliosis: An Overview with a Focus on a Specialty Psychiatrist’s Clinical Practice. Healthcare2018, 6, 104.
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To Sleep, Perchance to Dream

Earlier today I wrote about helping my husband try to unravel his crazy dreams.  This article shows this is not an individual occurrence but that many with neuro-Lyme struggle with it.

https://globallymealliance.org/sleep-perchance-dream/

August 2, 2018

To Sleep, Perchance to Dream

by Jennifer Crystal

GLA writer and Lyme Warrior, Jennifer Crystal writes about her experience with “crazy dreams” as a result of neurological Lyme disease

Last night I had a dream that a college friend and I were attending a wedding. People from all walks of my life were there. I was running around trying to take care of my cousin’s baby while figuring out how to get on a boat.

When I later described the dream to a friend, she said, “That’s crazy!”

The dream did not seem crazy to me, given how crazy my dreams had once been as a result of neurological Lyme disease. When the Lyme bacterium, called a spirochete, crosses into the brain, it can cause a host of sleep disturbances, including insomnia and hallucinogenic dreams. My Lyme doctor said it was like the spirochetes had made the needle in my brain get stuck. He meant Lyme was making it impossible for me to sleep and, when I finally did doze off, causing vividly detailed rapid fire dreams—many of which were recurring. Some came in levels (there was a dream about me telling someone else about a previous dream); some that were so “active” that I woke up with sore muscles, more exhausted than when I went to bed. Inflammation in the brain caused by tick-borne illness is the reason for these sleep disturbances.

So dreams, like the one I described to my healthy friend, may have seemed crazy to her. But for a chronic neurological Lyme patient like me, it’s about as normal as I can hope to get. The dreams involved no major trauma, which often happens in the worst nightmares. There were no levels to the dream. That is, it wasn’t a lucid dream—I didn’t have the power to change the dream while I was experiencing it, something that often happens when the spirochetes are running rampant in my brain. Nor were they occurring at a hallucinogenic, rapid fire rate. The images were fuzzy and nonsensical, as most healthy dreams are.

Nights like the latter are a blessing to me now, 21 years after getting a tick bite that gave me Lyme disease, Ehrlichia and Babesia, and 10 years after suffering a relapse that brought me to the lowest point of these sleep disturbances.

Let me give you an example of one of my vivid, detailed dreams, recorded in my journal in 2005 (edited for clarity-notes are in parentheses):

I was driving to pick up my brother (I don’t really have a brother) in a police station that looked like a warehouse. The Dave Matthews song “Warehouse” was going through my head in the dream (and still is now that I’m awake). I was watching this scene like a movie. I saw my “brother” open a window upstairs and look down to see me in my car. It was like watching a detective movie. I realized he was able to open the window because it was a very old and rundown building that didn’t have air conditioning. Then I was no longer watching the dream as an observer, but was acting in as myself. I went upstairs to my “brother’s” office. He was on the phone with a Mrs. Vance who’d said she’d sent a check that had never arrived. When my “brother” said, “we send the money directly to the families,” I thought this was some kind of funeral home. Then I saw Mrs. Vance’s check  on the desk in front of me and also an envelope from her with $750 cash. I knew that $150 had been owed and that my” brother” was pocketing the other $600. When he hung up I started to say, “I won’t tell anyone,” but thought better of it because I thought he might kill me if he realized I knew what he was up to. He looked sort of wild and had these big sunglasses on. I said I was at a wedding and had come to pick him up because we needed someone who was good at having fun and pulling pranks and we knew he’d be the right person. He got excited and said, “Let’s go.” We went down the stairs and I realized he was the only one in the building. I asked if he always worked this late (even though it was still light out) and he said, “Well last week I only worked 98 hours.” We got outside and got in my car. I started driving but I couldn’t hit the brakes very well and kept almost crashing. I turned in to a gas station and said, “See, the turning radius isn’t even very good on this car, I can’t turn in to get to the right side of the pump.” My “brother” directed me. Then I was still in the dream, but once again not acting in it but instead watching it from afar like a scene. I said, “Wait, if I were in this dream, I wouldn’t want to have that” brother” with me because he’s bad.” So I replayed it so when he was on the phone I said, “I’m just going to go bring the car around.” Then I ran out and ran down the stairs and got in the car and locked the doors. I was trying to drive away before he came downstairs.

This is a good example of a detailed dream that has levels (at times I was in it, and at times I was observing it) and also one that becomes lucid (when I decide to change the course of the dream). Like most Lyme patients, I woke up so exhausted after a night of 15-20 of these types of dreams—all as detailed as this one, sometimes with a soundtrack or narration playing over them—that I didn’t have time or energy to process them. They were just another symptom that made it impossible for me to get the rest I needed. Most days, I woke up feeling hungover, like my brain was as a pinball machine.

For me and for other Lyme patients I’ve talked to, these crazy dreams are often mixed with hallucinogenic nightmares. For me, they involved trauma I’d never experienced in real life. I’d be burned alive or shot in an elevator. I’d be raped, sodomized, or stabbed. I always survived even though I shouldn’t have. I was afraid to tell anyone the details of those nightmares; I thought people would judge me for coming up with such ideas, or shake their heads and walk away because they didn’t want to hear about such horror.

With the help of my therapist, I found meaning in some of my dreams, such as the recurring one I described in this previous post. I learned that my nightmares were symbolic, too. The trauma in them were manifestations of things that had actually happened to my body. I wasn’t literally raped or sodomized, but my body had been violated, burned, and almost killed by spirochetes. And despite all odds, I had survived.

Eventually, with a combination of medications, neurofeedback, cranial sacral therapy, cognitive behavioral therapy, and talk therapy, I got to a point where the dreams were still intense but not quite as detailed or awful or fast, at least not every night. I still have nights with rapid fire hallucinogenic nightmares, but they are the exception now, no longer the norm. And while the nightly activity in my brain is still busier than the average person’s, it’s manageable. The other night, I even woke myself up laughing in my sleep. There is light—even joy—at the end of the endless nights.


jennifer crystalOpinions expressed by contributors are their own.

Jennifer Crystal is a writer and educator in Boston. She is working on a memoir about her journey with chronic tick-borne illness. Contact her at jennifercrystalwriter@gmail.com

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**Comment**
While I don’t remember my dreams (they pale in comparison to my husband’s) I remember feeling guilty because I seemed to spend more time with my infected husband than I did with my three teenagers whom we were homeschooling.
The reason for all this time spent talking with my husband on a daily basis was due to the crazy, hallucinogenic dreams he had which made him believe I was having an affair.  I’d get up in the middle of the night to use the bathroom and he’d awaken and accuse me of just coming home from somewhere – obviously having an affair. (Please understand I was a homeschool mom who pretty much was home 24/7 teaching children!  If I left the house it was for activities with the children or the grocery store.)  
The arguments and craziness that this caused in our marriage is beyond believable.  We were seriously two crazy people trying to life in a paradigm that makes nightmares look normal.  
This complex illness causes needless divorces & family upheaval due to this erratic, unbelievable behavior.  Even though both of us were infected, our symptoms were very different – with his having more psychological manifestations.  Thankfully, I dug into the literature and read about neuro-Lyme and psychiatric manifestations.  I read everything I could get my hands on by Drs. Bransfield, Marke, and Frid.  I learned that rage, hallucinations, depression, and even suicide can be a part of the Lyme/MSIDS picture.  I learned about the importance of effective treatment that kills pathogens while strengthening the immune system and properly detoxing the body from the dead debris.
Reading articles like Jennifer’s takes me back to a frightening time in my journey, but I’m happy to report those days are long gone and that effective treatment along with the hard work of discussing problems/issues as they came up worked.  (Please type “Lyme Disease treatment” into the search bar for more info)
We are still together after all these years with a new appreciation for life we never would have had without this valley.
https://madisonarealymesupportgroup.com/2017/02/24/pcos-lyme-my-story/  All my initial symptoms were gynecological and I believe many of these TBI’s can be transmitted sexually.