When the coronavirus pandemic hit, Justin Bieber—who revealed in his 2020 docuseries that he has been seeing neuropsychiatrist and brain imaging specialist Dr. Daniel Amen for years—and his wife Hailey Baldwin put themselves into self-quarantine in their home in Canada.
That may have been a smart move for the superstar, who also
recently announced that he’s been diagnosed with Lyme disease.
“Having Lyme disease may increase vulnerability to the coronavirus and could raise the risk of serious consequences if you’re infected with COVID-19,” says Mark Filidei, D.O., the director of integrative and functional medicine at Amen Clinics in Costa Mesa, California.
That’s bad news for the estimated 300,000 people who are diagnosed each year with Lyme disease, according to the CDC. In many areas of the country, it’s tick season, and according to a report from Boston 25 News, one doctor said they’re already getting more calls about tick bites than usual.
The threat of developing Lyme disease while sheltering at
home can be especially frightening during the pandemic because it causes many
of the physiological symptoms as those seen in COVID-19—fevers,
sore throat, headache, and body aches. Nobody wants that now.
What is Lyme Disease?
Lyme disease (Borrelia burgdorferi) is a bacterial infection caused by the bite of an infected black-legged tick, also known as a deer tick. It is associated with a telltale bulls-eye rash that develops within a few days of a tick bite. “But a considerable percentage of people never get a rash, and many people don’t even realize they have been bitten by a tick,” says Filidei.
This is one reason why Lyme disease has been vastly under-diagnosed in the U.S. Other reasons include inadequate testing methods and a general lack of acknowledgment by the medical community that it is a real illness.
If the infection is caught early,
antibiotics can often successfully treat it and avoid any lasting problems. However,
when Lyme disease remains undetected, it allows the infection to fester, wreaks
havoc on the immune system, causes a host of inflammatory responses, reduces
blood flow, and impairs healthy brain function.
Immune system disruption is the last thing anyone needs now with COVID-19 spreading around the globe, infecting nearly 2 million people and causing over 100,000 deaths.
A 2018 study in the Journal of Immunology found that Lyme disease disrupts the immune system. The findings show that the disease activates T cells, soldiers of the immune system that are intended to target foreign invaders in the body. In the case of Lyme disease, however, the activated T cells interact with the bacteria from the tick bite, producing a cascade of inflammation.
When Lyme Disease Becomes Chronic
In some people, treatment with antibiotics doesn’t alleviate symptoms, and 5%-30% of people develop chronic symptoms, a condition known as post-treatment Lyme disease syndrome (PTLDS). A 2019 study in BMC Public Healthestimated that nearly 2 million people are living with chronic symptoms of Lyme disease.
In a 2017 study with 61 PTLDS patients and 26 healthy controls in Frontiers in Medicine, 50% of the chronic Lyme disease patients reported severe fatigue, 31% had severe sleep issues, 28% suffered from severe pain, 23% struggled with severe cognitive issues. By comparison, the healthy controls reported no “severe” symptoms.
“People with chronic Lyme disease struggle with a host of neuropsychological symptoms, including memory problems, trouble with focus, impulsivity, poor problem-solving, slower mental processing speed, addictive behaviors, changes in personality, suicidal thoughts, and more,” according to Filidei.
Traditionally, the medical community has dismissed the fact that infections can be associated with these types of symptoms, but that is changing. A 2016 editorial in the Journal of Alzheimer’s Disease written by a worldwide group of 33 scientists suggested the medical community has been neglecting to look at infectious diseases as a root cause of many memory problems, including Alzheimer’s disease and other dementias.
Because many traditional healthcare providers still don’t acknowledge that psychiatric symptoms may be caused by Lyme disease, symptoms are often misdiagnosed. People with undetected Lyme disease may be diagnosed with , bipolar disorder, , , dementia, or other mental health conditions. Filidei says that “unless the underlying Lyme disease is addressed, traditional treatments for these issues may not be effective, or they may actually make symptoms worse.”
Getting an Accurate Diagnosis During a Pandemic
If you suspect you may have this tick-borne disease, it’s more critical than ever to seek help in light of the coronavirus pandemic. But Lyme disease can be challenging to diagnose. Seeing an integrative or functional medicine physician is a good place to start.
In addition, brain imaging can help. On brain SPECT scans, infections in the brain tend to show an overall pattern of significantly low blood flow and may appear toxic. When these abnormal brain patterns are visible, it calls for additional testing to determine the type of infection that may be causing cerebral blood flow issues. Lab tests for Lyme disease include the Western Blot (WB), Immunoblot, and C6 Lyme ELISA, and although they offer critical data, Filidei cautions that they are only part of a comprehensive diagnostic process. Diving into a person’s clinical history helps complete the picture.
With a precise diagnosis, you are better able to
address underlying infections and related symptoms. And that makes you better
able to fend off other infections and to cope with the mental strain associated
At Amen Clinics, our integrative and functional medicine physicians have seen hundreds of patients with resistant complex psychiatric symptoms or cognitive problems who tested positive for Lyme disease. When the underlying infection is addressed as part of a comprehensive treatment plan, symptoms improve significantly.
Just because you’re sheltering at home doesn’t mean you have to wait for the pandemic to be over before seeking help. In fact, during these uncertain times, your mental well-being is more important than ever, and waiting to get treatment is likely to make your symptoms worsen over time. At Amen Clinics, we’re here for you. We offer mental telehealth, remote clinical evaluations, and video therapy for adults, children, and couples, as well as in-clinic brain scanning to help our patients. Find out more by speaking to a specialist today at 888-288-9834. If all our specialists are busy helping others, you can also schedule a time to talk.
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