Aggressiveness, violence, homicidality, homicide, and Lyme disease

Rosalie Greenberg Medical Arts Psychotherapy Associates PA, Summit, NJ, USAI read with great interest the article by Bransfield,1 wherein the author reviewed potential contributors to and manifestations of heightened loss of control in Lyme disease patients. As a child psychiatrist living in a Lyme...

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Autor principal:	Greenberg R
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	Lyme disease tick-borne disorders aggression threatening behavior suicide Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/bb42fefab56348e88e21c608293f4502
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spelling	oai:doaj.org-article:bb42fefab56348e88e21c608293f45022021-12-02T00:50:25ZAggressiveness, violence, homicidality, homicide, and Lyme disease1178-2021https://doaj.org/article/bb42fefab56348e88e21c608293f45022018-05-01T00:00:00Zhttps://www.dovepress.com/comments-on-aggressiveness-violence-homicidality-homicide-and-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Rosalie Greenberg Medical Arts Psychotherapy Associates PA, Summit, NJ, USAI read with great interest the article by Bransfield,1 wherein the author reviewed potential contributors to and manifestations of heightened loss of control in Lyme disease patients. As a child psychiatrist living in a Lyme-endemic state, New Jersey, in the USA, I have seen a number of children and adolescents who exhibit significant acute or gradual onset of highly oppositional behaviors often both at home and at school. Refusal to do classwork or homework, heightened paranoia or feeling rejected by others is often present. In addition, they often demonstrate increased irritability, extreme temper tantrums, problems concentrating, elevated impulsivity, sensory hypersensitivity (sound, touch, smell, taste and/or light) and intense emotional lability. Parents describe these behaviors as either a sudden change or a period of worsening of a previous condition, such as attention-deficit hyperactivity disorder or mood disorder. During periods of intense anger over minimal issues, they can appear menacing and threaten to kill a sibling, parent or a friend or state that they want to die themselves. In a recent record review of 69 youth evaluated in my private psychopharmacology practice, 49 of these new patients, without a known history of Lyme disease or other tick-borne disorders, demonstrated evidence of exposure to one or more of the pathogens Borrelia burgdorferi, Bartonella, Babesia, Ehrlichia and Anaplasma on serologic testing performed by multiple laboratories. In addition, 6 of the 69 patients were initially referred because of psychiatric difficulties observed by other physicians during the active treatment of tick-borne infections. Supporting this connection of childhood neuropsychiatric symptoms and tick-borne illness is a recent article looking at 27 youth diagnosed with bipolar disorder I or II, which found that 74% or 20/27 were diagnosed with at least one tick-borne illness based on serologic testing and clinician evaluation.2 Of note, bipolar disorder is a psychiatric illness that carries a high risk of suicide. There appears to be no question that exploration of the association of Lyme disease and tick-borne illnesses with neuropsychiatric symptoms both in children and adults requires more extensive study.View the original paper by Bransfield  Greenberg RDove Medical PressarticleLyme diseasetick-borne disordersaggressionthreatening behaviorsuicideNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 14, Pp 1253-1254 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Lyme disease tick-borne disorders aggression threatening behavior suicide Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Lyme disease tick-borne disorders aggression threatening behavior suicide Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Greenberg R Aggressiveness, violence, homicidality, homicide, and Lyme disease
description	Rosalie Greenberg Medical Arts Psychotherapy Associates PA, Summit, NJ, USAI read with great interest the article by Bransfield,1 wherein the author reviewed potential contributors to and manifestations of heightened loss of control in Lyme disease patients. As a child psychiatrist living in a Lyme-endemic state, New Jersey, in the USA, I have seen a number of children and adolescents who exhibit significant acute or gradual onset of highly oppositional behaviors often both at home and at school. Refusal to do classwork or homework, heightened paranoia or feeling rejected by others is often present. In addition, they often demonstrate increased irritability, extreme temper tantrums, problems concentrating, elevated impulsivity, sensory hypersensitivity (sound, touch, smell, taste and/or light) and intense emotional lability. Parents describe these behaviors as either a sudden change or a period of worsening of a previous condition, such as attention-deficit hyperactivity disorder or mood disorder. During periods of intense anger over minimal issues, they can appear menacing and threaten to kill a sibling, parent or a friend or state that they want to die themselves. In a recent record review of 69 youth evaluated in my private psychopharmacology practice, 49 of these new patients, without a known history of Lyme disease or other tick-borne disorders, demonstrated evidence of exposure to one or more of the pathogens Borrelia burgdorferi, Bartonella, Babesia, Ehrlichia and Anaplasma on serologic testing performed by multiple laboratories. In addition, 6 of the 69 patients were initially referred because of psychiatric difficulties observed by other physicians during the active treatment of tick-borne infections. Supporting this connection of childhood neuropsychiatric symptoms and tick-borne illness is a recent article looking at 27 youth diagnosed with bipolar disorder I or II, which found that 74% or 20/27 were diagnosed with at least one tick-borne illness based on serologic testing and clinician evaluation.2 Of note, bipolar disorder is a psychiatric illness that carries a high risk of suicide. There appears to be no question that exploration of the association of Lyme disease and tick-borne illnesses with neuropsychiatric symptoms both in children and adults requires more extensive study.View the original paper by Bransfield
format	article
author	Greenberg R
author_facet	Greenberg R
author_sort	Greenberg R
title	Aggressiveness, violence, homicidality, homicide, and Lyme disease
title_short	Aggressiveness, violence, homicidality, homicide, and Lyme disease
title_full	Aggressiveness, violence, homicidality, homicide, and Lyme disease
title_fullStr	Aggressiveness, violence, homicidality, homicide, and Lyme disease
title_full_unstemmed	Aggressiveness, violence, homicidality, homicide, and Lyme disease
title_sort	aggressiveness, violence, homicidality, homicide, and lyme disease
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/bb42fefab56348e88e21c608293f4502
work_keys_str_mv	AT greenbergr aggressivenessviolencehomicidalityhomicideandlymedisease
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Aggressiveness, violence, homicidality, homicide, and Lyme disease

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