Dr Achina Stein | Beyond Depression_ A Surprising Diagnosis

It's interesting. I actually diagnosed a 14 year old boy with Lyme's disease just from his history. If you get a really, really good history, you know, he had severe depression, but just the way he talked about it, it just didn't make any sense to me that he had depression from a psychosocial reasons or any internal thought process. It made no sense. And so then we started talking about, you know, what kinds of activities he had. And he went hiking, he went camping, he was boy scout and you know, have you ever been bitten by a tick? And it's like, oh yeah, several times. Nobody ever asked him those questions. So it really comes down to getting a really, really good history and having an index of suspicion in order for you to determine whether or not somebody might have had. He didn't have the bullseye rash, but he clearly had a strong history. And we're in an endemic area, we're right in Massachusetts, Rhode Island, Connecticut, right in that band where there's tons of exposures to ticks.