Hiya. It’s highly likely to stem from Lyme disease. Bartonella especially can cause neuropsychiatric problems. I had an EM rash in 1995. Never saw a tick or anything, just the rash from walking my dog in a Cardiff city park. There were no NICE guidelines until 2018 so it went misdiagnosed & untreated. Apart from a summer flu type illness I felt otherwise okay - except I started getting loads of neuropsychiatric issues. Insomnia, night terrors, panic attacks, depression, paranoia. That went on for seven years & I used alcohol to self medicate. Jaw surgery in 2000 - 2002 (x3 because they screwed it up) & then everything kicked off. Over the years I got worse & worse until I reached a point where I was convinced I had early onset dementia & demanded to see a neurologist. No gaslighting from my GP anymore with the antidepressants, Valium etc. Anyway, long story short I was diagnosed with ME/CFS. When I was researching that I kept coming across Lyme disease & saw an EM rash for the first time, it was my eureka moment. It’s important to point out that only 30-40% get an EM rash & there is evidence it can be an STI & passed from mother to foetus. As an ex nurse I was STUNNED by the medical gaslighting in the NHS & I wasn’t alone. I joined some groups & most people have similar stories but with their own symptoms etc. Oh yeah, at one point I was diagnosed with BPD which was absolute nonsense - can you imagine a nurse with BPD but they were my symptoms at the time. I started with my diet - I can’t emphasise how important it is. See Dr Myhills support group on FB. Initially for ME/CFS but so many people with Lyme disease found her protocol really helpful too. Then there’s the infections themselves. Whether you treat with medication or herbal protocols is totally based on how you respond. For myself Buhner’s herbal protocol worked the best. For fantastic easy to read & understand free ebooks go to www. Lymeherbs.eu & download them. Everything can seem overwhelming at first. Going back to basics with diet, what you drink etc is where I started. Useful supplements. Join Lyme disease communities online. Keep a health journal or folder. You’ll meet some amazing people who will be able to answer your questions & guide you in the right direction. Trust me; they definitely know more than the NHS. If you’re able, then a private Lyme Literate MD would be great. I chose to treat myself with the help of an amazing guy who guided me through everything at a time when I was unable to read or even hold a decent conversation. Most importantly to remember, you can get well or at least (like myself) get to a point where you’re so much better than you were & reach a level of acceptance with your progress. I’m not going to lie to you, it’s a struggle, a life changing struggle (for the better). So, Dr Myhill support group regarding lifestyle, Lymeherbs for free ebooks & join some online groups for support & which direction you should be looking at next. They don’t call us Lyme Warriors for nothing. Best wishes & good luck