No, it's not necessary to use Doxy - there are other pharma abx that you can switch to, but I would take a hard look at your detoxing routines first. If you aren't detoxing well, it won't matter which abx you use, you will herx pretty good.
The glands in your throat can be eased by doing lymph massages and using red root (it helps the lymph move things along). I got the other symptoms as part of herxing as well.
I believe the hypnic jerks are related to your nervous system infection - which could be Lyme or Bart or both. I still get them from time to time, but not all the time any more fortunately.
I would say that a Lyme literate counselor would be the best, as they would understand a lot more on how it all relates to the infections we have, but a chronic illness counselor would be better than a "standard" counselor that may not have any clue how the chronic illness affects everything.
Herb only treatment for Lyme & Bart ended 12/11 - no active symptoms for 2 yrs -Herb only treatment for Babesia ended 12/12www.healingwell.com/community/default.aspx?f=30&m=2977364
Had Lyme, Bart, Babs, RMSF, Ehrlichia, Myco, Anaplasmosis, EBV
New Lyme case 8/2014 - Healed 1/31/15 - unknowingly had Asymptomatic Babs and Asymptomatic Bart, being treated now though (2/2016)