Is there a family history of these mental health issues? Lyme and/or Bartonella can cause all of those.
“The two most common problems are encephalopathy and mental status alterations, in other words, headaches of varying severity and mental clarity problems. The full spectrum of neurological problems can be severe, including seizures (grand mal or otherwise), status epilepticus, epilepsia partialis continua, cerebral arteritis, acute mastoiditis, meningoencephalitis, peripheral facial nerve paralysis and/or palsy, coma, aseptic meningitis, hydrocephalus, ptosis, demyelination, transverse myelitis, neuralgia, dysesthesia, radiculitis, Guillain-Barré syndrome, paraparesis, paresthesia, ataxia, tremors, aphasia, torticollis, epidural abscess, acute hemiplegia, distal axonal sensomotor polyneuropathy, dementia, acute-onset personality changes, agitation, panic attacks, subcortical fronto-parietal lesions, motor impairment, neurologic amyotrophy (muscle wasting), severe headache, depression, psychosis. Hallucinations, sensory neuropathy (diminished tactile sensation), and transient paresis. Peripheral visual defects accompanied by depression, anxiety, mood swings, severe headaches, muscle spasms, and interphalangeal joint stiffness are a not uncommon constellation of symptoms. Examination of brain tissue commonly shows lesions in the white matter of the brain, basal ganglia, thalamus, and gray matter. Perivascular lymphocytic infiltrates and microglial nodules are common in such instances. It is not uncommon for the sensory and neurological systems to become exceptionally sensitive to any kind of external input. The cerebral spinal fluid, when tested, is usually normal.
“The most common neurological problems are similar to a number of Lyme symptoms such as headache from meningitis, brain fog, depression, and difficulty with problem solving and remembering. However there is often a lack of emotional control and episodes of unexplained rage in up to 40 percent of those that experience neurological involvement during bartonella infection. Misdiagnosis as multiple sclerosis (or similar conditions), schizophrenia, bipolar disorder, or the flu is common as is improper prescribing in response.”
-Stephen Harrod Buhner. “Healing Lyme Disease Coinfections: Complementary and Holistic Treatments for Bartonella and Mycoplasma”