Our treatment of Lyme Disease focuses on evidence-based methods, starting with precise diagnostic techniques to confirm Lyme infection. Following diagnosis, our treatment plan includes a combination of medications, nootropics, and dietary modifications. These interventions specifically target bodily inflammation, a key factor that can worsen Lyme Disease symptoms, ensuring a comprehensive approach to managing and alleviating the condition.

Under the leadership of Dr. David Danish, a double board-certified psychiatrist with deep-rooted experience in treating PANS & PANDAS since 2007,

Dr. David Danish

Under the leadership of Dr. David Danish, a double board-certified psychiatrist with deep-rooted experience in treating PANS & PANDAS since 2007,

Dr. David Danish

Our Practitioner

Theresa has 15 years of experience in the pediatric oncology specialty where she has worked as a bedside RN, research RN, chemotherapy NP, and clinical educator for hospitals spanning the US and Canada. In her clinical work, she has witnessed the impact that acute illness can have on overall wellness and has seen firsthand the difference that a holistic and root cause approach can have on chronic disease. Theresa is warm, compassionate, and dedicated. She is excited to partner with her patients and their families to create a personalized plan for healing and optimal health.

We are pleased to offer both

In-Person Consultations
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Lyme disease, or Lyme borreliosis, is a tick-borne illness caused by Borrelia bacteria, primarily transmitted through Ixodes tick bites. Symptoms start with an expanding red rash called erythema migrans, accompanied by fever, headaches, and fatigue. Without treatment, it can escalate to facial paralysis, joint pains, and heart palpitations. Diagnosis in the early stages can be challenging, relying on symptom assessment, exposure history, and antibody blood tests, which may initially give false negatives.

Transmission is through tick bites, with a 36 to 48-hour attachment often necessary for transmission. Preventive measures like wearing protective clothing, using insect repellents, and prompt tick removal are crucial. Antibiotics are the mainstay of treatment, with the regimen and duration varying based on disease stage and patient factors. Doxycycline is typically the first choice, except for certain groups like young children and pregnant women, where alternatives like amoxicillin and azithromycin are used.


Intravenous ceftriaxone is recommended for more severe stages, with treatment lengths ranging from 14 to 28 days. For ongoing symptoms like Lyme arthritis, NSAIDs, DMARDs, and physical therapy may be employed, but extended antibiotic treatment beyond 28 days is generally not recommended.


A significant focus is on Post-treatment Lyme Disease Syndrome (PTLDS), where about 10 to 20% of patients experience persistent symptoms like joint pain, fatigue, and cognitive issues after treatment. The cause of PTLDS is not fully understood, with theories ranging from autoimmune responses to undetected lingering infections, or possibly unrelated underlying causes. While there’s no definitive treatment for PTLDS, our integrated approach at Philadelphia Integrative Psychiatry, backed by research, offers hope. We manage symptoms with strategies akin to those used for fibromyalgia or Chronic Fatigue Syndrome, and our patients often see improvement in PTLDS symptoms over time, aided by our focused interventions. This holistic and research-informed approach underscores our commitment to not only treating Lyme disease effectively but also addressing the prolonged impact it can have on our patients’ lives.

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