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May 6, 2022, 10 tweets

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Pegah Touradji, PhD
Assistant Professor of Physical Medicine & Rehabilitation @HopkinsMedicine #LymeDiseaseAwarenessMonth

Pegah Touradji, PhD
It is well known that many patients have persistent symptoms of Lyme disease 6+ month after treatment, including cognitive issues.
#LymeDiseaseAwarenessMonth

Pegah Touradji, PhD
Reviewing the benefits of including a neuropsychological evaluation with Lyme patients.
#LymeDiseaseAwarenessMonth

Pegah Touradji, PhD
A full neuropsychological evaluation includes subjective information (what the patient tells you) as well as objective measures (what you observe and what you can measure). Many changes are subtle.
#LymeDiseaseAwarenessMonth

Pegah Touradji, PhD
Recent study about 90% of patients had cognitive complaints.
#LymeDiseaseAwarenessMonth

Pegah Touradji, PhD
Many other factors can affect cognitive difficulties including: low vitamin D, how much pain they are in, sleep deprivation, support of family, friends and even just having a physician who believes you.
#LymeDiseaseAwarenessMonth

Pegah Touradji, PhD
Potential neuropsychological interventions. Sometimes just reducing pain or improving sleep can help.
#LymeDiseaseAwarenessMonth

Pegah Touradji, PhD
Says there are potential benefits to cognitive behavioral therapy for managing symptoms of Lyme, including pacing, meditation, learning how to function within your current level of (dis)ability.
#LymeDiseaseAwarenessMonth

Pegah Touradji, PhD
Specific type of CBT that addresses insomnia. Resetting the circadian rhythm.
#LymeDiseaseAwarenessMonth

Pegah Touradji, PhD
Many times she begins with mindfulness, & relaxation exercises.
Helpful sites for helping with sleep.
#LymeDiseaseAwarenessMonth

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