It's really good there is a place here to tell the mental effects of Lyme because in the doctor's office it can quickly become the only concern they have. Because even though mental issues are mostly not any more quantifiable from the outside than the other Lyme symptoms, Drs seem very willing to prescribe psychological treatment drugs. But, as you know, not antibiotics.
The things that really got my attention with my son Tom were a mix of physical - later, and emotional - earlier but continuing. The antibiotics helped his emotional issues too, until a couple days after he ran out! Now some things are coming back - and that helps me know what is Lyme and therefore treatable.
My point is the mental stuff really can be Lyme and it can GO AWAY! But how hard it is to talk about to a doctor who will say "Bipolar, here, have psychotropic drugs!" Or paranoia, or depression, or take your pick - you've heard it! Because there is such shame attached (wrongly) to mental and emotional issues getting labeled is risky. It can even make a doctor decide something live and wiggly is ALL IN YOUR HEAD. (It might be, but it needs to be treated with specialized pesticides!)
Those who have shared their experiences including the mental changes they have gone through helped me know that my sweet, co-operative, generous, easy going, helpful, quick, demonstrative, thoughtful, hard working kid was not well. The surly, moody, combative, oppositional, forgetful kid was getting worse, and as the months went by it was harder to remember that really nice boy. Wow was it great to see him again.
Sharing all the issues helps others know what is what. In your self you know what is different. In kids we have the added bonus of constant change being normal. There's a handy phrase used to dismiss concerns - it's just a phase. Would that be spiral or cystic phase?