Diagnosis of borderline personality disorder is based on a clinical assessment by a mental health professional. The best method is to present the criteria of the disorder to a person and to ask them if they feel that these characteristics accurately describe them.
1 Other symptoms may accompany the rash, such as joint pain, fever, chills, or fatigue. 2  If Lyme disease is not treated, more severe symptoms and complications can occur. 3  These include arthritis, neurologic symptoms, or heart problems.ymptoms. 1  A bull's-eye rash (erythema migrans) is the most definitive sign of Lyme disease infection. 2  Other symptoms may accompany the rash, such as joint pain, fever, chills, or fatigue. 3  If Lyme disease is not treated, more severe symptoms and complications can occur.
Without treatment, or if treatment is unsuccessful, Lyme disease can cause serious complications. The bacterium that causes the disease initially infects the skin, but if the infection is left untreated, it can spread to other areas of the body, including the brain, where it can cause meningitis, according to Wormser.or patients with the rash, Wormser said he begins treatment for Lyme immediately. However, if a rash is absent, physicians will perform additional tests to confirm a diagnosis of Lyme disease. An enzyme-linked immunosorbent assay test, also known as an ELISA test, is the standard blood test for Lyme disease.