Morgellons and Lyme: the conditions nobody understands

By Fred Diamond
Every guest on the Love, Hope, Lyme Podcast helps the Lyme Infection-Associated Chronic Illnesses community better understand just how complex tick-borne diseases, such as Lyme, really are.
On this week’s Love, Hope, Lyme podcast, I speak with Britt Girvan, host of the new What The Morgs? podcast.
Britt is living with Lyme disease, multiple co-infections, and Morgellons. Morgellons is a condition that many people have never heard of and that remains poorly understood.
As I listen to her story, I’m reminded of something I hear repeatedly from physicians, researchers, and patients alike: Lyme disease is rarely a simple diagnosis.
Instead, it is often a complicated puzzle.
For decades, the Lyme community has worked to educate the public that Lyme disease is far more than a tick bite followed by a rash. Many survivors experience neurological symptoms, debilitating fatigue, joint pain, psychiatric manifestations, heart complications, gastrointestinal issues, and immune dysfunction. Others battle multiple co-infections that complicate both diagnosis and treatment.
Then there are patients like Britt.
She describes Morgellons as producing sensations of crawling, biting, or stinging beneath the skin, along with cognitive impairment, joint pain, and unusual fibers or debris emerging from the skin. While research is still limited, she explains that Morgellons frequently manifests alongside Lyme disease and other tick-borne infections.
Throughout nearly 100 episodes of the Love, Hope, Lyme Podcast, we’ve learned that every patient presents differently. Two people may both have Lyme disease and yet have almost entirely different symptom profiles. One person’s greatest challenge may be neurological. Another may struggle primarily with debilitating fatigue. Someone else may battle cardiac symptoms, gastrointestinal issues, or psychiatric complications.
Whether every question surrounding Morgellons has been answered isn’t really the point.
The point is that patients are experiencing these symptoms, and they deserve to be heard.
There is no single “Lyme patient”
Britt’s story reinforces another lesson I’ve learned over the years: patients often spend years searching for answers before finally finding a clinician who recognizes the full picture. By the time many receive appropriate treatment, they’ve accumulated multiple infections, chronic inflammation, and significant physical and emotional trauma.
Yet despite everything she’s endured, Britt speaks with remarkable optimism.
She tells me she’s improving. Her cognitive function is returning. The inflammation is decreasing. She believes she’s steadily moving toward remission. But she also recognizes that healing involves much more than treating infection. It requires lifestyle changes, stress management, supportive healthcare providers, and a community that understands the journey.
That sense of community is exactly why she hosts What The Morgs?
She wants people living with Morgellons to know they are not alone. She wants to bring together clinicians, researchers, and eventually patients to create a place where difficult conversations can happen openly and respectfully. Most of all, she wants to offer hope to people who may feel isolated or forgotten.
Listening to Britt reminds me that the Lyme community continues to expand its understanding of tick-borne illness. Twenty years ago, many people had never heard of Bartonella or Babesia. Today, they are recognized as important co-infections that can dramatically affect both symptoms and treatment. Research continues to evolve, and our understanding continues to grow.
Tell your story
Every patient’s experience adds another piece to the larger Lyme puzzle.
As advocates, clinicians, researchers, caregivers, and patients, we don’t have to understand everything today. But we should remain curious. We should continue asking questions. We should continue investing in research. And perhaps most importantly, we should continue listening to the people living through these experiences every day.
One thing I’ve learned after speaking with nearly 100 guests on the Love, Hope, Lyme Podcast is that progress in Lyme disease almost always begins with someone who is willing to tell their story.
Britt is doing exactly that.
Whether you know someone living with Morgellons or have never encountered it before, her story reminds us that Lyme disease is far more complex than many people realize. Every patient experience teaches us something new. Every story broadens our understanding. And every conversation moves us one step closer to better science, better care, and ultimately, more hope.
Click here to listen to all episodes of the Love, Hope, Lyme Podcast or on YouTube.
Fred Diamond is based in Fairfax, Virginia. He doesn’t have Lyme but wrote his popular book, “Love, Hope, Lyme: What Family Members, Partners, and Friends Who Love a Chronic Lyme Survivor Need to Know” to understand what Lyme survivors go through. The book is available on Amazon and the e-version (pdf) of the book is always free to Lyme survivors. PM Fred on Facebook or LinkedIn for your copy.





















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