Genetically, Lyme Disease is very close to syphilis. It's also a spirochete, and it is the new "Great Imitator." (1) The main difficult thing about Lyme Disease is that the tests for it currently are not that good. There are a lot of false positives / negatives, and there is no test that show whether a patient has been cured, only whether they've ever been infected.
Neurological Lyme aka neuroborreliosis can cause a number of neurological / psychiatric symptoms, including symptoms like OCD. Doctors never check for Lyme when a patient presents with sudden onset psych problems, even though it's a known cause.
TL;DR -- If you're having mysterious health problems, add a Lyme test to your other tests.
(1) interesting side note -- there are some studies that suggest it can also be sexually transmitting and/or transmitted from mother to child