BECOME A PEER MENTOR AND SUPPORT OTHERS WHO ARE LIVING WITH LYME DISEASE AND OTHER TICK-BORNE ILLNESSES

Support others who are living with Lyme disease and other tick-borne illnesses

What is a GLA Peer Mentor?

Someone who has been affected by Lyme disease and/or other tick-borne illness and wants to “get involved and do more” to support others who are currently trying to navigate their way through the journey. GLA peer mentors are:

- Empathetic and want to support others who are seeking support and guidance
- Understand how overwhelming it is living with Lyme disease and/or other tick-borne illness
- Have a positive outlook on their own journey with Lyme disease
- Knowledgeable and willing to share what they have learned

Who are GLA Mentors?

If you have been affected by Lyme disease or other tick-borne illness and are passionate about supporting others in the Lyme community that include patients, caregivers, and family members. Peer mentors are empathetic and can provide emotional support and understanding to someone who is living with Lyme disease and/or other tick-borne illness.

- You’ve been diagnosed with Lyme disease and/or other tick-borne illnesses and are willing to share what you have learned and your experiences to help someone overcome their challenges You are a caregiver, family member, or spouse who has been actively involved in supporting someone with Lyme and/or other tick-borne illness

- You are a parent who has or is still managing a child who was diagnosed with Lyme and/or other tick-borne illness A spouse who has supported their partner through their illness and can provide guidance and insight into maintaining a healthy family dynamic

To apply, you should:

- Have at least 1 years’ experience living with Lyme disease and/or other tick-borne illness – patient, caregiver, parent, spouse, or other family members
- Have a positive outlook on your own journey with Lyme
- Have time to volunteer to support others
- Have good interpersonal skills
- Willing to listen and continue to learn about Lyme and how it has affected others
- Willing to share your experiences
- Willing to follow GLA established guidelines
- Willing to have a background check

Please fill the form below to register as a mentor:

My details

Email *

I am a: *

Type of caregiver: []

First Name *

Last Name *

Preferred name

Student #: []

Phone * []

Address * []

[]

Country * []

State / Province * []

State - If Other * []

City * []

Zip * []

Demographic Information

What is your age? * []

Gender * []

If Other:

Marital Status []

Preferred language * []

If Other:

Employment status []

If Other:

Mentoring subjects

Year Diagnosed (approximately) [, Y: m: d:]

How were you or the patient diagnosed? []

If Other:

How long did it take to be diagnosed? (Experienced symptoms) []

If Other:

What stage of Lyme Disease are you or the patient in? * []

Primary symptoms (select all that apply) * []

Neurological (ex. headaches/migranes, fogginess, seizures, stroke, numbness...) Cognitive (i.e. forgetfulness/memory loss, confusion, difficulty concentrating...) Cardiac (i.e. lightheadedness, fainting, heart palpitations/chest pain...) Neuropsychiatric (ex. depression/anxiety, brain fog, mood swings, cognition, extreme fatigue, sleep disturbance, sensory sensitivity...) Joints/Arthritis (ex. Joint pain, swelling, Lyme arthritis POTS (Postural orthistatic tachycardia syndrome)

Treatment status * []

My Interest In Becoming A Peer Mentor

Why are you interested in becoming a Peer mentor * []

Want to help and give back to others In honor or in memory of someone Help me through my own healing process Wish I had help from someone who understood what I was going through during my diagnosis experience For religious or spiritual reasons Other

If Other:

Why do you believe you are qualified to serve as a Peer Mentor? Up to 100 words * []

Please share the level(s) of support you want to provide. (select all that apply) []

I am willing to listen to someone's concerns relating to their diagnosis I want to give emotional support to someone diagnosed/living with (chronic) Lyme disease I have the desire to support and inspire others living with Lyme disease I believe that my personal experience living with LD has given me a greater sense of meaning and purpose I would like to share my experiences being a caregiver I have experience finding resources and can help guide someone through their journey Other

If Other:

Which aspects of the Lyme journey do you feel particularly suited to speak to? (select all that apply) * []

Managing Lyme and employment Finding and evaluating Lyme physicians Making lifestyle adjustments (i.e. diet, fitness, daily routine) Addressing mental and emotional challenges Other

If Other:

Terms and Conditions & Code of conduct

Peer Code of Conduct

Peers will not practice, condone, facilitate or collaborate in any form of discrimination on the basis of ethnicity, race, sex, sexual orientation, age, religion, national origin, marital status, political belief, mental or physical disability, or any other preference or personal characteristic, condition or state.
Peers will respect the privacy and confidentiality of their Mentors and others utilizing peer support services and will only contact them during scheduled calls.
Peers will never engage in sexual/intimate activities with their Mentors and others utilizing peer support services.
Peers will avoid conflicts of interest that compromise the relationship between themselves and their Mentors.
Peers will never intimidate, threaten, harass, use undue influence, physical force or verbal abuse, or make unwarranted promises of benefits to their Mentors and others utilizing peer support services.
Peers will not accept gifts of significant value from their Mentors and others utilizing peer support services.
Peers will maintain high standards of personal conduct which includes keeping commitments to and giving dignity and respect to all people.

Terms and Conditions

The material provided though GLA’s Peer-to-Peer Mentoring program is for information purposes only. This program (a) is not nor should be considered, or used as a substitute for, medical advice, diagnosis, or treatment, nor (b) does it necessarily represent endorsement by or an official position of Global Lyme Alliance, Inc. or any of its directors, officers, advisors or volunteers. Advice on the testing, treatment or care of an individual patient should be obtained through consultation with a physician who has examined that patient or is familiar with that patient’s medical history.

Global Lyme Alliance, Inc. makes no warranties of any kind regarding the website, Peer-to-Peer support or any programs the organization offers, including the accuracy, completeness, currency or reliability of any information contained herein, and all such warranties are expressly disclaimed.

Additionally, By accessing and using this site and/or the guidance provided by a peer to peer mentor, you as the user, agree to these terms and conditions. If you do not agree to all of these terms and conditions, do not use this site or guidance provided by a peer to peer mentor. Global Lyme Alliance has the right to change the terms and conditions of use at any time without notice to you. In using this site or guidance provided by a peer to peer mentor, you are agreeing to any changes in the terms and conditions of use.

All health and health-related information contained within this web site or provided by a peer to peer mentor is intended to be general and/or educational in nature and should not be used as a substitute for a visit with a health care professional for help, diagnosis, guidance and treatment. The advice is intended to offer only general information for individuals to discuss with their health care provider. It is not intended to constitute a medical diagnosis or treatment or endorsement of any particular test, treatment, procedure, service, etc.

Reliance on information provided by a peer to peer mentor or at this site is at the user’s risk. Your health care provider should be consulted regarding matters concerning the medical condition, treatment and needs of you and your family. Although efforts are made to provide peer to peer mentor guidance that is accurate and timely, there are no representations or warranties regarding errors, omissions, completeness, or accuracy of the information provided.

I agree to the Terms and Conditions & Code of Conduct (see above) *

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