PANS / PANDAS
When your child suddenly changes, look for the cause.
PANS and PANDAS can cause a sudden, dramatic onset of OCD, anxiety, tics, food restriction or behavior changes, often after an infection like strep. We look at the immune, infectious and inflammatory drivers behind these symptoms, not just the symptoms themselves, and support your whole family through care.
Request an appointmentWhat we help with
- Sudden-onset OCD or intrusive thoughts
- Tics and unusual movements
- Food restriction or new eating fears
- Separation anxiety and new fears
- Rage, irritability and mood swings
- Regression in handwriting, schoolwork or behavior
- Bedwetting or urinary changes
- Sleep problems
- Symptom flares after illness or infection
Test, don't guess
What we may look at
- Strep and other infection history and testing
- Inflammation and immune markers
- Lyme disease and co-infections
- Gut health
- Nutrient status
- Mold and environmental exposures
Testing is chosen for your child based on their symptoms, history and needs.
Your plan
How care works
Every plan is individualized. We work to identify and treat what's triggering your child's symptoms, such as infections and inflammation, while helping manage symptoms so your child can feel better sooner. Care may include treating infections, calming inflammation, immune and gut support, nutrient support, and psychiatric care and medication when appropriate, coordinated with your child's pediatrician.
Who you'll see
Common questions
What is PANS/PANDAS?
PANS (Pediatric Acute-onset Neuropsychiatric Syndrome) and PANDAS (linked to strep infections) are conditions in which an infection or immune response is thought to trigger sudden psychiatric and behavioral symptoms in children.
How is it diagnosed?
Diagnosis is based on the sudden onset and pattern of symptoms, along with a careful history and exam. Labs can help identify infections and immune triggers and rule out other causes.
Do you see children?
Yes. We see patients of all ages, and we partner closely with parents throughout care.
When is it an emergency?
If your child refuses to eat or drink, shows signs of dehydration, or has thoughts of harming themselves or others, call 911 or the 988 Suicide & Crisis Lifeline right away.