PANS/PANDAS

Common Symptoms of PANS/PANDAS

Children with PANS/PANDAS experience a range of symptoms that often appear suddenly and may fluctuate in intensity over time. These symptoms can significantly impact a child's daily functioning, academic performance, relationships, and quality of life AND because symptoms often appear suddenly and can wax and wane over time, many of our parents struggle for years before receiving support. Not to mention it can all feel SO CONFUSING!

  • Suddenly developed obsessive or compulsive thoughts or behaviors?

  • Developed new fears, anxiety, or panic?

  • Become unusually emotional, irritable, or quick to anger?

  • Shown aggressive behavior or increased defiance?

  • Developed motor or vocal tics?

  • Started restricting foods or developed difficulty swallowing?

  • Experienced a sudden decline in school performance?

  • Developed difficulty focusing or symptoms that resemble ADHD?

  • Developed difficulty focusing or symptoms that resemble ADHD?

  • Shown a noticeable deterioration in handwriting?

  • Lost fine motor skills or become unusually clumsy?

  • Begun speaking or behaving as though they were younger than their age?

  • Developed separation anxiety?

  • Started urinating frequently or wetting the bed after previously being potty trained?

  • Experienced sleep disturbances, insomnia, or night terrors?

What is PANS/PANDAS? 

Did your child seem to change overnight?

PANS and PANDAS are conditions associated with sudden onset symptoms such as anxiety, OCD behaviors, tics, emotional dysregulation, sleep disturbances, sensory sensitivities, and difficulty concentrating.

These changes often occur following an infection or other immune trigger (Strep, Covid, etc). However, while PANDAS is linked to strep infections, PANS recognizes that many factors may contribute to immune dysregulation and inflammation.

Many parents describe feeling as though their child became a different person almost overnight. Unlike many childhood conditions that develop gradually, PANS/PANDAS often presents as a sudden and significant change in a child's behavior, emotions, learning, or daily functioning.

What's really driving these symptoms?

PANS and PANDAS can be triggered by a variety of infections and environmental stressors.

While symptoms often appear suddenly, the underlying contributors may have been building beneath the surface for months or even years.

Streptococcal Infections

The classic trigger for PANDAS. In some children, a strep infection can trigger an abnormal immune response that affects the brain and nervous system.

Other Infections

Many children with PANS have a history of chronic or recurrent infections. Common triggers may include viruses (such as Epstein-Barr Virus, influenza, COVID-19, or other viral illnesses), Mycoplasma pneumoniae, Lyme disease and other tick-borne infections.

Mold and Environmental Toxins

Exposure to mold, water-damaged buildings, glyphosate, heavy metals, and other environmental toxins can place significant stress on the immune system and may contribute to neuroinflammation

Nutritional Deficiencies & Metabolic Stress

Chronic inflammation, infections, restrictive eating, poor absorption & increased nutrient demands can contribute to deficiencies in nutrients such as iron, zinc, vitamin D, B vitamins, and essential fatty acids. These deficiencies may affect immune function, energy levels, and the body's ability to recover.

Gut Health Imbalances

The gut and immune system are closely connected. Dysbiosis, chronic constipation, food sensitivities, yeast overgrowth, Clostridia overgrowth, and intestinal inflammation can contribute to ongoing immune activation and make symptoms more difficult to resolve.

Histamine & Mast Cell Activation

In some children, mast cell activation and histamine intolerance may develop alongside chronic infections, mold exposure, gut dysfunction, or ongoing inflammation. When present, they can contribute to anxiety, irritability, sleep disturbances, sensory challenges, and OCD-like symptoms.

Every child is different. Our goal is to identify the unique combination of triggers and contributing factors affecting your child so that we can create a personalized path toward your child’s healing.

We will make sense of what’s happening

If you're here, there's a good chance you've already tried a lot. Many families come to us after being told it's "just anxiety," that the behaviors are psychological, or after cycling through therapies and treatments that provide only temporary relief.

PANS and PANDAS are neuroimmune conditions. The symptoms you're seeing—whether it's anxiety, OCD, tics, rage, sensory challenges, sleep issues, or regression—are often signs of an immune system under stress. BRAIN ON FIRE. 

We believe your child's body is trying to communicate something important.

By looking for underlying triggers, and supporting the body's ability to heal, we can begin to make sense of the symptoms, connect the dots, and create a clearer path forward.

Sometimes the trigger for your child’s challenges is obvious, sometimes life has felt like such a whirlwind once things and it’s hard to pinpoint when. I will help you draw the connection(s) — we’ll create your timeline together, and a roadmap for recovery.

You’re in the right spot if you’ve been experiencing these big feelings…

We’ve tried everything but nothing seems to be getting to the root of what’s going on.

“I hate seeing how other kids reject my child. He doesn't get invited to birthday parties. It’s heartbreaking.” 

“No doctor believes us when we describe our child's symptoms and it’s making me feel crazy!”

“No one can explain why my child is acting like this”

“My child isn't the same kid anymore and I just want them back”

“Getting dressed, brushing teeth or leaving the house feels like a battle every day.” 

We use gold standard testing that helps shine a spotlight on the root cause. 

Functional testing can be done from the comfort of your home.

2 TESTS
INCLUDED

PEDIATRIC CARE PACKAGE

A 5-month structured, personalized path for families and children who are struggling and want answers!

We take a functional medicine and root cause approach to chronic fatigue, persistent digestive issues, autoimmune conditions, ADD/ADHD, depression and mood disorders, histamine and MCAS, mold illness, migraines and other chronic health concerns.

Frequently Asked Questions

Ready to identify what’s causing your child’s symptoms, and take the first step towards healing?

A complimentary call is the best next step.