In this video, Dr. Zendi Moldenhauer and Lori DiBartolo discuss Pediatric Acute-Onset Neuropsychiatric Syndrome (PANS/PANDAS) - the symptoms, treatment options, and how you can help raise awareness of this serious condition.
Imagine this: one day, your child is thriving, full of energy and joy. The next, they’re overcome by sudden, debilitating anxiety, obsessive behaviors, or emotional outbursts. As a parent or caregiver, this kind of abrupt change is nothing short of heartbreaking—and confusing.
What if the behaviors you’re seeing aren’t what they seem? For some children, these dramatic shifts may be linked to an immune system reaction, often overlooked or misunderstood. Conditions like Pediatric Acute-Onset Neuropsychiatric Syndrome (PANS) and Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections (PANDAS) could be the missing piece of the puzzle. Let’s explore what these conditions are, why they’re so often misdiagnosed, and how you can help your child recover.
PANS/PANDAS are autoimmune conditions that occur when the body’s immune response mistakenly attacks the brain, causing inflammation and sudden-onset neuropsychiatric symptoms.
These conditions can cause an array of sudden and dramatic symptoms, including:
These symptoms often feel like they’ve appeared overnight, leaving you searching for answers.
One of the most frustrating aspects of PANS/PANDAS is how often it is misdiagnosed—or completely missed. These conditions mimic other mental health and behavioral disorders, leading children to be incorrectly labeled as "difficult" or “acting out.”
Common Misdiagnoses Include:
It’s estimated that a child will see more than five doctors before receiving a proper diagnosis. Worse yet, as many as 1 in 200 children may be suffering from these conditions.
The key to an accurate diagnosis is identifying the sudden onset of symptoms and considering the connection to infections or immune triggers.
When left untreated, PANS/PANDAS symptoms can persist or worsen, becoming a lifelong challenge. Early diagnosis and intervention, however, can dramatically improve outcomes. By addressing the root cause—whether it’s an infection, inflammation, or environmental trigger—you can reduce the immune response and support your child’s healing.
At Arbor Health, we focus on uncovering and addressing the root cause(s) of PANS/PANDAS. These often include:
By understanding your child’s unique triggers, we can create a precise treatment plan tailored to their needs.
While PANS/PANDAS can be complex, the right combination of treatments can support healing. A Functional Medicine approach focuses on identifying and addressing the root causes. Personalized treatment plans might include:
No two children are alike, so their care plans shouldn’t be either. Every step should be designed to meet your child’s unique needs and support their recovery.
Discovering that your child may have PANS/PANDAS can feel overwhelming, but you don’t have to face it alone. Our PANS/PANDAS Masterclass was created to empower parents and caregivers with the knowledge and tools needed to navigate this journey with confidence.
In just 80 minutes, you’ll learn:
Your child’s journey to recovery begins with understanding and support. Join our PANS/PANDAS Masterclass to gain expert insights and practical strategies to help your child thrive.
If your organization is interested in Dr. Zendi coming to speak on PANS/PANDAS or other mental health topics, please contact us.
This Website has been created to provide information about functional health care services and is for general informational purposes regarding functional health care that should never be construed as medical advice for any person, including patients of the Practice. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
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