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169: Treatment for PANS and PANDAS

March 6, 2024
Struggling with sudden spirals or complex symptoms? In this episode, I break down natural treatment for PANS PANDAS and what truly helps kids heal. As a Regulation First Parenting™ expert, I guide families through emotional dysregulation with science-backed solutions.
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Estimated reading time: 6 minutes

When your child suddenly changes—practically overnight—it can leave you terrified, confused, and feeling utterly alone. You know something is wrong, yet you’re met with dismissal, misinformation, or waitlists that go on for months.

That’s why this episode matters. We break down what PANS/PANDAS really looks like, why sudden onset symptoms should never be brushed off, and the holistic treatments that actually help calm the brain and support recovery. Together, we'll walk through the science, the hope, and the real path forward.

Why did my child’s behavior change so suddenly? Could it be PANS or PANDAS?

Sudden onset symptoms are never normal—and they’re one of the defining features of PANS/PANDAS. Kids can go from “fine” to deeply dysregulated in days or even hours.

Common sudden changes include:

  • New or worsening OCD or tics
  • Severe separation anxiety
  • School refusal or panic
  • Frequent urination, sleep issues, or sensory overwhelm
  • Rage, irritability, or extreme emotional swings

Parent Story

A mom recently shared that her daughter went from mild distractibility to full-blown OCD and debilitating anxiety in one week after strep exposure. This is the kind of shift that signals: Look deeper. Advocate. Don’t dismiss it.

Takeaway: Behavior is communication—and sudden regression means the brain is inflamed and needs support.

Natural Pans Pandas Parent Kit

What symptoms should I look for if I suspect PANS/PANDAS?

These conditions involve the immune system attacking the brain, which leads to dysregulation, cognitive decline, and emotional instability.

Parents often report:

  • Brain fog and memory problems
  • Regression in reading, math, or handwriting
  • Sleep disturbances, headaches, or migraines
  • Coordination issues or clumsiness
  • Depression or sudden personality changes

Parent Story

One dad described it as “watching the light disappear from my son's eyes.” This is why early recognition and intervention matter.

You don’t have to figure this out alone. Become a Dysregulation Insider VIP and get your FREE Regulation Rescue Kit: How to Stay Calm When Your Child Pushes Your Buttons and Stop Oppositional Behaviors. Head to www.drroseann.com/newsletter and start your calm parenting journey today.

What treatments actually help kids with PANS/PANDAS heal?

There is no one-size-fits-all protocol—but a 5-pronged approach works best because it supports the brain, immune system, and nervous system simultaneously.

The 5-Core Pillars of Treatment:

  • Antimicrobial therapy (antibiotics or herbal protocols)
  • Toxin treatment (including mold, Lyme, and environmental triggers)
  • Immune therapy (anti-inflammatories, IVIG, supplements)
  • Genetic support (methylation, detox pathways)
  • Addressing co-occurring health issues

But here’s the part most providers miss: If we don’t calm the nervous system, healing stalls.

Ways to support regulation:

  • PEMF therapy
  • Magnesium and anti-inflammatory nutrition
  • Breathwork and meditation
  • Neurofeedback
  • Gentle detox supports

One teen I worked with didn’t improve until we added neurofeedback and PEMF—then her cognitive fog lifted almost immediately.

Why isn’t my child improving, even when we’re treating infections?

Because clearing infections is only one piece.

Kids with PANS/PANDAS often stay stuck when:

  • The nervous system stays in “danger mode”
  • Detox pathways are clogged
  • Inflammation isn’t addressed
  • Underlying genetic factors are ignored

It’s not bad parenting—it’s a dysregulated brain. When we calm the brain first, everything else starts to shift.

🗣️ “A sudden onset of symptoms in a child is never normal. Advocate, investigate, and get the right support—because healing is possible.” — Dr. Roseann

Takeaway

PANS/PANDAS is complex, emotional, and often misunderstood—but you’re not alone. With a comprehensive plan that calms the brain, treats infection and inflammation, and supports the nervous system, kids can get better.

FAQs

What triggers a PANS/PANDAS flare?

Illness, stress, toxins, mold, or inflammation can activate the immune system and cause neuropsychiatric symptoms.

Is PANS/PANDAS treatable?

Absolutely. Kids often improve with antimicrobial, anti-inflammatory, and nervous system–supportive therapies.

How long does healing take?

It varies. Kids with chronic infections or high inflammation need more time and consistency.

Not sure where to start?
Take the guesswork out of helping your child. Use our free Solution Matcher to get a personalized plan based on your child’s unique needs—whether it’s ADHD, anxiety, mood issues, or emotional dysregulation. In just a few minutes, you'll know exactly what support is right for your family.
Start here: www.drroseann.com/help

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Dr. Roseann Capanna-Hodge: Revolutionizing Children’s Mental Health

Dr. Roseann Capanna-Hodge’s podcast, It’s Gonna be OK!™: Science-Backed Solutions for Children’s Behavior and Mental Health, is in the top 2% globally. The podcast empowers parents with natural, science-backed solutions to improve children’s self-regulation and calm their brains. Each episode delivers expert advice and practical strategies, making it indispensable for parents of neurodivergent children or those with behavioral or mental health challenges.

Dr. Roseann, founder of The Global Institute of Children’s Mental Health and Dr. Roseann, LLC, created the Neurotastic™ Brain Formulas and BrainBehaviorReset® method. With her extensive experience, she provides families with hope and effective strategies to manage conditions like ADHD, anxiety, OCD, and PANS/PANDAS.

Forbes has called her “A thought leader in children’s mental health,” highlighting her revolutionary impact on mental health education and treatment. Through her podcast and innovative methods, Dr. Roseann continues to transform how we approach, treat and understand children’s mental health.
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