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My Story About Pans Pandas | Regulation First Parenting™ | E8

June 20, 2023
My story starts with my son, Max, getting bitten by a tick at 22 months and we didn’t know it at the time. This happened back in the winter of 2000s and up until the present, we don’t know enough about ticks but the good thing is that I had already been working with families regarding this.
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Estimated Reading Time: 9 minutes

If your child changed overnight, becoming anxious, angry, obsessive, emotionally explosive, or completely unlike themselves, I want you to know something first: you are not alone. I know how terrifying and isolating this journey feels because I lived it with my own son.

In this episode, I’m sharing my story about PANS/PANDAS, chronic Lyme disease, nervous system dysregulation, and the long road toward healing. I want families to hear this clearly: even when things feel impossible, there is hope. Healing can happen when we calm the brain first and support the nervous system in a science-backed, compassionate way.

This isn’t about perfect parenting. It’s about understanding what’s really happening inside a dysregulated child’s brain and body.

How did I first realize something was seriously wrong with my son?

My story started when my son Max was bitten by a tick at just 22 months old. At the time, we didn’t know he’d been exposed. This was back in the early 2000s, when far fewer people understood the connection between tick-borne illness, inflammation, and sudden psychiatric symptoms in children.

Not long after, everything changed.

Max developed fevers, personality shifts, emotional dysregulation, sleep problems, irritability, and behavioral changes that felt dramatic and frightening. One day he was engaged, sweet, and easygoing. Then suddenly, he was angry, emotionally reactive, and struggling constantly.

Symptoms we started noticing

  • Sleep disruption
  • Emotional dysregulation in children
  • Irritability and rage
  • Restrictive eating
  • Anxiety
  • Sensory overwhelm
  • Behavioral changes
  • Cognitive and emotional regression

As a parent, you know when something feels wrong. And I knew this wasn’t simply “behavior.”

Behavior is communication.

And Max’s nervous system was screaming for help.

Why did his symptoms keep getting worse?

Within six months, Max was bitten by another tick. This time, we knew immediately and started treatment quickly. But despite interventions, his symptoms continued escalating.

That’s the part many parents don’t understand about PANS/PANDAS and chronic Lyme disease: healing is rarely linear.

Inflammation affects the brain, nervous system, immune system, sleep, emotions, and cognition all at once.

What made things harder

  • Nervous system overload
  • Chronic inflammation
  • Sleep disruption
  • Multiple infections
  • Emotional dysregulation
  • Stress activation
  • Sensory overwhelm

We eventually worked with Dr. Charles Ray Jones, who has treated thousands of children with tick-borne illness. At that point, I already knew we were dealing with something much deeper than a behavior issue.

Today, I often describe Max’s condition through the lens of PANS because the nervous system dysregulation and inflammatory response fit that picture so clearly.

And this is important for parents to hear:
A sudden onset mental health issue is not normal.

Why is healing from PANS/PANDAS a marathon, not a sprint?

One of the biggest lessons I learned is that there is no single “magic fix.”

Healing requires layers of support.

You can’t calm the nervous system without addressing inflammation. But you also can’t heal the brain if the child remains chronically stressed and emotionally dysregulated.

That’s why I always say:
Let’s calm the brain first.

Healing requires multiple supports

  • Nervous system regulation
  • Behavioral support
  • Parenting support
  • Sleep support
  • Emotional regulation tools
  • Inflammation reduction
  • Brain-based therapies
  • Consistency over time

Parents also need support because raising a dysregulated child impacts the entire family system.

What parenting support helped us most

  • Learning co-regulation
  • Reducing shame and blame
  • Building predictable routines
  • Understanding triggers
  • Tracking patterns and flares
  • Staying calm during dysregulation

Regulation First Parenting™ became essential in our home long before I formally named it.

What treatments helped Max the most?

Over time, several brain-based and nervous system-focused supports made an enormous difference for Max.

Neurofeedback

Neurofeedback helped regulate brainwave patterns connected to anxiety, emotional flooding, and nervous system overload.

As Max became more regulated, we saw improvements in:

  • Emotional stability
  • Sleep
  • Anxiety
  • Focus
  • Overall nervous system calm

PEMF

PEMF was another powerful support.

PEMF helps shift the body out of an overstimulated sympathetic state and into a calmer parasympathetic state.

Max still uses PEMF independently because he recognizes how much calmer and more grounded it makes him feel.

Herbs and supplements

Targeted herbs and supplements also helped support detoxification, immune function, and inflammation reduction.

Important lesson: not every therapy helps every child

One of the most difficult experiences we had was with integrative listening therapy, which completely destabilized Max’s nervous system and triggered a severe flare.

This is why parents must monitor responses carefully.

Every dysregulated child has a unique nervous system.

How did homeschooling help during PANS/PANDAS recovery?

Homeschooling became one of the most regulating choices for Max during severe flares and treatment periods.

That does not mean homeschooling is right for every family.

But reducing stress and sensory overload helped calm his nervous system significantly.

Why homeschooling helped

  • Reduced environmental stress
  • Allowed flexibility during flares
  • Supported nervous system recovery
  • Reduced overwhelm
  • Made treatments easier to manage
  • Improved emotional regulation

When the brain is stuck in fight, flight, or freeze, healing and learning become nearly impossible.

This is why Nervous System Reset for Children strategies matter so much.

A regulated brain learns better.

Why is there still so much stigma around mental health and PANS/PANDAS?

One thing I’ve struggled with throughout this journey is the stigma families face around mental health and neuroinflammatory conditions.

If a child had cancer or another visible medical issue, most people would immediately offer compassion.

But when symptoms involve anxiety, rage, OCD, or emotional dysregulation, families are often blamed, dismissed, or misunderstood.

What I want parents to remember

  • Your child is not broken
  • You are not failing
  • This is not bad parenting
  • Mental health struggles are real medical issues
  • Nervous system dysregulation deserves compassion

Find your people.

Find providers, parents, and communities who understand.

You do not need to explain yourself to everyone.

What’s the biggest message I want parents to hear?

Healing is possible.

I know how hopeless it can feel when your child is dysregulated, inflamed, emotionally reactive, or struggling daily.

But kids can heal when we support the brain, nervous system, immune system, and family together.

What helped us most

  • Consistency
  • Nervous system regulation
  • Neurofeedback
  • PEMF
  • Parenting support
  • Reducing inflammation
  • Hope
  • Faith in the process

And most importantly:
Calm the brain first.

Because when the nervous system feels safe, healing becomes possible.

When your child is dysregulated, it’s easy to feel helpless. The Regulation Rescue Kit gives you the scripts and strategies you need to stay grounded and in control.

Become a Dysregulation Insider VIP at www.drroseann.com/newsletter and get your free kit today.

“If the brain isn’t calm, no healing is possible. We have to regulate the nervous system first so the brain and body can heal.” — Dr. Roseann

Takeaway & What’s Next

My story about PANS/PANDAS is ultimately a story about hope, persistence, and nervous system healing.

PANS/PANDAS can completely disrupt a child’s emotions, behavior, learning, and family life. But with science-backed tools, compassionate support, and a Regulation First Parenting™ approach, kids can heal and families can recover.

FAQs

What are common early signs of PANS/PANDAS?

Sudden anxiety, OCD behaviors, emotional dysregulation, rage, sleep problems, restrictive eating, and personality changes are common early signs.

Can Lyme disease trigger PANS symptoms?

Yes. Lyme disease and other infections can trigger neuroinflammation and symptoms consistent with PANS.

Does neurofeedback help PANS/PANDAS?

Neurofeedback can support nervous system regulation, emotional stability, anxiety reduction, and improved brain functioning.

Is homeschooling necessary for kids with PANS/PANDAS?

Not always. But reducing stress and overstimulation can significantly help a dysregulated child heal.

Can children recover from PANS/PANDAS?

Many children improve dramatically with proper medical care, nervous system regulation, inflammation support, and consistent intervention.

Links and Resources:

➡️ Join our FREE Natural Parenting Community to receive science-backed resources for your child and family. Join here.

➡️ Get help from Dr. Roseann and her team. Apply here.

Dr. Roseann Capanna-Hodge is a licensed therapist, certified school psychologist, and leading expert in emotional dysregulation in children. With over 30 years of experience, she helps parents understand the root causes of meltdowns, anxiety, ADHD, and challenging behavior through the lens of nervous system regulation. Dr. Roseann teaches practical, science-backed strategies for co-regulation and how to calm a dysregulated child using her Regulation First Parenting™ approach. She is the host of the Dysregulated Kids Podcast and author of The Dysregulated Kid.

Dr. Roseann Capanna-Hodge
Emotional Dysregulation in Children & Nervous System Expert
Regulation First Parenting™ | CALMS Protocol™
Host of the Dysregulated Kids Podcast (Top 1% Globally)
Author of The Dysregulated Kid

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Dr. Roseann Capanna-Hodge: Helping Families of Dysregulated Kids Thrive Through Regulation First Parenting™

Dr. Roseann believes every family deserves to move from chaos to connection—and that transformation begins with addressing emotional dysregulation in children at its true source: the nervous system.

As the creator of Regulation First Parenting™, she’s helping families of dysregulated kids discover a compassionate, brain-based path forward. Through The Dysregulated Kids™ Podcast (top 2% globally), she offers practical strategies that help parents understand their child’s brain and support lasting change.

Through The Global Institute of Children’s Mental Health and Dr. Roseann, LLC, she’s created resources like the BrainBehaviorReset® program, Neurotastic™ Brain Formulas, and the Regulation First Parenting™ framework—meeting families where they are and supporting them through challenges like ADHD, anxiety, OCD, PANS/PANDAS, and behavioral struggles.

Recognized by Forbes as “a thought leader in children’s mental health,” Dr. Roseann is changing how we understand emotional dysregulation in children—one family at a time.
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