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Help for Emotional Dysregulation in Kids | Dr. Roseann Capanna-Hodge

Causes, Symptoms, and Treatment for PANS/PANDAS

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Was your child doing just fine and then one day, they’re angry, anxious, or stuck in rituals that came out of the blue? It’s scary when things shift so sudden and fast. But what you’re seeing isn’t “bad behavior” – it’s a dysregulated brain.In kids with PANS/PANDAS, this dysregulation is caused by an infection or toxin.

What is PANS/PANDAS?

PANS (Pediatric Acute-onset Neuropsychiatric Syndrome) and PANDAS (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections) are conditions where the immune system—after a trigger like strep or another infection—misfires and attacks the brain.

That immune response causes inflammation in areas of the brain responsible for behavior, mood, movement, and cognitive function. And when that happens, you’ll likely see sudden, intense changesin your child.

For many parents, it’s like a switch flips overnight.  Their once happy, regulated child is suddenly anxious, angry, obsessive, withdrawn—or completely overwhelmed by intrusive thoughts and compulsive behaviors.

And sometimes, the signs are softer at first—maybe some quirky behaviors, an uptick in anxiety, or sensory sensitivities—until one day, everything escalates.I’ve seen it hundreds of times in my office, and I get how scary that shift can be.

Here’s what I want you to know:

This is not your child being bad. This is your child’s brain under attack.

Understanding what’s really going on in your child’s brain is the first step.  And once you do, you can start the right kind of healing.  Not just symptom management—but true, root-cause recovery–and that is what we do everyday in our BrainBehaviorReset® program. 

What’s the Difference Between PANS and PANDAS?

If your child had a suddenshift in behavior—like anxiety, OCD, or school refusal—you’re not imagining it.PANS and PANDAS are real neurological conditionsthat affect the brain’s ability to function and regulate. Here’s how they’re alike… and how they differ.

How Are PANS and PANDAS the Same?

Both PANS and PANDAS:

  • Start withsudden andintense changesin mood, behavior, or functioning
  • Involve neuroinflammationthat disrupts the brain’s normal processing
  • Cause symptoms like OCD, anxiety, tics, eating restrictions, or refusing to go to school
  • Often appear after an infection, injury, or exposure to toxins
  • Require multidisciplinary treatmentthat includes medical, psychological, and holistic care
PANS/PANDAS Treatment Support for Children

How Are PANS and PANDAS Different?

While both conditions are triggered by an infection,PANS and PANDAS differin the type of trigger, how they are diagnosed, and what age they usually occur, among other factors. 

FeaturePANDASPANS
TriggerAlways associated with a strep infectionCan be triggered by by any infection or toxin
Diagnosis criteriaFollows specific NIMH guidelinesBroader, based on clinical presentation
Onset ageUsually ages 3 to pubertyCan occur at any age in childhood
AwarenessMore widely known (but still underrecognized)Less recognized, often misdiagnosed

What Causes PANS/PANDAS?

PANS and PANDAS stem from a misdirected immune response. After an infection, the body’s immune system goes into haywire and mistakenly attackshealthy brain tissueresponsible for your child’s emotions, thinking, and behavior. 

Common Triggers:

    • Strep infections(PANDAS)
    • Mycoplasma pneumoniae
    • Lyme disease and tick-borne infections
    • Influenza, Epstein-Barr, or other viruses
    • Environmental toxinssuch as moldor heavy metals
5 early signs to seek treatment for PANS/PANDAS in children.

How Do I Know If My Child Has PANS/PANDAS?

If your child suddenly changes—like they’re a different kid almost overnight—it’s not something to ignore.

PANS and PANDAS are clinical diagnoses, which means there’s no single test that gives a clear yes or no. But that doesn’t mean there aren’t signs to watch for or steps you can take to get answers.

Here’s what experienced providers (like myself) look for:

  • A sudden onset of OCD, extreme anxiety, or eating restrictions
  • Additional symptoms like tics, mood swings, sleep problems, or regression
  • A history of recent infection—strep for PANDAS, other infections or triggers for PANS

Getting a diagnosis usually starts with a thorough history, lab testing to look for immune or infection markers, and ruling out other conditionslike traditional OCD or Tourette’s.

As Dr. Susan Swedo said, “Early recognition and treatment of PANS/PANDAS can significantly improve outcomes.” And I couldn’t agree more.

So, keep your eyes open for red flags like:

  • A sudden change in your child’s mood or personality
  • Cognitive or emotional struggles that seem to come out of nowhere
  • Symptoms that flare, then disappear, then come back again
  • New motor or vocal tics (which are seen in about 70% of PANDAS cases)
  • Physical symptoms like frequent urination, sleep disturbances, or food refusal

If your gut is telling you something’s off—trust it. Early recognition is everything.

Treatment for PANS/PANDAS

How to Test for PANS/PANDAS

When your child suddenly changes and you suspect PANS or PANDAS, testing can feel overwhelming. Whilethere’s no single test that confirms the diagnosis, lab work can uncover underlying infections, inflammation, and immune system issues that are often at the root of symptoms. That’s why it’s typically one of the first steps in creating an effective treatment plan.

Core Lab Areas to Better Understand how Infections or Toxins are Impacting Your Child:

Test CategoryWhat It Shows
Basic labsInflammation, immune activity, organ function
Infection panelsStrep (ASO, Anti-DNase B), Mycoplasma, Lyme, EBV
Autoimmune testingANA, Immunoglobulin panels, Cunningham Panel
Nutrient & metabolicVitamin D, B6, B12, Ferritin, Copper, OAT
Gut and detox testingStool, MTHFR mutation, mold, food sensitivities

Parent Tip:You don’t need every test. A provider experienced with PANS/PANDAS will know how to prioritize based on your child’s unique symptoms and history.

Testing is not about chasing numbers—it’s about uncovering the underlying triggers so your child can begin to heal.

Want a deeper breakdown of each test?
Read the full blog on lab testing for PANS/PANDAS here to learn more about the common tests used to test for Lyyme Disease, PANS, PANDAS and Autoimmune Encephalopathy.

Why is PANS/PANDAS Hard to Diagnose in Children and Teens?

Diagnosing PANS and PANDASisn’t always straightforward—especially because the symptoms often look like traditional mental health issuessuch as OCD, anxiety, ADHD, ODD, or mood disorders. But when those symptoms come on suddenly and severely, there’s often more going on beneath the surface.

Many providers miss the connection because they haven’t been trained to recognize the infectious and autoimmune rootsof these symptoms. Here’s why it’s often overlooked:

  • The symptoms appear psychiatric, so they’re often treated as purely psychological
  • Infection or inflammation isn’t even considered as a possible cause
  • Kids are frequently misdiagnosed and placed on psychiatric meds alone
  • If the first medication doesn’t work, another is tried—without digging deeper
  • OCD and food restriction can be subtle in young kids and mistaken for picky eating (Aman et al., 2022)  or “phases”

Let me share a few real-life examples that might sound familiar.

One child melted down every time they couldn’t walk around the playground exactly three times. For months, it was brushed off as defiance—until we uncovered that it was actually OCD rooted in inflammation.Another family came to us after their 3-year-old stopped eating completely. Their pediatrician told them, “She’ll eat when she’s hungry.”But what was really happening wasn’t typical picky eating—it was food restriction driven by a dysregulated brain

Bottom line?When emotional or behavioral symptoms appear suddenly or escalate quickly, we have to pause and ask: Could this be medical? Because so often—it is.

Associations Between PANS/PANDAS and Other Mental Health Issues

The Autism and PANS/PANDAS Connection

PANS/PANDAS is considered a type of Autoimmune Encephalopathy (AE), and its symptoms often mirror those seen in mental health conditions like OCD, anxiety, and mood disorders. This overlap can make diagnosis and treatment much more complex.

We’re also seeing growing evidence of a connection between Autism Spectrum Disorder (ASD)and PANS/PANDAS, largely due to shared immune and inflammatory pathways.

  • In fact, research suggests that up to 30% of children with Autism may also meet the criteria for PANS or PANDAS(Autism Research Institute). 
  • Post-mortem studies have found that over 70% of individuals with Autism showed signs of brain inflammation(Croonenberghs et al., 2002).

One of the biggest challenges? Baseline behaviors in Autism—like tics, sensory sensitivities, or mood swings—can look very similar to a PANS/PANDAS flare.That’s why it’s essential to look for sudden changes or regressions, especially following illness or infection.

I’ve worked with many children diagnosed with both Autism and PANS, and it’s a powerful reminder of how closely these conditions can overlap—particularly when the immune system and brain are both affected.

OCD and PANS/PANDAS: What Parents Need to Know

When a child suddenly begins showing intrusive thoughtsor repetitive behaviors, it’s natural to wonder:
“Is this classic OCD, or could something else be going on?”

In many cases, sudden-onset OCD can be a symptom of PANS or PANDAS, especially when it appears out of the blue and is paired with other behavioral or neurological changes.

Here’s how to tell the difference:

What OCD in PANS/PANDAS May Look Like:

  • Appears suddenly, often overnight
  • Follows a recent illness or infection
  • Accompanied by:
    • Tics
    • Emotional lability or rage
    • Sensory sensitivities
    • Motor skill changes
    • Food restriction or contamination fears
  • Symptoms escalate quicklyand may feel extreme or out of character

Key Considerations:

  • Not all children with PANS/PANDAS have OCD—but many do
  • Some children diagnosed with OCD are later found to have an underlying immune or infectious trigger
  • OCD related to PANS/PANDAS may look differentthan traditional OCD, and often doesn’t respond to typical interventions alone

If your child is experiencing sudden or dramatic OCD symptoms, especially after being sick, it’s time to dig deeper.

Pediatric acute-onset OCD should always raise a red flag for PANS or PANDAS—because treating the brain means understanding what’s really driving the behavior.

What Are the Most Effective Treatments for PANS/PANDAS?

“A multidisciplinary approach is essential for managing these complex conditions” says Dr. Jennifer Frankovich, Clinical Professor at the Lucile Packard Children’s Hospital. 

Every child experiences different symptoms and may have gotten the disease from different triggers.  Because of this, the best treatments are always tailored, involving a combination of medical, psychological, and holistic interventions. 

Treatment Approaches Include:

  • Antibiotics or antiviralsto eliminate active infections
  • Anti-inflammatory medicationslike ibuprofen or corticosteroids
  • Immunomodulatory therapiessuch as IVIGor plasmapheresis for severe cases
  • Cognitive Behavioral Therapy (CBT)or Exposure Response Prevention (ERP) for OCD symptoms
  • Family counseling or parent coachingto reduce household stress
  • Lifestyle and holistic supportsuch as neurofeedback, PEMF therapy, nutrition, and supplements

Dr. Roseann believesin a 5-Pronged approachto treating PANS/PANDAS and AE. You can learn more by watching her video about it. She always starts with regulating the nervous system first. Let’s calm the brain first and everything else will follow. 

How to Treat PANS and PANDAS?
Antibiotics
Anti-inflammatory medications
IVIG
Cognitive Behavioral Therapy
Exposure Response Prevention
Family Counseling and 1-on-1 Coaching
Neurofeedback
PEMF Therapy
Proper Diet and Nutrition
Vitamins and supplements

Are There Natural or Holistic Treatments That Help?

Absolutely. Many families turn to integrative, non-medication-based approachesto support healing—especially when traditional treatments fall short or they want to address the root causes.

These strategies are designed to support the brain and body by reducing inflammation, calming the nervous system, and improving regulation. When combined with professional guidance, they can make a powerful difference.

Here are some natural and holistic toolsparents are using successfully:

  • Anti-inflammatory nutrition plansrich in whole foods and healthy fats
  • Targeted supplements: magnesium, zinc, omega-3s, vitamin D, probiotics
  • Neurofeedbackto improve focus, mood, and emotional regulation
  • PEMF therapyfor calming the nervous system and promoting cellular healing

Other complementary drug-free remedies:

  • Detoxification
  • Diet/Nutrition 
  • Essential oils 
  • PEMF
  • Homeopathy, herbs, supplements 
  • Psychotherapy and coaching
  • Exposure and Response Prevention (ERP for OCD)
  • EFT tapping
  • Family support/Lifestyle 

I spoke to a parent who was struggling to tame her child’s meltdowns. “Once we added neurofeedback and changed our daughter’s diet, we saw a huge drop in her anxiety and emotional meltdowns.”

Monitor, reward, and rewire steps in brain-based treatment for PANS/PANDAS.

Why Experience Matters

Children with PANS and PANDAS have highly sensitive nervous systems. Their brains are inflamed, overactive, and reactive to stimulation, so neurofeedbackmust be approached with extra care.

This isn’t one-size-fits-all. As a skilled neurofeedback provider experienced in PANS/PANDAS who has read thousands of QEEG brain maps, I can spot patterns affected by infections and toxins—and know how to customize treatment to avoid overstimulating a brain that’s already on high alert. 

It’s not just about calming the brain. It’s about doing it strategically and safelyto support real healing—and making part of my 5-Pronged Approach that has helped so many kids and families get better and stay better.

Common PANS/PANDAS Symptoms Helped by Neurofeedback

Neurofeedback doesn’t just target one symptom—it supports the brain in functioning more efficiently overall. That’s why parents often see progress in multiple areas, from emotional regulation to sleep and learning.

Emotional & Behavioral RegulationCognitive & LearningPhysical & Somatic Symptoms
Rage, anger, and mood swingsBrain fog and memory issuesSleep disturbances
Emotional reactivity or labilityAttention and focusTics and motor issues
Anxiety, separation anxiety, and panicExecutive functioning and task initiationChronic pain or bedwetting
OCD symptoms and intrusive thoughtsLearning and processing speedEating challenges and food avoidance
Withdrawn or avoidant behaviors

What Neurofeedback Supports in the Brain

When a child has PANS or PANDAS, inflammation and immune dysfunction disrupt how the brain communicates and processes information. That’s why kids may seem constantly reactive, unfocused, or stuck in a loop of anxiety, OCD, or outbursts.

Neurofeedback helps address these core disruptions by supporting healthier brain function—not just behavior on the surface. Here’s how it helps from the inside out:

Target AreaHow It Helps Your Child
Brain wave patternsEncourages a healthier rhythm, helping reduce reactivity and improve overall calm
Neurotransmitter activityEnhances impulse control, flexibility, and executive functioning
Emotional and behavioral responseReduces meltdowns, rigidity, and emotional outbursts
Focus, learning, and sleepImproves attention, sleep quality, and cognitive function
Use of coping toolsHelps kids access and apply self-regulation strategies more effectively

 Neurofeedback helps the brain learn how to regulate itself.And when the brain is more regulated, everything from behavior to sleep to school performance starts to improve– and that creates the foundation for healing.

For children with PANS and PANDAS, it can be a key part of restoring calm, confidence, and connection—one session at a time.

Nutrition and an Anti-Inflammatory Diet: A Key to Calming the PANS/PANDAS Storm

Nutritionplays a powerful role in helping children with PANS, PANDAS, and Autoimmune Encephalopathy (AE). When the body is inflamed, so is the brain—and that means more emotional outbursts, focus issues, and mood swings.

An anti-inflammatory diethelps reduce that inflammation, support brain function, and improve behavior—without meds.

How Nutrition Helps Kids with PANS/PANDAS

A healthy gut supports a healthy brain. The gut is where many mood-related neurotransmitters are made. When it’s inflamed, the brain struggles to regulate. Unfortunately, we often see gut imbalances (dysbiosis)in children with PANS and PANDAS, especially those struggling with food restriction or anorexia(Morita, 2015).

  • Nutrient-dense foods like omega-3s, B vitamins, and antioxidantshelp improve:
    • Focus and attention
    • Memory and learning
    • Emotional regulation
  • Processed foods, sugar, and gluten increase inflammation and worsen symptoms.
Treatment for PANS/PANDAS

What Does an Anti-Inflammatory Diet Look Like?

CategoryExamples / Notes
Avoid or MinimizeSugar, gluten, dairy
Gluten-Free GrainsBrown rice, quinoa, sweet potato, cassava, almond, tapioca
Non-Dairy ProteinsChicken, beef, fish, shellfish, pork, pea protein
Healthy FatsAvocado, nuts, eggs, salmon, olive oil, coconut oil
Fruits & VegetablesEat a variety—focus on color and fiber
Stabilizing ShakesUse non-dairy protein shakes to balance blood sugar and boost nutrients

Dr. Ro’s Pro Tip: Pair protein and healthy fat at every meal to reduce meltdowns and emotional crashes.

Why Nutrition Matters When it Comes to Neuroinflammation

  • Food isn’t just fuel—it’s a powerful regulator of mood and behavior.
  • A balanced diet supports better sleep, calmer moods, and fewer outbursts.
  • Polyphenols (found in foods like berries, herbs, tea, and dark chocolate) help reduce brain inflammation.

When you reduce inflammation, you create the foundation for healing.
And when your child’s brain is calmer, everything gets easier.

CALM PEMF® and Supporting Neuroinflammation

Pulsed Electromagnetic Field Therapy (PEMF)is a gentle, non-invasive therapy that uses low-frequency electromagnetic waves to help calm the nervous system and promote whole-body regulation. It’s safe, effective, and easy to use at home—even for sensitive children.

For kids with PANS, PANDAS, or Autoimmune Encephalopathy (AE), chronic inflammation and immune dysfunction often lead to nervous system dysregulation—which shows up as anxiety, rage, sleep issues, sensory overload, and more.

CALM PEMF® helps soothe that dysregulation at the source, giving the brain and body the support they need to return to balance.

How CALM PEMF® Helps With PANS/PANDAS and Neuroinflammation

What It TargetsHow It Helps Your Child
Nervous system dysregulationHelps shift the brain out of fight-or-flight and into a regulated state
Chronic inflammationReduces neuroinflammation tied to flares, mood swings, and behavioral shifts
Immune system dysfunctionSupports a more balanced immune response in overactive systems
Poor circulation and oxygen flowBoosts blood flow to deliver oxygen and nutrients to the brain
Neurological symptoms or regressionEncourages nerve repair and supports health of cognitive and motor function

Magnesium: A Foundational Nutrient for Calming the Brain

Magnesium is a vital mineral that plays a powerful role in brain function, emotional regulation, and nervous system balance. For children with PANS, PANDAS, or OCD, magnesium can be a game-changer when it comes to calming the brain and improving regulation.

🎧 Want to dive deeper?Watch or listen here

Why Magnesium Matters for Kids with PANS/PANDAS

Magnesium is involved in over 300 biochemical processes that directly impact how the brain and body function. It helps by:

  • Producing key neurotransmittersto improve communication between brain cells
  • Calming overactive brain circuits, especially helpful for kids with OCD or intrusive thoughts
  • Regulating the HPA axis, which controls the body’s stress response
  • Boosting serotonin levels, the “feel-good” brain chemical
  • Promoting better sleep, focus, and emotional stability

A well-regulated brain starts with well-supported biochemistry—and magnesium is a key playerin that process.

How to Use Magnesium–and Why the Right Form Matters

While foods like leafy greens, avocados, and seeds are excellent sources of magnesium, many children—especially those with chronic stress, inflammation, or neuroimmune conditions—need more targeted support.

That’s where supplementationcomes in.

How Neurotastic Multi-Mag® Brain Formula is Different and Supports the Brain

This high-quality blend includes three of the most clinically effective forms of magnesium for brain health:

FormWhat It Supports
L-threonateCrosses the blood-brain barrier to improve cognition, focus
GlycinateKnown for promoting relaxation and deeper sleep
MalateSupports energy production and mood stability

Designed specifically for children and adults, this formula is free from fillers and unnecessary additives—just the targeted support your child’s brain needs to regulate, rest, and thrive.

Parent tip:Always consult with your child’s provider before starting any new supplement routine.

Natural-PANSPANDAS-Calm-Brain-Kit

What Should I Do If My Child’s Symptoms Flare Up Again?

Flare-ups can and do happen, even after successful treatment.

What to Do:

  • Check for new infectionsand re-test for strep or viruses
  • Increase anti-inflammatory supporttemporarily
  • Review your treatment planwith your provider
  • Keep a symptom journalto track triggers

Tip: Don’t panic. Flare-ups don’t mean treatment has failed—it may simply be time to adjust and respond to a new trigger.

How the BrainBehaviorReset™ Program Can Support Your Child with PANS/PANDAS

When your child is struggling with PANS or PANDAS, it can feel like every day is filled with more questions than answers.

Most approaches focus only on managing symptoms. But in our experience, real healing starts by calming the brain—because when the brain is in a constant state of stress, it simply can’t heal.

That’s why we created the BrainBehaviorReset™ Program—a comprehensive, science-backed approach that looks at the whole child. We address what’s underneath the symptoms: infections, toxins, inflammation, and a nervous system stuck in survival mode.

Our Program is Different Because we:

  • Take a strategic 5-Pronged Approach to PANS/PANDAS and other clinical issues under Dr. Roseann’s personal guidance
  • Show you how to reduce neuroinflammationthat disrupts mood and thinking
  • Use tools that shifts the nervous system into a calmer, more regulated state
  • Using brain-based therapiesthat support healing and growth
  • Coaching and guiding parents throughout the process

A calm brain is the foundation for EVERYTHING—and that’s where we start.

We Often Work With Families Who Are Seeing Common PANS/PANDAS Behaviors and Issues:

  • Sudden changes like OCD, anxiety, or intrusive thoughts
  • Emotional outbursts, rage, or frequent mood swings
  • School refusal, regression, or memory issues
  • Ongoing signs offlare patterns, inflammation, infection, or immune imbalance

What You Can Expect from Dr. Roseann’s BrainBehaviorReset ® Program:

What’s IncludedHow It Helps
Personalized 1:1 care for your childEvery child’s path is different—we meet them exactly where they are
A team that understands PANS, PANDAS, and AENo more feeling dismissed or misdiagnosed
In-person and remote optionsFlexible support that fits your life
A gentle, brain-first frameworkDesigned to help your child feel safer, calmer, and more in control
Ongoing parent coaching and toolsSo you feel supported, empowered, and never alone in the process

You don’t have to do this on your own any more.

We’ve helped hundreds of families navigate PANS/PANDAS, and we’re here for yours, too.

Read all about Maya and Ben’s story below and see how the program helped them conquer PANS:

Case Study Card

Case Study: Maya

Maya, a 14 yr-old-girl with a history of numerous infectious diseases, including Lyme, Bartonella, streptococcus, Epstein-Barr, and mold exposure.

READ FULL CASE STUDY
Case Study Card

Case Study: Ben

Ben is a 15 yr-old-boy who experienced the sudden onset of medical and mental health issues after having the COVID virus.

READ FULL CASE STUDY

How Can I Support My Child Emotionally During Treatment?

Children with PANS/PANDAS often feel overwhelmed, frightened, and confused by what’s happening in their bodies and minds. “Parental advocacy plays a critical role in navigating PANS/PANDAS treatment— Dr. Tanya Murphy. 

Emotional Support Strategies:

  • Validate their feelings– “I know this feels scary, but we’re working on helping your brain heal.”
  • Stick to routines– predictability helps create emotional safety
  • Teach simple coping skillslike breathing or using a calm-down space
  • Work with a therapistexperienced in trauma and chronic illness
PANS/PANDAS Treatment Support

Where Can I Find a Doctor Who Treats PANS/PANDAS?

PANS and PANDAS are complex medical conditions—and unfortunately, not all pediatricians or providers are trained to recognize or treat them. Finding the right care can feel overwhelming, but you’re not alone, and there are trusted options available.

Helpful Resources:

  • Our BrainBehaviorRese ®  ProgramIf you’re looking for personalized care and nervous system regulation, (learn more about our program here).
  • PANDAS Physicians NetworkA searchable directory of medical professionals trained in PANS/PANDAS care. (www.pandasppn.org)
  • ASPIREOffers educational tools, treatment info, and parent forums. (www.aspire.care)
  • Join our Natural Parenting Solutions Facebook Group:

    Parents often share real-world experiences you won’t find in a Google search and Dr. Roseann is the moderator. Join this free group today.

  • Navigating PANS/PANDAS is complex and emotional, but there is hope. You’re not alone, early layered treatment really does matter,flare-ups are manageable, and with the right help, you can absolutely be your child’s strongest advocate. It’s gonna be OK!

Parent Action Steps

What triggers PANS/PANDAS?

Strep, viruses, Lyme, mold, and environmental toxins are the most common triggers.

Can my child outgrow PANS/PANDAS?

Some children recover fully. Others need ongoing support. Early intervention improves the chances of remission.

Do psychiatric medications help?

They may reduce some symptoms, but without addressing the medical root, they often fall short.

Can my child attend school during treatment?

It depends on severity. Homebound instruction or accommodations are often needed during flares.

What if my doctor doesn’t believe in PANS/PANDAS?

Find a provider who does. You deserve care that acknowledges your child’s full picture.

Citations

Aman, M., Coelho, J., Lin, B., and Lu, C. (2022). Prevalence of pediatric acute-onset neuropsychiatric syndrome (PANS) in children and adolescents with eating disorders. J. Eating Disorders, (10)1. https://doi.org/10.1186/s40337-022-00707-6

Boyle, N., Lawton, C., Dye, L. (2017). The effects of magnesium supplementation on subjective anxiety and stress – a systematic review. Nutrients (9)5:429. https://doi.org/10.3390/nu9050429.

Croonenberghs, J., Bosmans, E., Deboutte, D., Kenis, G., and Maes, M. (2002). Activation of the inflammatory response system in autism. Neuropsychobiology, 45:1-6. http://doi.org/10.1159/000048665

Finelli, C. (2017). The Mediterranean diet: an “evergreen” diet. J. Public Health and Emergency, 1, 54–54. https://doi.org/10.21037/jphe.2017.05.02

Haghighatdoost, F., Mahdavi, A., Mohammadifard, N., and Hassannejad, R. (2023). The relationship between a plant-based diet and mental health: evidence from a cross-sectional multicentric community trial (LIPOKAP study). PLoS ONE (18)5:e0284446. https://doi.org/10.1371/journal.pone.0284446

Johnson, M., Ehlers, S., Fernell, E., Hajjari, P., Wartenberg, C., and Wallerstedt, S.(2021). Anti-inflammatory, antibacterial and immunomodulatory treatment in children with symptoms corresponding to the research condition PANS (Pediatric Acute-onset Neuropsychiatric Syndrome): a systematic review. PLoS One (!6)7:e0253844. https://doi.org/10.1371/journal/pone/0253844

Morita, C., Tsuji, H., Hata, T., Gondo, M., Takakura, S., Kawai, K., Yoshihara, K., Ogata, K., Nomoto, K., Miyazaki, K., and Sudo, N. (2015). Gut dysbiosis in patients with Anorexia Nervosa. PLoS ONE.. https://doi.org/10.1371/journal.pone.0145274

Dr. Roseannis a mental health expert in PANS and PANDAS who frequently is in the media:

Always remember… “Calm Brain, Happy Family™”

Disclaimer: This article is not intended to give health advice and it is recommended to consult with a physician before beginning any new wellness regime. *The effectiveness of diagnosis and treatment vary by patient and condition. Dr. Roseann Capanna-Hodge, LLC does not guarantee certain results.

Are you looking for SOLUTIONS for your struggling child or teen? 

Dr. Roseann and her team are all about science-backed solutions, so you are in the right place! 

Explore natural solutions to manage PANS and PANDAS, check out our Natural PANS/PANDAS Calm Brain Parent Kit

Natural-PANSPANDAS-Calm-Brain-Kit
Dr. Roseann Capanna-Hodge smiling and pointing toward a promotional banner for a free 'Solutions Matcher' tool, designed to help families find personalized mental health resources, with vibrant colors and a call-to-action button visible.
Dr. Roseann Capanna-Hodge hosting the podcast 'It's Gonna Be OK,' speaking into a microphone in a professional studio setup, with the podcast logo visible in the background, conveying a warm and supportive atmosphere focused on mental health and healing.
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