PANS/PANDAS

At Heal Pediatrics, we specialize in identifying and supporting children with PANS (Pediatric Acute-onset Neuropsychiatric Syndrome) and PANDAS (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections). These conditions can cause a sudden and dramatic change in a child’s behavior, mood, or functioning and can be overwhelming for families.

Our goal is to help stabilize symptoms, identify underlying triggers, and support long-term healing using a comprehensive, individualized approach.

Understanding PANS & PANDAS

PANS and PANDAS are conditions in which immune dysregulation and inflammation affect the brain, often leading to abrupt-onset neuropsychiatric symptoms.

• PANDAS is associated with streptococcal infections
• PANS may be triggered by a variety of infections, inflammatory processes, or environmental stressors
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Symptoms often appear suddenly and may fluctuate in severity.

Common symptoms may include:

• Sudden-onset OCD or restrictive eating
• Anxiety, panic, or emotional lability
• Behavioral regression or irritability
• Tics or abnormal movements
• Sleep disturbances
• Decline in school performance or attention
• Sensory sensitivities or urinary symptoms
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Our 3-Pronged Approach to PANS/PANDAS at Heal Pediatrics

We treat PANS/PANDAS using a foundational 3-pronged model, addressing both symptoms and underlying drivers.

1. Treating the Trigger

We work to identify and address potential triggers contributing to immune activation, which may include:

• Infections (bacterial, viral, or other)
• Gut imbalances
• Environmental or inflammatory stressors

When appropriate, treatment may include:

• Targeted medications or antimicrobials
• Herbal or nutraceutical support
• Gut-directed therapies

2. Calming the Immune & Nervous System

Reducing neuroinflammation and immune overactivation is a critical part of care. Support may include:

• Anti-inflammatory and immune-modulating strategies
• Nutritional and supplement support
• Lifestyle and sleep optimization
• Thoughtful use of medications when clinically indicated

Our goal is to help the nervous system regain stability and regulation.

3. Supporting Healing & Recovery

Once symptoms are stabilized, we focus on rebuilding resilience and supporting long-term recovery through:

• Nutrient repletion and metabolic support
• Gut and microbiome support
• Behavioral and emotional regulation strategies
• Collaboration with therapists, schools, and other care providers

Comprehensive Evaluation & Advanced Testing

When appropriate, evaluation may include:

• Detailed medical, developmental, and symptom history
• Infection and immune markers
• Advanced gut testing
• Bioenergetic testing as a non-invasive adjunct
• Nutrient, inflammatory, or metabolic assessments

Testing is individualized and used to guide—not replace—clinical decision-making.

Integrative Treatment Options

Care plans may thoughtfully incorporate:

• Nutrition and dietary guidance
• Nutraceuticals and targeted supplements
• Herbal medicine
• Homeopathy
• Compounded medications
• Peptide therapy, when clinically appropriate

All therapies are selected carefully based on age, symptoms, and clinical presentation.

Why Families Choose Heal Pediatrics

• Experience supporting complex neuroimmune conditions
• Whole-child, integrative pediatric care
• Individualized, evidence-informed treatment plans
• Collaborative approach with families and outside providers
• Focus on stabilization, healing, and long-term resilience

Early Recognition Matters

Early identification and appropriate support can significantly improve outcomes in children with PANS and PANDAS. With the right approach, many children experience meaningful improvement and return to their baseline functioning.

Get Started

If your child has experienced sudden behavioral or emotional changes and you suspect PANS or PANDAS, Heal Pediatrics is here to help.