Commonly, most parents notice a sudden onset of severe obsessive compulsive disorder, which can look like sudden germaphobia or constant body movements (tics). Other symptoms include deterioration of handwriting, anxiety, rage, talk of suicide,bed-wetting,separation anxiety,behavioral and age-regression, sleep disturbances,physical pain, hallucinations, and a chronic fight-or-flight response.
Flares can last upward of weeks in some children, and when they are over, the child typically returns to the same state they were before the flare. They can often remember feeling helpless, angry and uncontrollable during their flare,leading to feelings of guilt and depression.
Treatment for PANDAS and PANS is not a one-size-fits-all. Research is still catching up with parents who have been experiencing this disorder for many years.
Some treatments include long-term antibiotics,herbal regimens,homeopathy,IVIG, Neurofeedback,nutrition,detoxification,chiropractic,behavioral therapy, hyperbaric oxygen therapy, and much more. More often than not, multiple protocols have to be implemented to see a control of flares.