Understanding PANS and PANDAS in Children

In recent years, more families and healthcare providers have become aware of the sudden and often overwhelming behavioral and neurological changes in children associated with PANS and PANDAS. These two pediatric conditions can cause life-altering symptoms that develop almost overnight, leaving parents searching for answers. Early diagnosis, combined with holistic and multidisciplinary support, is key to managing symptoms and helping children return to balanced, healthy lives. If you’re looking for professional guidance, Level Up Wellness Group in Canada provides compassionate, integrative care tailored to each child’s unique needs.
This guide explores what PANS and PANDAS are, how to identify them, and the importance of a holistic treatment approach to support children and their families.
What Are PANS and PANDAS?
PANS (Pediatric Acute-onset Neuropsychiatric Syndrome) and PANDAS (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections) are both conditions characterized by the sudden onset of severe behavioral symptoms, often in previously healthy children.
PANDAS
PANDAS is triggered by a strep infection, where the immune system mistakenly attacks healthy brain tissue, leading to neurological and psychiatric symptoms. It typically occurs in children between the ages of 3 and 12.
PANS
PANS is broader and not limited to strep. It can be triggered by other infections, environmental factors, or metabolic disturbances. The key feature is an abrupt onset of symptoms, including anxiety and obsessive-compulsive behaviors.
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Common Symptoms of PANS and PANDAS
While the exact presentation can vary from child to child, most experience a combination of the following:
. Obsessive-compulsive behavior (OCD)
. Severe separation anxiety or generalized anxiety
. Sudden mood swings or depression
. Tics or involuntary movements
. Changes in eating habits (e.g., food restriction, anorexia-like behavior)
. Sleep disturbances
. Handwriting regression or motor skill decline
. Bedwetting or urinary frequency
. Extreme emotional outbursts
These symptoms often develop rapidly, sometimes within 24 to 48 hours, and can appear seemingly without cause.
The Role of the Immune System
Both PANS and PANDAS are thought to result from an autoimmune response—where the body’s immune system mistakenly targets healthy brain tissue after fighting an infection. This immune dysregulation can lead to inflammation in areas of the brain involved in emotion, movement, and behavior.
Understanding this immune component is essential in designing effective treatment plans that address both the neurological and immunological aspects of the condition.
Why Diagnosis Is Challenging
One of the greatest challenges parents and professionals face with PANS and PANDAS is the lack of awareness and overlapping symptoms with other conditions such as ADHD, Tourette syndrome, or autism spectrum disorders. Many children go undiagnosed for months or years.
Diagnosis typically involves:
. A detailed review of medical history
. Physical and neurological exams
. Lab tests for infections and inflammatory markers
. Psychological evaluations
. Rule-outs of other neurological or psychiatric conditions
The quicker these symptoms are recognized and appropriately evaluated, the better the long-term outcome.
Why a Holistic and Multidisciplinary Approach Matters
Traditional treatment for PANS and PANDAS may involve antibiotics, anti-inflammatory medication, or immunotherapy. While these are sometimes necessary, long-term recovery often depends on a whole-person care model.
A multidisciplinary team may include:
. Medical doctors (pediatricians, neurologists, immunologists)
. Mental health professionals (psychologists, therapists)
. Occupational and speech therapists
. Nutritionists or naturopathic doctors
. Family support counselors
Holistic care addresses not only the physical symptoms but also the emotional, behavioral, and lifestyle factors that support healing.
How Level Up Wellness Group Supports Families
Located in Canada, Level Up Wellness Group specializes in a multidisciplinary and holistic approach to treating complex pediatric conditions like PANS and PANDAS. Their team is experienced in helping children navigate the physical and emotional toll these conditions can bring.
Here’s what sets them apart:
✅ Individualized Care Plans
Each child receives a personalized care plan based on their symptoms, medical history, and family needs. Plans may include counseling, natural therapies, nutritional guidance, and more.
✅ Collaborative Health Professionals
The team works together across disciplines to provide cohesive and coordinated care that looks at the child as a whole.
✅ Family-Centered Support
PANS and PANDAS affect entire families. Level Up Wellness Group offers guidance and emotional support to help parents cope and build strategies for daily life.
✅ Education and Advocacy
They also educate families and schools about these conditions, helping to reduce stigma and misunderstandings in the child’s social environment.
For those seeking compassionate and comprehensive support, luwg.ca provides expert care in a welcoming, child-focused environment.
What Parents Can Do at Home
While professional support is vital, there are also steps parents can take to create a healing environment at home:
. Track Symptoms: Keeping a journal helps monitor patterns and progress.
. Provide Structure: Routines help children feel secure and reduce anxiety.
. Limit Triggers: Reduce exposure to known environmental or dietary triggers.
. Nutritional Support: A balanced, anti-inflammatory diet may support immune health.
. Practice Patience: Recovery can take time and may involve setbacks.
. Prioritize Mental Health: Support your child’s emotional needs with therapy or counseling.
Consistency, compassion, and communication are the pillars of effective at-home support.
Can Children Recover from PANS/PANDAS?
Yes—many children do recover, especially when symptoms are recognized early and treated with a comprehensive care plan. Recovery may include:
. Full symptom remission
. Gradual reduction in frequency or severity of flares
. Improved quality of life and reintegration into daily activities
With the right combination of medical and holistic support, children can return to school, friendships, and a more balanced emotional life.
Final Thoughts: Holistic Support for PANS and PANDAS
PANS and PANDAS can be frightening and disruptive, but with increased awareness, early diagnosis, and integrated care, children can thrive again. If your child is showing sudden emotional or behavioral changes, don’t wait. Seek professional help from providers who understand the complexity of these conditions.
Level Up Wellness Group offers expert care in a safe, supportive, and family-centered setting. Their team is committed to helping families through every step of the healing journey—providing knowledge, guidance, and compassionate care when it matters most.



