Pediatric acute-onset neuropsychiatric syndrome (PANS) and pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections (PANDAS) are diagnoses that often include the sudden onset of obsession, compulsions, tics or eating restrictions as well as symptoms from at least two of seven categories. PANS/PANDAS are associated with infections and are diagnoses of exclusion so it is important to rule out other possible medical and psychiatric diagnoses.
Families seeking an appointment with the multidisciplinary PANDAS team should call psychiatry/psychology at 202-729-3300.
The most common symptoms include:
At Children’s National, child psychologists, psychiatrists and neurologists may all interview the child and parents/guardians. The team may recommend further evaluations by other medical teams, including Infectious Diseases. We may have the child and their family fill out questionnaires about different aspects of the child’s or adolescent’s life, including physical health concerns, difficulties at school or behavior with friends and family. The medical team will rule out other medical diagnoses. Additional investigations may include bloodwork, lumbar punctures, electroencephalography or MRI scans.
Following a full assessment, the members of the Children’s National care team will discuss treatment options with the child and their family. Common pathways are detailed below:
The Anxiety Disorders Program is a specialized treatment clinic devoted to carefully assessing and effectively treating a wide range of anxiety disorders common among children and adolescents. Discover more about the treatments we offer.
Invest in future cures for some of life's most devastating diseases. Give today to help more children grow up stronger.
The Anxiety Disorders Program at Children's National Hospital is a specialized treatment clinic devoted to carefully assessing and effectively treating a wide range of anxiety disorders common among children and adolescents.