PANS (Paediatric Acute-onset Neuropsychiatric Syndrome) and PANDAS (Paediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections) are characterised by the sudden onset of neuropsychiatric symptoms in children and teens.  These symptoms can range from mild to severe and may significantly impact a child’s daily life. It’s important to note that not all children with these conditions will experience the same symptoms, and the severity and presentation can vary.  Some common symptoms associated with PANS and PANDAS include:

Common Symptoms of PANS and PANDAS 

1. Obsessive-Compulsive Behaviors (OCD): Children may develop intense and distressing obsessions (intrusive thoughts, fears) and compulsions (repetitive behaviours or rituals) that interfere with their daily activities.

2. Motor or Vocal Tics:  Tics are sudden, involuntary movements or vocalizations that can be repetitive and difficult to control.

3. Anxiety and Emotional Dysregulation: Children may experience heightened anxiety, mood swings, irritability, emotional outbursts, and sudden changes in behaviour.

4. Sensory Sensitivities: Some children may become overly sensitive to sensory stimuli, such as lights, sounds, textures, or certain sensations.

5. Sleep Disturbances: Children may experience changes in sleep patterns, including difficulty falling asleep, night waking, or night sweats.

6. Changes in Eating Habits: Appetite changes, food aversions, or selective eating may be observed.

7. Cognitive and Academic Decline: Children may experience difficulties with concentration, memory, and cognitive functioning that lead to a decline in school performance.

8. Regression: Some children may show regression in developmental milestones, such as toileting, language skills, or motor skills.

9. Separation Anxiety: A heightened fear of separation from caregivers or loved ones may develop.

10. Personality Changes: Children may exhibit shifts in personality, interests, or social interactions.

Specific to PANDAS:

In PANDAS, there is a specific association with streptococcal infections, and symptoms may worsen or recur following streptococcal infections. The sudden onset of symptoms is often linked to a recent streptococcal throat infection.

The good news is PANS and PANDAS can be completely resolved by addressing nutritional deficiencies, improving gut health and addressing any underlying genetic or immune system dysregulation.

Jean Jarrett has undertaken training in the Moore Method of treatment PANS and PANDAS with Keonie Moore.  Jean offers consultations at Elemental Health in St. Ives or online.   Packages for the treatment of PANS and PANDAS are available.   Contact us at

Early recognition and intervention will help manage symptoms and improve the child’s quality of life.