PANDAS (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections) occurs when strep triggers a misdirected immune response which results in inflammation on a child’s brain. In turn, the child quickly begins to exhibit life-changing symptoms such as OCD, anxiety, tics, personality changes, decline in math and handwriting abilities, sensory sensitivities, restrictive eating, and more.
Cognitive Behavioral Therapy is often the first-line treatment for PANDAS. The PANDAS Network explains:
CBT (Cognitive behavioral therapy) and/or ERP (Exposure and Response Prevention) may be beneficial for a recovering PANDAS child. Medical interventions, such as antibiotics, IVIG, etc, are needed to lay a foundation for therapy to be introduced.