Parents facing the sudden onset of tics, obsessive-compulsive behaviors, or school refusal in their child may feel overwhelmed and uncertain about the cause. While these symptoms are often attributed to primary psychiatric conditions, they can sometimes stem from an underlying medical issue known as Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections (PANDAS). PANDAS occurs when a child’s immune system mistakenly attacks the brain following a strep infection, leading to abrupt changes in behavior, mood, and motor function. Unfortunately, many cases go undiagnosed or are misclassified as psychiatric disorders, leading to unnecessary medication or ineffective treatments. PANDAS consultation with Dr. Koehler can provide parents with the specialized guidance they need to determine whether an autoimmune response is at the root of their child’s struggles.

Consulting with a practitioner experienced in PANDAS can be life-changing for families seeking answers. Unlike traditional psychiatric evaluations that may focus solely on behavioral symptoms, a PANDAS consultation takes a comprehensive, whole-body approach—examining recent infections, immune function, and inflammatory markers that could be triggering neurological symptoms. Many children with PANDAS experience a sudden onset of anxiety, obsessive thoughts, compulsive rituals, or even extreme emotional swings that seem unrelated to their previous personality. Without proper identification and treatment, these symptoms can persist or worsen, disrupting a child’s academic performance, social development, and overall well-being. Through thorough assessments and targeted interventions—such as immune-modulating treatments, antibiotics, anti-inflammatory protocols, and holistic support—a PANDAS consultation can help parents move beyond temporary symptom management toward real, lasting recovery.

For parents struggling to understand their child’s sudden and distressing behavioral changes, seeking a PANDAS consultation can provide clarity, validation, and a path forward. Early intervention is crucial, as untreated PANDAS can lead to chronic neurological and psychiatric issues that may significantly impact a child’s quality of life. By working with specialists who understand the complexity of PANDAS and related autoimmune neuropsychiatric disorders, parents can ensure their child receives the right diagnosis and appropriate care, avoiding misdiagnosis and unnecessary psychiatric medications. If your child is experiencing tics, OCD-like behaviors, or unexplained school refusal, a PANDAS consultation may be the key to uncovering the true cause and restoring their health, happiness, and future potential.