Parents Guide to PANS and PANDAS


Criteria for a PANS Diagnosis

All children with the disorder have acute onset of OCD symptoms or eating restrictions. But they also have a debilitating and baffling set of other neurological symptoms with similarly sudden onset. To be diagnosed with PANS they must have two of the following seven criteria:

  • Separation anxiety, panic, other forms of anxiety
  • Behavioral regression: Kids suddenly acting much younger than they should for their age, such as reverting to baby talk.
  • Emotional lability: These children can be severely depressed, even suicidal
  • Irritability, aggression and /or severely oppositional behaviors
  • Deterioration in school performance: Sudden decline in math and reading competence, memory and concentration; increase in hyperactivity
  • Motor or sensory abnormalities: Their handwriting and drawing deteriorates dramatically (also linked to regression), and they may be distressed by noise or light
  • Somatic symptoms: These include sleep disturbances, betwetting and other changes in urinary frequency or intensity