The Relationship Between PANS and PANDAS
Neuropsychiatric autoimmune associated disorders linked to various pathogens
Information from the National Institute of Mental Health (NIMH), Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections (PANDAS) is a diagnosis given to children when:
“Obsessive-compulsive disorder (OCD), tic disorder, or both suddenly appear following a streptococcal (strep) infection, such as strep throat or scarlet fever.”
“The symptoms of OCD or tic symptoms suddenly become worse following a strep infection.”
As described by the NIMH, “the symptoms (of PANDAS) are usually dramatic, happen ‘overnight and out of the blue’, and can include motor or vocal tics or both and obsessions, compulsions, or both. In addition to these symptoms, children may become moody or irritable, experience anxiety attacks, or show concerns about separating from parents or loved ones.”
PANDAS is associated with a previous strep infection, but another condition called PANS (Pediatric Acute-onset Neuropsychiatric Syndrome) can be triggered by various pathogens. Both conditions appear to be exacerbated from various environmental triggers too.
In this Functional Medicine Doc Talk podcast I interview Melissa Smith, MSN, CPNP, PMHS who is a functional and integrative medicine pediatric nurse practitioner with specialization in PANS and PANDAS.
Here is Melissa’s description of her training and experience: “I graduated with a BSN in nursing from Michigan State University. In my first few years out of school, I gained clinical experience in the emergency room, intensive care, and primary care. I quickly discovered that pediatrics was my passion and, in 2014, graduated as a Pediatric Nurse Practitioner from Augusta University. Upon graduation, I went to work in private practice, treating children from birth to age 21. Through my own research and watching my mom walk her cancer journey, I began to see a very different picture of health and healing. It became clear to me that, while the allopathic model of medicine has its strengths, it also sometimes fails to see patients as more than the symptoms they present with. It fails to see that what we put in, on, and around our body can have a significant impact on our overall health. I came to understand that to truly heal patients we, as practitioners, must listen intently, consider the bigger picture, and dig deeper to find and investigate root causes. Thus began my interest and study of integrative medicine.
Through one-on-one mentoring with highly credentialed functional medicine doctors, as well as additional education in functional lab work and nutritional therapy, I bring a specialized skill set to children struggling with autoimmune and other hard-to-treat disorders. As a practitioner, I am also passionate about mental health. With the advent of the COVID-19 pandemic, I began seeing an explosion of depression and anxiety among my pediatric patients. To better help these patients, I sought to expand my knowledge base through certification as a pediatric mental health specialist. It is my hope that I’ll be able to combine this knowledge with an integrative approach to help more children achieve optimal health in body, mind, and spirit.”
For more information about Melissa’s services regarding PANS and PANDAS visit her website at New View Integrative Pediatrics.