• Adult PANDAS - We're Not Talking Bears

    by Caroline Ryther
    on May 4th, 2018

If not the bear, then what is PANDAS?

PANDAS is an abbreviation for Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections. PANDAS is usually diagnosed in childhood when:

1) Obsessive compulsive disorder (OCD) and/or tic disorders unexpectedly appear subsequent a strep infection (such as strep throat or scarlet fever).

2) The symptoms of OCD or tic symptoms suddenly become worse following a strep infection.

The indications are usually dramatic and tend to happen “overnight and out of the blue,” and can comprise of motor and/or vocal tics, obsessions, and/or compulsions. Along with these symptoms, children may also become temperamental or irritable, experience panic attacks, or show anxieties about separating from parents or loved ones.

However, PANDAS is argued to not only develop during childhood but also seen in adults. The question is, was the diagnosis there all along the patient's childhood to adulthood, or was it developed through adulthood? 

Jory F. Goodman, a psychiatrist in Beverly Hills, argues that PANDAS occurs in adults: 

"PANDAS occurs in adults. Period.  Is most of it new onset, or has it been there a long time, since childhood?  Yes.  Can one differentiate between the two?  Not with any certainty in the preponderance of cases.  Let’s ratiocinate for a moment.  If an adult can acquire Rheumatic Fever or Glomerulonephritis after a strep infection, that adult can acquire PANDAS.  If an adult can acquire Lyme disease, mycoplasma, and a myriad of viral infections, that adult can acquire PANDAS.  If there is a flaw in this logic I missed it.

It has been a while since I posted anything on PANDAS.  In that time I have diagnosed dozens of new cases of PANDAS in children, adolescents and, yes indeed, adults.  A few actually came to see me to find out if they had PANDAS.  They had read or heard about PANDAS and found me.  Yet most had never heard of it.

The population is split between patients who had never been to a psychiatrist before, and those who had been to one, or many, with less than salutary results.  The presenting complaints varied broadly; anxiety, panic, depression, ADHD, sleep difficulties, OCD, tics, Bipolar Disorder, ODD, headaches, fibromyalgia, medication side effects. And many more."

If you are experiencing any of the above-mentioned disorders please contact our clinic for help. Even if you’ve been searching for relief for treatment-resistant mental issues, Dr. Best is an expert in treating even the heaviest of cases. 

Contact us here:

Phone: 847-306-8938

Email: pm@mind.md


Author Caroline Ryther

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