Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections, PANS, Pediatric Acute-Onset Neuropsychiatric Syndrome, Childhood Acute Neuropsychiatric Symptoms
Managing PANDAS Day to Day
Dealing with pandas effectively requires a multi-layered approach. No single strategy works for everyone — the most effective plans combine professional support with evidence-based self-management techniques and lifestyle changes.
Immediate Coping Strategies
When pandas feels overwhelming, these techniques can help in the moment:
- Grounding exercises: Use the 5-4-3-2-1 technique (name 5 things you see, 4 you hear, etc.)
- Controlled breathing: Slow, diaphragmatic breathing activates the parasympathetic nervous system
- Progressive muscle relaxation: Systematically tense and release muscle groups
- Mindful observation: Describe your experience neutrally, without judgment
- Reach out: Contact a trusted person — connection reduces acute distress
Building Long-Term Resilience
Evidence-Based Approaches
To treat PANDAS, the NIMH emphasizes, the underlying strep infection must be treated. In many cases, this can be accomplished with a single course of antibiotics. More serious strep infections may require a longer course of treatment or multiple courses of antibiotics. Once the strep has been treated, PANDAS symptoms will typically start to fade, the NIMH reports, though they may take a few months to disappear altogether. To prevent strep reinfection, parents should discard toothbrushes and sterilize other objects that go into a child’s mouth. Testing siblings for strep may also be a good idea
Lifestyle Foundations
Research consistently shows these lifestyle factors significantly impact pandas:
- Sleep: 7–9 hours of quality sleep is foundational; pandas and sleep are bidirectionally linked
- Exercise: 30 minutes of aerobic exercise 3–5 times weekly has proven effects comparable to medication for many conditions
- Nutrition: Anti-inflammatory eating, reduced alcohol and caffeine, adequate protein
- Social connection: Meaningful relationships are among the strongest buffers against pandas
- Stress management: Regular practices like meditation, nature time, and creative outlets
When to Seek Professional Help
Self-management alone is insufficient when pandas:
- Is severe or rapidly worsening
- Involves safety concerns
- Has persisted more than a few weeks without improvement
- Is significantly impairing daily functioning
A mental health professional can diagnose, provide evidence-based treatment, and monitor progress.
Building Your Support System
Recovery from pandas rarely happens in isolation. Building a support system includes:
- A therapist or counselor as primary professional support
- A GP or psychiatrist for medication assessment if needed
- Trusted friends or family members
- Peer support groups (in-person or online)
- A crisis plan with emergency contacts