PANS and PANDAS

PANS & PANDAS Evaluation and Treatment in Mesa, Arizona 

Serving Mesa, Tempe, Chandler, Gilbert, Phoenix & statewide via telehealth

At Healthy Endeavors, we provide comprehensive, evidence-based evaluation and treatment for children and adolescents with PANS (Pediatric Acute-onset Neuropsychiatric Syndrome) and PANDAS (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections).

We understand how frightening and overwhelming sudden behavioral and emotional changes can be for families. Our approach integrates medical evaluation, immune-informed treatment, and behavioral health support — all in one place.

What Are PANS and PANDAS?

PANS and PANDAS are neuroimmune conditions in which inflammation and immune dysregulation trigger a sudden onset of psychiatric and behavioral symptoms, often in children who were previously functioning well.

Symptoms may include:

• Sudden, severe anxiety or OCD

• Emotional lability or rage episodes

• Regression (loss of skills, baby talk, separation anxiety)

• Restrictive eating or food refusal

• Tics or motor abnormalities

• Sleep disturbances

• Decline in school performance

• Sensory sensitivities
  
  

Early recognition and treatment can significantly improve outcomes.

Our Approach to PANS & PANDAS Care

We use a stepwise, individualized, and evidence-based model aligned with national PANS/PANDAS clinical guidelines.

Comprehensive Diagnostic Evaluation

• Detailed medical and behavioral history

• Symptom timeline and trigger identification

• Review of prior infections, immune issues, and flares

• Coordination of laboratory testing (standard + specialty as indicated)
  
  

Laboratory Evaluation

Depending on clinical presentation, labs may include:

• Infectious markers (e.g., strep, mycoplasma)

• Inflammatory markers (ESR, CRP)

• Autoimmune screening (ANA and related tests)

• Immune function testing

• Specialty neuroimmune testing when appropriate
  
  

We partner with national laboratories so patients can complete labs locally, even if you live outside Arizona.

Treatment Options We Offer

Treatment is individualized and may include:

Medical Management

• Antibiotic therapy (when indicated)

• Anti-inflammatory treatment

• Psychiatric medication management when appropriate

• Others more advanced options available for some cases
  
  

Behavioral & Mental Health Support

• OCD and anxiety-informed care

• Parent coaching and education

• Coordination with therapists providing ERP or CBT

• School support guidance
  
  

Advanced Immune Therapies (When Needed)

Some children with moderate to severe or treatment-resistant symptoms may benefit from IVIG (Intravenous Immunoglobulin).

IVIG for PANS & PANDAS: How We Handle It

We evaluate, recommend, and manage IVIG as part of a comprehensive PANS/PANDAS treatment plan — without requiring families to navigate this alone.

How IVIG Works in Our Practice

• We determine whether IVIG is clinically appropriate

• We coordinate required documentation and lab work

• We refer to experienced pediatric-capable infusion centers

• We remain your child’s primary clinical provider before, during, and after treatment
  
  

Why We Partner with Infusion Centers

IVIG requires specialized monitoring, emergency preparedness, and insurance authorization. Partnering with established infusion centers allows families to receive IVIG in settings that are:

• Experienced with immune therapies

• Equipped for pediatric and adolescent patients

• Able to manage prior authorizations and infusion logistics

Why Families Choose Healthy Endeavors

✔ Specialized focus on pediatric neuroimmune conditions
✔ Integrated medical + mental health approach
✔ Experience with complex, sudden-onset psychiatric presentations
✔ Coordination of labs, referrals, and specialty care
✔ Clear communication and parent education

Who We Serve

• Children and adolescents with suspected or diagnosed PANS/PANDAS

• Families seeking a second opinion or more comprehensive care

• Patients who have not fully responded to standard psychiatric treatment

• Families overwhelmed by fragmented care and looking for coordination

Appointments & Referrals

We offer:

• In-depth initial evaluations

• Ongoing medical management

• Telehealth visits (Arizona residents; additional states coming soon)
  
  

📞 Call:  602-688-4191
📧 Email:  contact@healthyendeavors.co
📅 Request an appointment: https://www.therapyportal.com/p/healthy85210/