Chicken or Egg? PANDAS and OCD, OCD and PANDAS?
Depends, doesn't it. Tanya Murphy M.D., MS, gives us the best new article I've seen chock full of constructive suggestions in a quick read posted on the International OCD Foundation website. Constructive? How often do we see that along-side PANDAS? Alas, it not all rosy. It's worded fairly carefully. The article allows for considering other diagnosis of mental illness and viral illness. While neither unexpected or inappropriate read it with the knowledge that too many PANDAS families are dragged down what turns out to be the wrong path by physicians following a maxim that dictates looking at the most common illness first, precious time lost.
Take away action-words for articulating PANDAS symptoms, embrace them: Dramatic, Out of Character Loss of Skills, Pattern of Behavior, Episodic.