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LIke many of your other symptoms, Hitman, yes, we can relate. And yes, I believe your "zoning out" is PANDAS/PANs related. My son used to do that almost constantly. Like he'd just blank out for a moment, be complete disassociated from where he was, what he was doing, what someone had just said to him, etc. There are a couple of kids here, at least, for whom anti-seizure medications have been successfully prescribed, even though there's no blatant evidence of actual seizure activity, reason being, some seizures are believed to be related again to glutamate dysregulation, and some of the anit-seizure meds help with that. My DS, for instance, was prescribed lamigotrine (non-generic name being Lamictal), and it was very helpful for him. Interestingly enough, additionally, his prescribing psych told us that Lamictal was used off-label for both some OCD issues as well as autism spectrum disorders. Perhaps something like this might be a missing piece of your puzzle? I would pursue glutamate modulation, whether via pharmacological or "natural" routes.