Thanks Missmom, That is my daughter. We have thought about hormones. Dr. T has discussed trying birth control pills. Hormones just don't seem to fit into a 9 day cycle so we haven't actually tried any hormone treatments yet. Ruby does have a younger brother who with a T&A and a few years has seemed to "outgrow" PANDAS. The moods are by far her worst symptom right now. I'm just afraid that things are getting worse instead of better.