My dd7 has PANDAS/PITAND (can't pin down the trigger). Her initial episode was May 2012. Amoxicillin kicked its butt and over a few months she returned to essentially 100%. We also added inositol, fish oil, magnesium and probiotics, but the antibiotic really seems to be what helped. Her first big flare is going on now and has been for about a week and a half. We've had little bumps here and there, but this is the first time it's hanging on. I don't really know what to expect. I know it's different for every child, but what is common for a flare? Her first episode was really intense for a few weeks. This time she is still able to function, but it is certainly lowering her quality of life. She has times during the day (mainly mornings) when she is great, then evenings are much worse. (I have another thread about MTHF supplements, which I suspect may have brought this on, but if not, I'm looking for info on flares). Are secondary episodes usually milder and shorter, or not? Thanks for any help! I had really put this in the back of my mind because she was doing so, so well.