Hello, I am new here - at least to posting! (I hope I am posting this in the right place.) I've been consulting this forum for months now trying to help my 8 year old son with his anxiety, obsessive thoughts, rages and motor and vocal tics. He seems to have been born very sensitive to sounds, bright lights, some tactile sensitivity, strong anxiety separation fears, and the need to be reassured often, line up toys, etc. We've largely adapted his needs into our family routine, it became "our normal". It's become clear that some of his behavior is definately not normal.
The more I read, the more my personal diagnosis of him changes! I've gone from thinking he was just a Highly Sensitive Child (per E. Aron's books) to wondering if he had SPD to having a child psychiatrist give him a GAD/OCD with tics dx and a Rx for Zoloft. My research in these areas has recently (last week) brought me to seeing all of his symptoms fall into place with PANDAS. My question is, how severe do the symptoms need to be to "qualify"? Most of the children I've read about or seen videos about have pretty severe, ongoing problems. Then again, I read about others who are not treated or dx'd for years! Could my son have a mild, chronic case with flare ups -be extremely anxious and worried to have me out of sight, suddenly fly into a rage over something routine(then beg for help to make the thoughts stop), have an increase in complex tics - or could he be "just regular" OCD, GAD, with Tourettes, as these are often co-morbid? PANDAS seems to be hinged on the brain's reaction to infection and he has had strep several times. I never associated a dramatic change in behavior with the strep but in retrospect I came to dread him getting sick. His vocal tics began Sept. 5, 2012, about a week after he had Fifth Disease, however, there were many changes happening in our family at the same time and we attributed the new tics to stress. How to know??
I've read that untreated PANDAS may get progressively worse with each new infection and become more difficult to treat, especially in the late teens.
I'd appreciate any thoughts anyone may have as to whether this sounds like PANDAS, and if so, how do I approach this with his pediatrician?
Thanks!