My 5 year old daughter started having episodes last year following a strep infection. She mostly gets motor and vocal tics, mood swings and anxiety that gets much better with antibiotics. January was a really rough month for her. She had another flare and got better with treatment. A few days after she finished her antibiotics our whole family got sick and her symptoms all came back. Except this time something is different. She has extreme rage! She's hitting me, my husband and her little sister. She's throwing,yelling and being extremely nasty. All of this is out of character for her. I assumed it was just another symptom, but she's not displaying this behavior at school. Her teacher said her behavior is perfect. Now I'm really confused on where this came from. Does this sound like it could be from PANDAS or Lyme? We're still trying to figure everything out. Thanks!