Hi packjen, I am new here too after just recently connecting the dots to my 8 y/o son's symptoms. I felt compelled to respond to your post because I am dealing with the same issues with Kaiser peds too and I'm in Atlanta, GA- even after sending them information from NIMH. My son like your daughter had multiple strep infections, scarlett fever, staph infection, Hand Foot Mouth (coxsackie) and started exhibiting odd behaviors- all before age 4. Like I said earlier I just connected to dots recently after and have been seeking help- at 8 his ADHD, tics and OCD are quite severe now. A ped at Kaiser saw him in full action tic'ing- hitting himself in the head, constant leg kicking and finger movements and still said "they don't believe in PANS. A dev ped at Kaiser refused to accept PANS and diagnosed him with ADHD, Global Developmental Delay, Expressive, Receptive Language Disorder. The most ridiculous piece is that when I took my son for the eval- he was in what I now know was a flare and was tic'ing (weird finger movements) and the dev ped asked "what is he doing"?. Seriously, you don't know and you're the professional!! But still wouldn't accept PANS.
Anyway, we gave up on Kaiser and sought holistic doctors that have helped tremendously. We saw a practitioner that does kinesiology and Neurolink- who found several strains of coxsackie, influenza/rotovirus (from vaccinations), and spiro virus -no idea where this came from- but all were contributing to his neurological issues. Also said his gut, liver, spleen were damaged. She's been treating all of the above homeopathically. We've seen vast improvements-especially with the tics.
We also see a naturopath who does biofeedback who confirmed he had gut, liver spleen (basically detoxification) issues. So we've added colostrum, a vaccination detox, oxygen. Eye contact, cognition, language has taken off.
Another naturopath that I consult with long distance, suggested BRAVO yogurt for complete gut reboot and a natural product called Protamdin. Some relief from ADHD behaviors but it's only been a month since we started. But I can for sure say that all of the above is working because my son has a persistent rash (20 days +) and all have confirmed it's the virus' leaving his system. Hence, all of the improvements so we are extremely hopeful and prayerful we will have a complete healing.
James Hopson- Inspiring Health can probably help you get started. He is in Los Angeles, CA -I'm not sure how far that is from you- but he consults long distance and is a huge support and extremely knowledgeable. You can check out his site. HIs number is 310-773-2323. He's extremely responsive and will answer any questions you have. I know he does biofeedback too so if you could get your daughter to him, he could probably pinpoint exactly what's causing her OCD. BTW, he treats a friends son and they live in Ugunda! Her son is experiencing gains too!
Sorry for such a long response, but I hope I was able to help you find some relief/hope. Hang in there!