Thank you so much for your response Wombat140. I'm looking for help and support on behalf of my best friend. Her 4 year old daughter seems to have completely changed almost overnight and she is at a loss as to what the problem is or what to do. We came across PANDAS and the symptoms for children seem to describe her daughter completely. We read up on it and decided she needs a GP appointment to start the ball rolling for a diagnosis and treatment but it became clear when reading up on PANDAS that in the UK, specifically in the North we are going to face a battle to get anywhere. We haven't even had a GP appointment yet but wanted to arm ourselves with as much information and guidance as we could beforehand so thank you so much for your help. Every GP appointment my friend has had up until now just puts all of the symptoms down to anxiety about starting school. It would be nice to think they are right but knowing this little girl well, I really do think there's more to it and she had an infection about 6 months ago and we started to notice changes in her about 2-3 months ago.
Thank you for your time and advice, it's appreciated.