Thanks for your responses. My #9 was edited off (It was funny but inappropriate)- I had a moment of not caring whether they believe it's PANDAS as long as I can get an rx.
By the way, our progress for DS,8, is totally positive. His presentation would be considered mild, which, imo, made it hard to detect the pattern, but treatable with a regular run of RX. So our struggle now is locating the infection so the ped will kick us out an RX.
I do now have the pleasure of letting his regular ped know that 8 weeks after his first RX for the positive throat strep, that his OCD is gone. NOT b/c of psych, NOT b/c he really didn't have OCD or GA, b/c psych officially dx him, but b/c we got rid of the infection. That is something for him to file away for future reference. Maybe for once, HE'LL be the one advising a parent of the possibility of PANDAS when he sees something similar.
Then I will also let him know that he had an anxiety spike 2 weeks ago, which was in conjunction with impetigo- something he has been treated for in the past. So, he will know (as I now know) that something as small as that could elicit anxiety.
DH and I are coming to the conclusion that the OCD and GA come only after his overnight presentation of SA/panic goes unchecked. In looking back at the pattern, it was after several weeks of this that he developed OCD, seemingly to cope. In my own research of this, I see a lot more about severe presentation, which made me distrustful of my initial conclusion of PANDAS.
It makes me think there are probably a lot more PANDAS kids that go un-DX b/c of mild presentation making it harder to separate from some kind of normal childhood phase. It makes sense that we'd see more severe stories, b/c parents are more desperate.
We went years dealing with the mild presentation off/on before understanding the pattern, mistaking it for a "phase" as we know kids go through just normally.
Probably not siting anything unique here, but just something I noticed.
I wanted to also add about the issue of DH's not believing it. My experience was similar only in that DS was very careful to hide his anxiety from DH as much as he could. So DH wasn't seeing the severity. I was doing more of the night time routine, when the fears were their highest, so struggled more than anyone with DS over this. Consequently, our relationship was greatly affected by this. In good ways, and not so good ways.
It wasn't until DH was trying to drop DS off at school, when DS's OCD was at an all time high- and DS couldn't get out of the car for fear that the daytime field trip would somehow turn into an overnight trip- that DH called me later, totally crushed, because he saw firsthand how debilitating his OCD had become. THEN I had the emotional support to get the OCD treated, and found PANDAS in my research of OCD.
DH is so much better at abstract conceptualization which, quite frankly, is helpful in detecting patterns of behavior. Being emotionally exhausted (and sort of alone) makes it hard to be sharp enough to detect the off/on pattern. You feel like it has always been this way. When DH jumped in (finally) he was able to point out from a more outside perspective- that his anxiety seemed to come and go, which brought me closer to connecting this to PANDAS.
So on one hand, it is good for DH to have been a little removed, but harder to initially come to ANY conclusion. (i.e. frog in boiling pot)
Sorry for the ramble. Feels soooo good to post when I can.