1 1/2 wks ago my 4yo son was diagnosed w/pandas.The weekend before was the worst of our lives. A perfect boy went into cleanliness overload -washing hands,brushing teeth, changing underwear 12 times a day,not wanting to sit or lay down for fear of messing up his hair that he had just brushed for the 15th time. Not bad things just WAY too many times. It made me so uncomfortable to watch him cry and worry! I started looking online for symptoms of OCD and found that the rapid onset just didn't fit. I stayed up all nite reading of pandas and was convinced he had it when I called my pediatrician on Monday.He had no idea what I was talking about-but upon reading online sent us to the ER for a titer /strep test ?.they didn't know anything either. Next day he sent us to a phychiatrist who immediately said it was pandas brought on by strep. He had an ear infection 14 days before and had been off antibiotics for 4 days(cephalexin). She said it would it would go awamonody likely never return-no worries-and she would probably never see us again (indeed it was already 70%better then). It has been a week since that diagnosis and he is 98% himself again but what I have been reading is mortifying!!! Can it not be a one time thing? If it does recur does he get worse everytime ? Can the effects be permanent even if you treat with antibiotics right away? I asked my dr this and he informed me he was trying to find a specialist for us because he didn't feel comfortable treating something he knows nothing about. So Now we are at square one. Don't get me wrong--we are sooo blessed that he is back to near perfect... I'm just so scared I will miss something or not do something that makes"next time" worse. Sorry so long. I just need answers.