I have often wondered if messiness was part of it because my 10 year old who was diagnosed when 8 seems much worse about messes when having all the other symptoms of PANDAS but it didn't seem like something that should fit. I think its part of the ADD because I'll ask him 5 times in 10 min. to hang up his towel and he can't seem to focus long enough to do it. Much more focused in the morning though and better with breakfast dishes than with evening snack messes.