Report Is this PANDAS? in PANS / PANDAS (Lyme included) Posted February 3, 2011 Welcome. I was also going to say that the schedule fixation could be OCD. When my ds(6 almost 7) was in school last year, and PANDAS hit, he was VERY focused on his class schedule. Perfectionism is also a biggie with him. My son will sometimes balk at something new or a new plan, but only until he gets used to the idea (which can take a few seconds sometimes)...then he's fine. I would suggest that you consider your son's medical history & if you saw behaviors just before/after illnesses. And I'd especially look at what was going on during the autism dx. My son also had a speech delay that responded very quickly to speech therapy, BUT it was what the drs got stuck on to say he had development issues. And as you know, when you ask people to evaluate to see if there's something wrong...they usually find something despite the fact that all kids develop differently. Once you get on that path, it's hard to get off of it. And despite having the drs who were qualified to dx autism saying NO autism, the other drs seem to get caught by the fact that he was even ever evaluated. And PANDAS can look like autism in young children (and during exacerbations). There is also a high co-morbidity, so having PANDAS doesn't necessarily mean no autism. For the most part, you will need to find a dr who understands PANDAS to help your family and determine if it's there or not. A PANDAS dr can also help determine the best treatment. Good luck. This is really one of those things where the more you learn, the more you realize how much MORE there is that you need to learn.