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  1. Our flares have changed from when he was younger. Please share your thoughts on this presentation: A flare begins with DS12 noticing "things more closely." He starts to wonder about people in the world, where products come from. His thoughts begin to race and it's like verbal vomiting. He is seeking reassurance. He is worried about his future,our money, our water bill and our credit, how he will get money, how he will find a job, the surplus population, the workers in China, technology changing the world. His thoughts race and he has zero filter - he "needs" to verbalize them to us. He does not want to be left alone or watch television or play video games as he's worried his eyes will be damaged. His eyelids twitch and his eyes hurt. His joints hurt. He feels awful. His memory is gone. His cheeks flush and he has severe insomnia -- which is another worry "how will I ever sleep and if I don't sleep...." He has urinary incontinence issues and now food refusal too. Dr. T ran more tests as this pattern started in September of 2013. Extensive tests all relatively normal. We started him on Prozac and thought it made him worse-- suicidal thoughts and rage. In December he was found to have an "impresssive sinus infection" via ENT and was treated with Suprax for three weeks with good results and remission. From September to November he'd been waxing and waning though it still was like a 0-60 wax and wane. For all of December he was symptom free with the exception of some mild anxiety. January-- symptoms above are back. I am questioning our path. Perhaps this is not PANS? It all seems different and chronic now despite the O-60. It's just so frequent. This verbal vomiting is so strange. I am confused and thoughts nag me- maybe this isn't PANS - maybe I am doing him more harm than good. Does he need to diagnosed as bipolar/mixed state and placed on a slew of psychiatric medications?
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