When Holidays Highlight More Than Just Stress: Recognizing PANDAS in Children

The holidays are often described as joyful, festive, and family-centered—but for some families, they can also bring unexpected challenges. Changes in routine, travel, social gatherings, and even increased exposure to illness can make this season particularly difficult for children living with PANDAS (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections).

At Philadelphia Integrative Psychiatry, we often see families during or after the holiday season wondering if there’s more behind their child’s sudden change in behavior. And in many cases, there is.

What is PANDAS?

PANDAS is a condition where a child’s immune response to a strep infection triggers sudden, severe changes in behavior, mood, or movement. This can include:

• Sudden onset of OCD symptoms or tics

• Extreme anxiety, emotional outbursts, or separation anxiety

• Changes in appetite, sleep, or school performance

• Regression in motor skills or handwriting

Because the onset can be rapid, it often feels like a different child has suddenly emerged—and understandably, that’s alarming for parents.

Why Holidays Can Unmask PANDAS

The holidays can unintentionally act as a spotlight on neuroimmune issues like PANDAS because:

• Routines are disrupted – Travel, late nights, and breaks from school can make underlying issues more visible.

• Exposure to illness increases – Group gatherings mean more chances to catch viruses or strep, which can trigger symptoms.

• Emotional stress is higher – Even joyful events can be overwhelming for a sensitive nervous system.

In short, it’s a perfect storm where symptoms can suddenly surface—or worsen.

An Integrative Approach to PANDAS Support

At Philadelphia Integrative Psychiatry, we believe mental health care should do more than just treat symptoms—it should address the root cause. That’s why we take an integrative approach to conditions like PANDAS and PANS, combining psychiatric expertise with personalized, holistic support.

Our care may include:

• Full psychiatric assessments with a neuroimmune lens

• Collaboration with medical providers to explore possible immune triggers

• Lifestyle and nutritional support to strengthen resilience

• Leucovorin services and immune-focused care tailored to your child’s needs
  
  We’re here to help you navigate complex diagnoses with clarity, compassion, and comprehensive care.

Start the Process Today

If the holiday season has you wondering whether something deeper is going on with your child, 

trust your instincts. You’re not alone—and support is available.

Ready to learn more?

Visit our Leucovorin page and begin your intake to see if this targeted treatment is right for your child.