Image of umbrella with text in orange and yellow boxes: Is it Neurodivergent Burnout or could it be PANS/PANDAS? Signs of both may include: Motor & sensory challenges & changes, Sudden/ increased OCD, Changes in mood/emotional regulation, Restricted eating/Changes to eating pattern, Sudden/ Increased repetitive behaviours Heightened anxiety, fears & panic, Exhaustion, Suddenly struggling in many activities & areas of life, including school & relationships, Language/ communication changes, Insomnia/sleep difficulties, PANS/PANDAS is a medical condition. If your neurodivergent child is experiencing PANS/PANDAS or/and in Burnout they will need support. They will need more rest, more time stimming, lower demands, and more time to engage in their passions to help recover. Key information: PANS/PANDAS follows illness, and have a sudden onset or escalation of struggles/symptoms. Seek medical advice. If you are a parent/carer or professional and suspect PANS/PANDAS, visit www.panspandasuk.org for information and support. Be curious. ......Explore before you conclude!

Could it be PANS/PANDAS… Be Curious!

This collection of text and images was created collaboratively by neurodivergent educators, working together to shine a light on this often-overlooked area of care and support.

Helen EdgarJoanne RiordanLaura HellfeldViv DawesJulie Webb and Ben Palmer .


Have you noticed a change in your child’s ability to cope with life or a decline in their well-being?

It is worth being curious about what may be going on.

If your child is neurodivergent and struggling, they may be experiencing neurodivergent burnout.

However, if the change was sudden or may have been following an illness, it is also worth considering and finding out about PANS/PANDAS, especially if there has been a sudden onset or escalation of multiple unexplained changes following an illness. There are many overlaps between the presentation of PANS/PANDAS and burnout.

PANS and PANDAS are medical conditions. People with PANS or PANDAS may experience a variety of symptoms impacting mental and physical health and also the sensory system. Please seek medical advice if you think your child has PANS/PANDAS.

For more information about Autistic and Neurodivergent Burnout see my resource page. For more information about PANS/PANDAS and Neurodivergence see PANS PANDAS Charity website information page:



Image of umbrella with text in orange and yellow boxes: Is it Neurodivergent Burnout or could it be PANS/PANDAS? Signs of both may include: Motor & sensory challenges & changes, Sudden/ increased OCD, Changes in mood/emotional regulation,  Restricted eating/Changes to eating pattern,  Sudden/ Increased repetitive behaviours Heightened anxiety, fears & panic, Exhaustion, Suddenly struggling in many activities & areas of life, including school & relationships, Language/ communication changes, Insomnia/sleep difficulties, PANS/PANDAS is a medical condition. If your neurodivergent child is experiencing PANS/PANDAS or/and in Burnout they will need support. They will need more rest, more time stimming, lower demands, and more time to engage in their passions to help recover. Key information: PANS/PANDAS follows illness, and have a sudden onset or escalation of struggles/symptoms. Seek medical advice. If you are a parent/carer or professional and suspect PANS/PANDAS, visit www.panspandasuk.org for information and support. Be curious. ......Explore before you conclude!
Image of umbrella with text in orange and yellow boxes: What are PANS/ PANDAS? How could they be relevant to a neurodivergent child who is struggling? PANS: Paediatric Acute-onset Neuropsychiatric Syndrome PANDAS: Paediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections 13 PANS and PANDAS are neuropsychiatric conditions. This means they are medical conditions which have both neurological (eg. difficulties with thinking or moving) and psychiatric (ie. mental health) symptoms. Both conditions can begin quite suddenly, and symptoms may come and go over time. • It may be difficult to recognise PANS/PANDAS in neurodivergent children, as many of the symptoms of Neurodivergent Burnout may overlap with PANS/PANDAS. It is important to raise awareness and start discussions around PANS/PANDAS & neurodivergent children/people, so that they have a greater chance of accessing the correct treatment and support if needed. For information and support for parents/carers and professionals visit www.panspandasuk.org Be curious......Explore before you conclude!
Image of umbrella with text in orange and yellow boxes: Neurodivergent Burnout / & PANS/PANDAS 3/3 BURNOUT: 'demands of life exceeding a person's resources' (Judy Endow 2015) PANS: Paediatric Acute-onset Neuropsychiatric Syndrome PANDAS: Paediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections Remember neurodivergent burnout and PANS/PANDAS may co-occur, symptoms and signs may over lap. PANS/PANDAS requires medical support. It is typically triggered by infections which require treatment to reduce the symptoms. For information and support for parents/carers and professionals visit www.panspandasuk.org Be curious. ......Explore before you conclude!

Signposting and Resources

The following list was collated and shared by Romy Worthington and shared by Laura Hellfeld in their Substak blog


Latest Posts

  • Autistic Burnout – Supporting Young People At Home & School

    Autistic Burnout – Supporting Young People At Home & School

    Autistic burnout in young people is real—and recovery starts with understanding. This post offers neuroaffirming ways to spot the signs, reduce demands, and truly support. 💛 #AutisticBurnout #Neuroaffirming #Monotropism #AutisticSupport


  • Monotropic Interests and Looping Thoughts

    Monotropic Interests and Looping Thoughts

    The theory of monotropism was developed by Murray, Lawson and Lesser in their article, Attention, monotropism and the diagnostic criteria for autism (2005). ​ Monotropism is increasingly considered to be the underlying principle behind autism and is becoming more widely recognised, especially within autistic and neurodivergent communities. Fergus Murray, in their article Me and Monotropism:…


  • Map of Monotropic Experiences

    Map of Monotropic Experiences

    Monotropism seeks to explain Autism in terms of attention distribution and interests.  OSF Preprints | Development and Validation of a Novel Self-Report Measure of Monotropism in Autistic and Non-Autistic People: The Monotropism Questionnaire This map highlights 20 common aspects of my personal monotropic experiences. How many do you experience? Where are you on the map…


  • Autistic Burnout – Supporting Young People At Home & School

    Autistic Burnout – Supporting Young People At Home & School

    Being autistic is not an illness or a disorder in itself, but being autistic can have an impact on a person’s mental and physical health. This is due to the often unmet needs of living in a world that is generally designed for the well-being of people who are not autistic. In addition, three-quarters of…


  • The Double Empathy Problem is DEEP

    The Double Empathy Problem is DEEP

    “The growing cracks in the thin veneer of our “civilised” economic and social operating model are impossible to ignore”, Jorn Bettin (2021). The double empathy problem (Milton, 2012) creates a gap of disconnect experienced between people due to misunderstood shared lived experiences. It is “a breakdown in reciprocity and mutual understanding that can happen between people…


  • Top 5 Neurodivergent-Informed Strategies

    Top 5 Neurodivergent-Informed Strategies

    Top 5 Neurodivergent-Informed Strategies By Helen Edgar, Autistic Realms, June 2024. 1. Be Kind Take time to listen and be with people in meaningful ways to help bridge the Double Empathy Problem (Milton, 2012). Be embodied and listen not only to people’s words but also to their bodies and sensory systems. Be responsive to people’s…


  • Autistic Community: Connections and Becoming

    Autistic Community: Connections and Becoming

    Everyone seeks connection in some way or another. Connections may look different for autistic people. In line with the motto from Anna Freud’s National Autism Trainer Programme (Acceptance, Belonging and Connection), creating a sense of acceptance and belonging is likely to be more meaningful for autistic people than putting pressure on them to try and…


  • Monotropism, Autism & OCD

    Monotropism, Autism & OCD

    This blog has been inspired by Dr Jeremy Shuman’s (PsyD) presentation, ‘Neurodiversity-Affirming OCD Care‘ (August 2023), available here. Exploring similarities and differences between Autistic and OCD monotropic flow states. Can attention tunnels freeze, and thoughts get stuck? Autism research is shifting; many people are moving away from the medical deficit model and seeing the value…


  • Monotropism Questionnaire & Inner Autistic/ADHD Experiences

    Monotropism Questionnaire & Inner Autistic/ADHD Experiences

     Post first published 28th July 2023 Over the past few weeks, there has been a sudden surge of interest in the Monotropism Questionnaire (MQ), pre-print released in June 2023 in the research paper ‘Development and Validation of a Novel Self-Report Measure of Monotropism in Autistic and Non-Autistic People: The Monotropism Questionnaire.‘ by Garau, V., Murray,…


  • Penguin Pebbling: An Autistic Love Language

    Penguin Pebbling: An Autistic Love Language

    Penguin Pebbling is a neurodivergent way of showing you care, like sharing a meme or twig or pretty stone to say “I’m thinking of you,” inspired by penguins who gift pebbles to those they care about.


  • Discovering Belonging: Creating Neuro-Affirming Animations with Thriving Autistic

    Discovering Belonging: Creating Neuro-Affirming Animations with Thriving Autistic

    Discovering Belonging: Neuro-Affirming Animations with Thriving Autistic. Celebrate Autistic identity through the Discovery Programme and new animations that explore belonging, strengths, and community.


  • Being Autistic shapes grief: Explore unique paths through loss and affirming support

    Being Autistic shapes grief: Explore unique paths through loss and affirming support

    Explore how Autistic people experience grief differently and discover affirming resources, support, and strategies for navigating loss with compassion.


  • Reflections on the Autistic Mental Health Conference 2025

    Reflections on the Autistic Mental Health Conference 2025

    Reflections On The Autistic Mental Health Conference. An Interview between David Gray-Hammond & Helen Edgar


WordPress Cookie Plugin by Real Cookie Banner