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




Find out more about Neurodivergence and PANS/PANDAS

Dr Tim Ubhi, Clinical Director at The London PANS Clinic & Children’s e-Hospital, is pleased to announce the launch of Plaito, a dedicated PANS/PANDAS AI specialist now available at e-hospital.co.uk.

Plaito has been trained on the questions and concerns most commonly raised by parents of children with PANS/PANDAS and by health professionals working in the field — making it a knowledgeable, accessible first point of support for the community.

Dr Ubhi and his team welcome everyone to ask Plaito anything related to PANS/PANDAS. Plaito will continue to develop and learn over time, and human oversight will be maintained on its responses to ensure quality and safety.

One of Plaito’s most exciting features is that it speaks all languages — a significant step toward bringing the global PANS/PANDAS community together for the very first time.

To access Plaito, simply go to the messages bubble in the top right of the screen, select Agents, and choose Plaito.




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