Supporting Children with PANS or PANDAS in Educational Settings

Introduction to PANS and PANDAS for Education Professionals 

 PANS (Paediatric Acute-onset Neuropsychiatric Syndrome) and PANDAS (Paediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections) are post infectious medical conditions that can significantly affect both the physical and mental health of children and young people. These conditions are triggered by common infections such as strep throat (PANDAS), chickenpox, COVID-19, or influenza. Diagnosis must be made by a medical professional. 

Despite growing recognition, PANS and PANDAS are still frequently misunderstood. Families report that neurodivergent children and young people are particularly vulnerable to misdiagnosis. 

Children or young people with PANS or PANDAS may suddenly struggle in school showing a wide range of symptoms including: 

• Obsessive thoughts 
• Tics 

• Anxiety including separation anxiety 

• Regressive behaviours 

• Changes in mood or personality 

• Eating and sleep problems 

• Sensory issues 

• Motor abnormalities 

• Decline in the quality of schoolwork 

• Handwriting changes 

 These symptoms can fluctuate and co-occur with other conditions and/or neurodivergence often resulting in the unexpected onset of special educational needs and disabilities (SEND). Early intervention and support is known to lead to better outcomes. 

 Free CPD-Accredited Training 

Our training is designed to equip professionals with the knowledge to recognise and respond to PANS and PANDAS in educational settings. It is ideal for: 

• Teachers 

• Teaching Assistants 

• Pastoral roles 

• School Nurses 

• SENCOs 

• Any professionals supporting children and young people. 

The training is free and CPD-accredited. While there is no set fee, voluntary donations are welcome to help us continue our work. Group attendance is encouraged, but each participant must register individually to receive their certificate and course materials. 

Looking Ahead   

Both Royal College of Paediatrics and Child Health (RCPCH) accredited UK clinical guidelines, and guidance for Local Authorities in England are expected in 2026.