How Doctors Treat PANS and PANDAS | Dr Tim Ubhi Explains

Hello everyone

In our last podcast of our first series, Lucy speaks to Dr Tim Ubhi. He is well-known here in the UK as a passionate advocate for PANS/PANDAS, and has played a large part in many people's recovery. He has one of the largest cohorts of PANS/PANDAS patients and in this episode he talks about how he believes Strep is the trigger - even in PANS, a course of action for treatment, and the growth of his clinic to include Cognitive Behavioural Therapy for OCD and EMG for treating tics.

Below are a selection of papers he regularly refers to and/or have inspired his practice.

We are currently recording series 2, so we will keep you posted.

All the best

Lucy and Jo x

References

Thienemann M, Murphy T, Williams K, Leckman J, Shaw R, Geller D, Kapphahn C, Frankovich J, Elia J, Chang K, Hommer R, Swedo S: Clinical management of pediatric acute-onset neuropsychiatric syndrome (PANS): Part I-Psychiatric and behavioral interventions. J Child Adolesc Psychopharmacol 2017. [Epub ahead of print]; DOI: 10.1089/cap.2016.0145

Frankovich, J., Swedo, S., Murphy, T., et al., 2017. Clinical management of pediatric acute-onset neuropsychiatric syndrome: Part II—use of immunomodulatory therapies. J. Child. Adolesc. Psychopharmacol. http://dx.doi.org/10.1089/cap.2016.0148.

Cooperstock, M.S., Swedo, S.E., Pasternack, M.S., et al., 2017. Clinical management of pediatric acute-onset neuropsychiatric syndrome: Part III—Treatment and prevention of infections. J. Child. Adolesc. Psychopharmacol. http://dx.doi.org/10.1089/cap. 2016.0151.

Obregon D, Parker-Athill EC, Tan J, Murphy T: Psychotropic effects of antimicrobials and immune modulation by psychotropics: Implications for neuroimmune disorders. Neuropsychiatry (London) 2:331–343, 2012.

Van Mater H: Pediatric inflammatory brain diseases: A diagnostic approach. Curr Opin Rheumatol 26:553–561, 2014.

Chang K, Frankovich J, Cooperstock M, Cunningham MW, Latimer ME, Murphy TK, Pasternack M, Thienemann M, Williams K, Walter J, Swedo SE: Clinical evaluation of youth with pediatric acute-onset neuropsychiatric syndrome (PANS): Recommendations from the 2013 PANS Consensus Conference. PANS Collaborative Consortium. J Child Adolesc Psychopharmacol 25:3–13, 2015.

Leckman JF, Riddle MA, Hardin MT, Ort SI, Swartz KL, Stevenson J, et al. The Yale Global Tic Severity Scale: initial testing of a clinician-rated scale of tic severity. J Am Acad Child Adolesc Psychiatry. [Research Support, Non-U.S. Gov't Research Support, U.S. Gov't, P.H.S.]. 1989 Jul;28(4):566-73.

Storch EA, McGuire JF, Wu MS, Hamblin R, McIngvale E, Cepeda SL, et al. Development and Psychometric Evaluation of the Children's Yale-Brown Obsessive-Compulsive Scale Second Edition. J Am Acad Child Adolesc Psychiatry. [Evaluation Study Research Support, N.I.H., Extramural]. 2019 Jan;58(1):92-8.

Antibodies From Children With PANDAS Bind Specifically to Striatal Cholinergic Interneurons and Alter Their Activity

J. Xu, R. J. Liu, S. Fahey, L. Frick, J. Leckman, F. Vaccarino, et al.

The American journal of psychiatry 2021 Vol. 178 Issue 1 Pages 48-64