PANS (Paediatric Acute-onset Neuropsychiatric Syndrome) / PANDAS (Paediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections)

This webinar provides an evidence-informed introduction to PANS/PANDAS as diagnostic entities, with a focus on what paediatric occupational therapists need to know in clinical practice. Participants will develop a clear understanding of the diagnostic criteria, current research, common presentations, and the episodic and fluctuating nature of the condition.

The course will explore how neuroinflammatory triggers contribute to acute onset changes in behaviour, emotional regulation, sensory processing, and functional performance.vYou will learn how PANS/PANDAS can create rapid and dramatic shifts in occupational performance, including altered sensory thresholds, new or intensified sensory aversions, motor skill regression, executive dysfunction, emotional lability, OCD-type behaviours, eating restrictions, sleep disturbance, and separation anxiety.

The webinar highlights how these symptoms interact with everyday activities across home, school, and community contexts. It also discusses how regression, inconsistency, and relapsing remitting patterns affect assessment, goal-setting, and intervention planning. Case examples will illustrate how sensory processing changes often serve as early clinical indicators of regression or recovery.

Finally, the webinar outlines the role of occupational therapy in supporting children with PANS/PANDAS, emphasizing neurodiversity-affirming, sensory-informed practice. Participants will examine evidence-based and emerging sensory approaches tailored to immune-mediated neuropsychiatric presentations, including strategies to support regulation, participation, and daily routines during both flare and recovery periods. Emphasis is placed on collaborative practice with families, medical teams and schools; along with understanding when and how sensory approaches can reduce distress and optimise participation for this complex clinical population.

Key Points

Understand PANS/PANDAS diagnostic features, current research, and fluctuating symptom patterns
Identify the impact on occupational performance, including sensory changes, regression, and daily participation challenges
Learn how sensory changes can signal flare, regression, or recovery
Explore the OT role, including sensory-informed strategies to support regulation and participation

Lifelong Learning Programme