# The Hidden Signs of PANS/PANDAS Every Parent Misses—And Why It Looks Like ADHD, Anxiety or Even Autism with Dr. Nancy O'Hara l Emotional Dysregulation in Children l E408

Page: https://stenobird.com/podcast/dysregulated-kids-science-backed-parenting-help-for-behavior-anxiety-adhd-and-more-5936360/the-hidden-signs-of-pans-pandas-every-parent-misses-and-why-it-looks-like-adhd-anxiety-or-even-autism-with-dr-nancy-o-hara-l-emotional-dysregulation-in-children-l-e408
Text version: https://stenobird.com/podcast/dysregulated-kids-science-backed-parenting-help-for-behavior-anxiety-adhd-and-more-5936360/the-hidden-signs-of-pans-pandas-every-parent-misses-and-why-it-looks-like-adhd-anxiety-or-even-autism-with-dr-nancy-o-hara-l-emotional-dysregulation-in-children-l-e408.md
Podcast: [Dysregulated Kids: Science-Backed Parenting Help for Behavior, Anxiety, ADHD and More](https://stenobird.com/podcast/dysregulated-kids-science-backed-parenting-help-for-behavior-anxiety-adhd-and-more-5936360)
Published: 2026-05-18T07:00:00+00:00
Episode link: https://drroseann.com/podcast/
Audio file: https://episodes.captivate.fm/episode/a0f20ef5-1344-4e74-9274-fb756e609e5d.mp3
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Duration seconds: 3005

## Resource

Something feels off even when tests come back normal. Discover the hidden signs of PANS/PANDAS every parent misses as Dr. Nancy O’Hara unpacks sudden symptoms often mistaken for ADHD, anxiety, or autism. Dr. Roseann Capanna-Hodge, expert in Regulation First Parenting™, guides parents through emotional dysregulation and what to do next. Parents often know something is wrong —even when tests come back “normal.” In this powerful conversation with Dr. Nancy O’Hara, we explore the hidden signs of PANS/PANDAS every parent misses , and why so many children are misdiagnosed with ADHD, anxiety, or even autism. The truth? Sudden behavioral shifts, OCD, and physical symptoms may signal immune-driven brain inflammation—not “just behavior.” In this episode, you’ll learn what PANS/PANDAS really is, how it affects the brain, and the overlooked signs parents and providers often miss. Why did my child suddenly change behavior overnight? When a child shifts abruptly —from calm to anxious, obsessive, or emotionally reactive—it can feel confusing and scary for parents. Dr. O’Hara explains that this sudden onset is a key marker of PANS/PANDAS , often triggered by infection or immune dysregulation. What parents should know: Sudden onset matters —changes can happen within days to weeks OCD, anxiety, or eating changes may appear quickly It’s not bad parenting—it’s a dysregulated immune response Triggers may include strep, viruses, mold, or environmental stressors Real-Life Example: A child who was once easygoing suddenly develops intense fears, refuses foods, or becomes highly anxious after an illness. As I always remind parents, behavior is communication —and sudden shifts deserve deeper investigation. Is OCD in kids always obvious—or can it be hidden? One of the most missed signs of PANS/PA…

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