How To Treat PANDAS

Streptococcal Bacteria

In this post I explain my approach to treating PANDAS (Pediatric Autoimmune neuropsychiatric disease associated with streptococcal infection).

I have a two stage process.

Stage 1 involves getting the PANDAS symptoms under control using remedies. This is the stage I am concentrating on in my PANDAS Homeopathic Protocol Trial (read about it here). This stage can take several months and several remedies. At the end of this time, the symptoms will be under control without the need for antibiotics.

Stage 2 involves addressing the CAUSES of the PANDAS. Many (not all) of the PANDAS cases I have treated are also on the autistic spectrum. I’m going to put my neck on the line and say that I see common themes running through almost all of the PANDAS cases that I have treated: (please note each case doesn’t have ALL of these factors, but will often have several of them)

1. There’s often a lot of stress or trauma in the mother’s life during pregnancy.

2. The mother has taken medications during pregnancy: anti-nausea, antibiotics of ‘flu vaccinations being most common.

3. A history of ASD (Autistic Spectrum Disorder) in the immediate family.

4. A difficult birth: This might be an emergency caesarian, or the labour being induced by medication.

5. Medicated early days: The child is often in intensive care and given antibiotics or vaccinations.

6. Problems with feeding: vomiting of the mother’s breast milk, or chronic colic.

7. Reactions to the routine childhood vaccinations: These range from fevers and ‘flus to convulsions. Many children’s PANDAS symptoms begin just after vaccinations.

8. Bowel or stomach problems. Ranging from bloating, food intolerences to chronic constipation.

9. MTHFR gene mutations indicating a lowered ability to effectively remove toxins from the body.

The themes of this list are: TOXICITY and unbalance in the gut bacteria. More than half of our immune-system resides in the GIT (Gastro-intestinal tract), that tube that runs from mouth to anus. Any problems here will REALLY affect our immunity. A chronic Streptoccocal infection of the tonsils (which is all PANDAS is after all) is an indication of unbalance in the rest of the GIT.

Once we can controlled the PANDAS symptoms (stage 1), we move on to systematically removing the toxins in the child’s body. This will remove their susceptibility to getting PANDAS and will result in an overall increase in their health.

How NOT To Treat PANDAS:

Now we have established the WHY of PANDAS, hopefully you can see why the conventional treatments for PANDAS don’t work effectively.

Removing chronically inflamed tonsils as a ‘cure’ is like a mechanic removing the flashing red warning light on your dashboard and claiming to have fixed your car! The inflamed tonsils show the immune system is struggling to fight ‘something’.

Giving antibiotics seems to be the most common treatment. However this often doesn’t help as it doesn’t address the cause of the recurring Strep infections…it’s also very simplistic: ‘oh there’s bacteria, give an anti-bacterial’!

IVIG treatment. This stands for Intravenous immunoglobulin and involves giving antibodies from thousands of blood donors to the child by IV drip. It is commonly used to treat auto-immune diseases and it is usually effective at helping the symptoms

Anti-OCD medication just addressing an EFFECT and often doesn’t work (and it’s harmful)

What To Do Next:

If you’d like to hear more about my methods, please drop me a line to arrange a FREE 15 minute chat over Skype.



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14 Responses to How To Treat PANDAS

  1. Celia July 31, 2013 at 3:04 am #

    My name is Celia Corrales. I have an 8 year old son who had been diagnosed with pandas.. I have been seeing a doctor in Phoenix AZ for treatment that hasn’t helped. If you have any recommendations on what to do where to go and how to get educated on pandas please email me. My son is very secure with the behavioral part of pandas often talks about death and how he doesn’t want to be here.

    • Alan Freestone August 5, 2013 at 4:44 pm #

      Hi Celia
      Lovely to hear from you. The best thing to do would be for you to book a free chat with me over Skype so I can tell you about my methods.
      I have some slots available this week.
      email me:

      Kind regards


  2. MJ Mills March 8, 2016 at 10:34 pm #

    It all comes down to toxicity because of meds , vaccines added to the MTHFR fact .

    • Deborah March 15, 2018 at 10:08 am #

      Hello, I have 3 boys my oldest has all 3 are on the autism spectrum. My oldest has PANDAS and the youngest 2 have PANS. My oldest has levels of proline at 100 x the norm in plasma and urine. We agree waiting for genetics to confirm a hyperprolinemia diagnosis and then proceeding to check the younger 2.
      I am giving B6 and Vitamin C. My oldest is on prophylactic antibiotics and IVIG.

      The 2 youngest have EBV. I’m totally overwhelmed and in Canada the land of skeletons waiting their turn.

      This whole thing sucks.

      • Alan Freestone May 10, 2018 at 3:27 pm #

        You must have so much on your plate Deborah.

        Homeopathy could be very beneficial for all three kids.


  3. kris March 9, 2016 at 10:02 pm #

    I have a PANDAS PANS plus son age 25. He has been misdiagnosed since at least age 17 but at age 5 we were told ADD but no meds till 3rd grade stopped in 5th gtrade as he felt the meds were taking away his creativity. Did well above his peers in school. Then High school he was in a black mold school building, got a sinus infection as he is highly allergic to the black mold and undetected strep throat. When he had to get the required Hep B vaccines in order to attend public school in IN. The doctor gave him the 2 shot adult series at age 14. His life came to a hault. By the 2nd shot he couldn’t hardly manage getting a shower as each droplet of water hurt his body. His intestine was impacted for over a month and the strep went systematic. The doctors said it was not fue to the shots and was all on his head because he didn’t make the soccer team. He was very agile and after that 2nd shot he walked like a 90 year old carrying a barrel. He missed the remainder of his high school years. He missed all but 1 semester of college, he can’t work because of all the tics OCD the anxiety and he reacts to others germs as him immune and autoimmune system crashed. He is on the spectrum and high function till he got sick. We have verified PANDAS PANS Bartonella chronic EBV he has been diagnosed with ODD BDD and sll kinds of other mental health issues. We tried every SSRI and combo of brain altering drugs only to have him get worse from the side effects. We did IVIG that helped fir a short while. Also found out MTHFR i had the flu and upper respatory infection and only given Tylenol and bed rest while pregnant. Delivery cause preeclampsia (sp?) so all you said is right on target. We have been working on detoxifying his system a clean diet and a biomedical doc as well as an integrative doc supplements and remedies and digestive enzymes as wellas Tomrico is helping . I’m wondering if you know how long it takes to heal? Can a young adult be cured? We are out of funds and now just trying to save as much as we can to care for him and his brother who has other health issues. If there is anything else we have missed email me back. Thanks for helping

    • Alan Freestone March 27, 2016 at 1:32 pm #

      Hi Kris

      I have emailed you.


  4. natalie July 3, 2017 at 1:43 am #

    Hello are you still able to recommend trestment more for PANs?

  5. daniel& Shannon Shreve September 19, 2017 at 12:06 am #

    Sir, we have a 9 year old beautiful daughter who went from happy go lucky loving ,caring, compassionate to compulsive OCD actions 6 hours in the bathroom excessive wiping, hand washing , showering, but refuses to wash herself because she dirty, having us to constantly clean while she washing. we have to constantly wet her hair back so the strands of hair doesn’t touch her ears, wipe her eyes because there dry and aren’t open enough, her hands and arms are severely chapped and red, skin cracking. wont touch and pull up underwear, touch clothing, her behavior is defiant and then breaks briefly then she seems to lash out. She doesn’t want to sleep. Which means were not sleeping. She has been placed on medication that takes 1.5 weeks to a month to work? and melatonin to help her sleep? Small town unsure if I believe anything their telling us ? She needs help ! says no one loves her, and wants to help her, she cries someone help me please! this is heart breaking!!!!! We need wisdom and help!!!!! Daniel and Shannon Shreve
    As I stated this was overnight?

    • Alan Freestone September 19, 2017 at 8:12 am #

      Hello Daniel & Shannon,

      I have sent you an email.


  6. daniel& Shannon Shreve September 19, 2017 at 12:11 am #


  7. juliana mendoza October 20, 2017 at 1:44 am #

    hello Alan,
    my 3.5 y/o son has the blue vein and signs of the MTHFR mutation. his legs get “sleepy” all the time, and he gets wild when he eats colorful candy or sweets.
    he was born via emergency c-section after 25 hrs of attempting to have a natural birth (except for laughing gas)
    at the end I gave into the epidural and that made his heart drop so they rushed him to a c-section.

    I try as much as I can to raise him naturally. he takes probiotics and dua and he is vaccine free except for vit K at birth. he once got a strep throat and I treated him naturally, with onions on his socks.

    he recently started licking his lips very often and developed a sort or ringworm on the side of his lip. he also gets very moody and sometimes throws tantrums specially if I get away from him or if he wakes up and doesn’t see me. I thought he was just too attached, but reading about the symptoms I found out about PANDAS and came across your website.

    We live in Colombia, S.A. and have no access to good quality alternative Medici. I was wondering if you could help him.

    thank you for your work and your time.


    • Alan Freestone October 22, 2017 at 2:04 pm #

      Hello Juliana

      Thank you for contacting me. I’d be happy to help your son. To book a 15-minute Intro appointment, please click the link:


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