PANDAS: What Occupational Therapy Practitioners Should Know

Ethan had been, as his mother described him, a "sweet little boy" until he was 4 years old, when his behavior changed suddenly. He developed sensory sensitivities almost overnight, causing him, for example, to have a full blown behavioral outburst if his shirt got a little wet. He was sensitive to light and sound, very picky about what he ate, moody with other children, and anxious about separating from his mother. When these concerns were expressed to Ethan's pediatrician,