The neurologist critics are probably right: A good number of the parents who insist their kids have PANS might simply be seeking a socially acceptable antibiotic answer to what is more likely traditional (often inherited) OCD. But after witnessing my nephew’s ordeal and wading through the research, I’ve come to believe the neurologist critics are probably also wrong. There’s a subset of children who are truly affected overnight and genuinely different — the kind of kids who critic-turned-convert Leckman was big enough to admit he had previously missed.
I recognize I have a bias. But to me, shoehorning these particular kids into traditional treatment that is clearly failing them seems more than just insensitive. It seems indefensible.