Anonymous wrote:You can have PANDAS or PANS without testing positive to strep. Any Viral or Bacterial infections cmay cause an increase in OCD/tics. Has your child been sick at all?

This. If there are "flares" it's likely caused by strep or some other type of infection.

You can have PANDAS or PANS without testing positive to strep. Any Viral or Bacterial infections cmay cause an increase in OCD/tics. Has your child been sick at all?

Anonymous wrote:OP,

Do you see a child psychiatrist for medication? Can I ask you who you do see? Thank you for the info.

bump

I wait longer when it's a transition time (like the beginning of school). A few weeks. That being said, often things spiral out of control quite quickly and then it takes some time for the new dosage to take effect. Has your daughter grown a lot since the last dosage adjustment? That can also be a factor.

Anonymous wrote:In our house we'd be checking for strep.

Strep test was negative. She doesn't have PANDAS, just garden variety OCD, but I had her tested anyway looking for some sort of reason behind the flare up.

My son has flare ups that can last a few weeks or months. I'm really glad that I didn't increase the medication because now he is having a good stretch and I'm not seeing much OCD. I think it's just up and down -- good patches and bad.

In our house we'd be checking for strep.

Anonymous wrote:What is she doing now op?

It started with an uptick in handwashing and then the intrusive thoughts became more frequent/she was not able to talk back to the them. Been about 5 days now.

OP,

Do you see a child psychiatrist for medication? Can I ask you who you do see? Thank you for the info.

As an adult with OCD, if my symptoms flared up for more than a week, I would seek a change in my medication. For me, two or three days with is usually situational and it will subside

What is she doing now op?

I know that flare ups are not uncommon for kids with OCD. How do you know when it's more than a flare up and is instead actually time to increase the medication? DD has been doing really well for a few months, but this last week has been dreadful.