Resource Guide for School Nurses

Click each symptom below to learn more. This list provides a general overview and is not a complete list, as PANS/PANDAS can present differently in each child or young adult.

View our PANS/PANDAS Screening Tool for a comprehensive overview of symptoms.

Obsessions

Obsessions

• Perfectionism

• Fear of losing control

• Fear of contamination

• Unwanted sexual thoughts

Compulsions

Compulsions

• Checking/repeating

• Washing/cleaning

• Reassurance seeking

• Trying to achieve "just right"

Restricted Eating

Restricted Eating

• Reduced food preferences

• Fear of contamination or poisoning

• Fear of choking, swallowing, or vomiting

Decline in Academic Performance

Decline in Academic Performance

• Hyperactive, impulsive

• Forgetting previously mastered skills

• Sudden trouble with reading, writing, or math

Anxiety

Anxiety

• Unfounded, irrational fears

• Separation anxiety

• Anxiety interferes with normal activities

• School avoidance

Mood Disorders

Mood Disorders

• Emotional dysregulation - depression, mania, irritability, anger, rage

• Severe oppositional behavior

Somatic Symptoms

Somatic Symptoms

• Urinary frequency and urgency

• Temperature dysregulation

• Brain fog

Sensory Abnormalities

Sensory Abnormalities

• Emotional or physical discomfort from sounds, lights, textures, or smells

• Visual and auditory hallucinations

The tools and resources provided in this section of the Look. Foundation website are intended for educational and informational purposes only. They are designed to support teachers, school nurses, school counselors, and other school-based professionals in understanding PANS and PANDAS.

These materials do not provide medical advice, diagnosis, or treatment, and are not a substitute for evaluation or care by a qualified healthcare provider. The Look. Foundation does not offer medical, legal, or educational policy guidance.

School personnel should not use these resources to diagnose students or determine medical treatment. Health-related concerns should be referred to appropriate medical professionals. Decisions regarding educational support, accommodations, or services should be made in accordance with applicable federal laws and regulations, including the Individuals with Disabilities Education Act (IDEA) and Section 504 of the Rehabilitation Act, and in collaboration with families and relevant professionals.

The Look. Foundation provides these materials as a general educational resource and is not responsible for individual decisions or actions taken by schools or professionals based on their use.