Immune function & dysregulation
What the immune system is doing, not just what infections are present.
A Clinical Guide · For Parents
Could your “difficult” child be misdiagnosed?It could be PANS/PANDAS.
A sudden change in your child’s behavior can have a medical cause — here’s how to tell, and what to do next.
Request a Free Discovery Call →No obligation, and you speak directly with our clinical team.
Take the 2-minute self-assessment below
“
Take the self-assessment · For parents
Does this sound like your child?
Check every statement that fits what you’ve seen — especially patterns that appeared suddenly, or worsened after an illness, fever, strep, or other immune trigger. Tally your total, then read the key below.
Sudden behavior & mood
Neurological & motor
Physical & eating
Timing & triggers
Family & care context
0 of 18 checked
Check the boxes above — your tally and what it suggests update here.
Your result
0–3
Worth watching
Track timing and triggers. If sudden onset follows an illness, a comprehensive workup is warranted.
Your result
4–9
Evaluation recommended
Several overlapping drivers likely remain uninvestigated. Symptom-by-symptom care will keep falling short.
Your result
10+
What our program is built for
You’re not overreacting and your child isn’t treatment-resistant — you’re looking at multiple unidentified drivers.
Want to understand what’s actually driving your child’s behavior?
Request a Free Discovery Call →No obligation, and you speak directly with our clinical team.
This self-assessment does not diagnose. It helps you see the pattern clearly and decide whether a conversation is worth having.
Why it keeps getting missed
You are not the problem.
You read the research. You join the support groups. You become an unpaid case manager for your own child, while still being the parent. And somewhere in that process you start to wonder if you are the problem, because no one with authority will tell you that you are not.
What you are is a parent in a system that requires credentials to be taken seriously. That is a structural problem — not a problem with your judgment.
What an Arbor Health evaluation looks like
A whole-child workup, not a single test.
“We’re going to investigate what’s actually going on with your child.”
Inflammatory & autoimmune markers
The signals conventional pediatrics rarely evaluates in this context.
Toxic load & detoxification
Many children carry high loads because their detox pathways underperform.
Lyme & co-infections
Advanced panels covering dozens of markers when indicated, not the standard unreliable tests.
Gut function
Dysbiosis, leaky gut, and malabsorption that keep the whole system dysregulated.
Biochemistry & genetics
What your child’s biology can and cannot handle, including genetic vulnerability.
Voices from families
Parents who were finally heard.
“
Before finding Arbor Health, my son had seen more than ten doctors and none had taken a holistic approach. After a trip to Children’s Hospital of Philadelphia that left us with no answers, we were thrilled to find an expert in our own backyard. Their approach to treating PANS and Lyme has been completely on point.— Keri C., Arbor Health parent
“
My six-year-old has been a patient for about six months. Quality of life has improved greatly since we started treatment for PANS. Every patient is different, and they take the time to test for your child’s triggers and treat the root causes. This is the medicine we need for our families.— Mandy W., Arbor Health parent
The next step
If this sounds like your child, the next step is a conversation.
Request a Free Discovery Call →No obligation, and you speak directly with our clinical team.
With Dr. Zendi Moldenhauer, PhD, NPP, PNP, RN-BC, IFMCP and the Arbor Health Pediatric Clinical Team · Rochester, NY
