Treatment-Resistant Psychiatric Cases: Advanced Training in PANS & Tickborne Infections

Master the Functional Psychiatry approach to identifying and treating hidden infections that present as anxiety, OCD, depression, and behavior disorders; and give your patients the relief they've been searching for.

Cohort-based training for nurses who know there's more to the story when traditional treatments fail. Led Dr. Zendi Moldenhauer, PhD, NPP, PNP, RN-BC, IFMCP, an expert in treating neuropsychiatric symptoms and a champion in redefining how we understand and treat mental health. 

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You Know Something's Missing When Patients Don't Respond

 

You've seen it in your practice: the teenager whose anxiety came on suddenly, the child with explosive behavioral changes, the adult whose depression won't lift despite trying multiple medications. Traditional medical approaches help many patients, but what about the ones who don't get better? 

The uncomfortable truth: Standard health care often misses underlying infections that can create psychiatric symptoms virtually indistinguishable from primary mental health disorders. 

The statistics are staggering: 

  • 40% or more of Lyme disease patients experience psychiatric symptoms
  • PANS/PANDAS can transform a healthy child overnight into one with severe OCD, tics, and behavioral changes
  • Standard testing misses 40-60% of tickborne infections, especially in early stages

The result? Patients bounce between providers for years; frustrated, declining, and losing hope; while the root cause goes undiagnosed and untreated. 

"When psychiatric medications fail, when symptoms appear suddenly, when patients aren't getting better: it's time to think infection." 
~ Dr. Zendi Moldenhauer, Co-Founder & Chief Medical Officer, Arbor Health Functional Medicine & Psychiatry

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Stop Asking "What Medication Should We Try Next?" Start Asking "What Infection Might Be Driving These Symptoms?"

 

Emerging research reveals how infections create psychiatric presentations: 

Tickborne Infections (Lyme, Bartonella, Ehrlichia, Mycoplasma, and Rickettsia): 

  • Cross the blood-brain barrier and trigger neuroinflammation
  • Hijack neurotransmitter production
  • Create treatment-resistant depression, anxiety, rage episodes, and cognitive dysfunction
  • Each pathogen has distinct psychiatric "fingerprints"

PANS (Pediatric Acute-onset Neuropsychiatric Syndrome): 

  • Sudden, dramatic onset of OCD, anxiety & emotional dysregulation
  • Triggered by infections, environmental factors, or immune dysregulation
  • Often misdiagnosed as primary psychiatric disorders
  • Responds to immunomodulatory and antimicrobial treatments

The game-changer: When you address the root cause (the infection and resulting neuro-immune dysregulation) patients can recover completely.

What You'll Master in This Training

This comprehensive program equips you with the clinical tools to recognize, diagnose, and successfully treat infection-driven psychiatric symptoms using a Functional Psychiatry framework. 

Recognition and Assessment

  • Identify pathogen-specific psychiatric "fingerprints" and symptom patterns
  • Distinguish infection-driven symptoms from primary psychiatric disorders
  • Conduct thorough clinical assessments that uncover hidden triggers
  • Know when to suspect PANS, Lyme, or co-infections

Advanced Testing and Diagnostics

  • Navigate specialty laboratory testing that detects hidden infections
  • Interpret complex results and understand testing limitations
  • Build diagnostic confidence when standard tests are negative
  • Understand the role of clinical diagnosis vs. laboratory confirmation

Root-Cause Treatment Protocols

  • Develop targeted antimicrobial treatment plans
  • Implement comprehensive anti-inflammatory protocols
  • Support immune system regulation and recovery
  • Address detoxification, nutritional support, and neurotransmitter repair

Neuro-Immune Integration

  • Understand the connection between infection, inflammation, and psychiatric symptoms
  • Apply Functional Medicine principles to restore brain health
  • Create personalized treatment plans that address multiple root causes
  • Support patients through treatment and recovery phases

Clinical Application

  • Review real patient cases and treatment outcomes
  • Develop clinical decision-making skills for complex cases
  • Learn when to refer vs. treat independently
  • Build confidence managing treatment-resistant psychiatric cases
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Is This Training Right for You?

This program is designed especially for nurse practitioners who: 

  • Treat patients with depression, anxiety, OCD, ADHD, or behavioral disorders
  • Have patients who aren't responding to standard medical treatments
  • Want to expand their clinical skills in Functional Psychiatry
  • Are ready to investigate root causes, not just manage symptoms
  • Work in areas where Lyme disease or PANS cases appear 
  • Feel frustrated when traditional approaches fall short.
  • Are committed to continuing education and evolving their practice

Especially valuable if you: 

  • Have seen patients with sudden-onset psychiatric symptoms
  • Work with pediatric or adolescent populations
  • Notice multiple family members with similar symptoms
  • Want to integrate Functional Medicine principles into psychiatric care
  • Are curious about the infection-psychiatry connection but need clinical guidance

Learn from a Leader in Functional Psychiatry

Dr. Zendi Moldenhauer, PhD, NPP, PNP, RN-BC, IFMCP
Co-Founder/Chief Medical Officer, Arbor Health Functional Medicine & Psychiatry

Dr. Zendi Moldenhauer, expert in Functional Psychiatry for children and adolescents

Dr. Zendi brings a unique combination of expertise: 

  • Psychiatric nurse practitioner with decades of clinical experience
  • Institute for Functional Medicine Certified Practitioner (IFMCP)
  • Pioneer in integrating Functional Medicine with psychiatric care
  • Passionate educator committed to transforming psychiatric practice

Dr. Zendi has successfully treated hundreds of patients with infection-driven psychiatric symptoms, helping them recover when traditional approaches failed. Now she's sharing her clinical expertise to empower other practitioners. 

"I've witnessed remarkable transformations when we address the root cause. A 14-year-old who went from psychiatric hospitalization to complete recovery in six months. A software engineer who regained his career and life after years of failed treatments. These outcomes are possible when we look deeper."
~Dr. Zendi Moldenhauer

Learn More About Dr. Zendi

Flexible, Cohort-Based Learning Designed for Busy Practitioners

Format: Live virtual sessions + pre-recorded modules + cohort community

Structure:

  • Live Interactive Sessions: Engage with Dr. Zendi and your cohort in real-time
  • Pre-Recorded Modules: Learn core content at your own pace between live sessions
  • Case Study Reviews: Analyze real patient scenarios and treatment approaches
  • Cohort Community: Connect with fellow practitioners, share insights, and ask questions
  • Clinical Application: Immediately apply what you learn in your practice

Flexibility: Access pre-recorded content on your schedule while benefitting from live interaction and cohort support. 

The Need Has Never Been Greater

Post-pandemic, we're seeing:

  • Rising rates of treatment-resistant psychiatric symptoms
  • Increased awareness of infection-driven neuropsychiatric conditions
  • Growing patient demand for root-cause approaches
  • More practitioners seeking training in Functional Psychiatry

Your opportunity: Position yourself at the forefront of this paradigm shift. Develop skills that will serve your patients and your career for decades to come. 

The urgency: Your patients need this approach now. Every month of missed diagnosis another month of suffering, failed treatments, and declining hope. 

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