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Information you can
trace to its source.

Start here, take your time, and bring your questions to a healthcare professional. These are the references behind our educational content.

Kentucky / October 9

Going green,
close to home.

Kentucky Goes Green is our invitation for families and neighbors here to take part in the wider PANS awareness campaign.

03

Bring it into your community.

A green light or a shared, sourced resource can start a conversation with a neighbor, school, or workplace. Check ASPIRE’s current list before planning a landmark visit; its confirmed 2026 list did not include a Kentucky location when we checked on September 23, 2026.

The evidence, honestly

Clarity includes
what is still unknown.

The AAP’s 2025 publication is a clinical report, rather than a clinical practice guideline, because the available evidence remains limited. AAP

We do not present proposed mechanisms or treatments as settled facts.

Does a sudden change always mean PANS?

No. Similar symptoms can have other medical or psychiatric explanations. A healthcare professional needs to consider those possibilities during a thorough evaluation.

NIMH
Is there a test that confirms the diagnosis?

There is no single laboratory test that confirms PANS. Diagnosis relies on the symptom pattern, medical history, examination, and consideration of other causes.

NIMHAAP
Can symptoms ease and then return?

Yes. Symptoms may improve or disappear for a period and later recur. Each child’s course can be different.

NIMH
What is still being studied?

The causes and biological mechanisms are not fully established. The AAP identifies important gaps in the evidence for diagnosis and treatment. An association with an infection does not, by itself, establish the cause of a child’s symptoms.

AAP

A guide written for families.

The American Academy of Pediatrics also publishes a plain-language PANS overview on HealthyChildren.org (opens in a new tab). The clinical journal may ask for verification or sign-in; this family guide is another way to read the AAP’s explanation.

How we use sources.

Medical statements link to the source that supports them. Temple’s experience is presented as her personal account. Practical prompts help families prepare a conversation; they are not a screening test.

References checked against the linked publications on September 23, 2026. This is an editorial source check, not an independent clinician review. References do not imply endorsement of TheSuddenDifference.org.

For individual care, speak with your child’s healthcare provider. NIMH