Imagine a childs world turning upside down overnight Have you heard of PANDAS Its not the cuddly black and white bears but a puzzling condition affecting children Sudden behavioral changes Unexpected OCD symptoms Uncontrollable tics Anxiety attacks out of the blue These could be signs of Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections PANDAS As healthcare professionals its crucial we recognise these symptoms early