VMDee

Hi Dr. Szymanski,

Since today's topic is about PANDAS/PANS, I would like to ask a question about pediatric OCD. Unlike PANDAS, my symptoms were gradual. Beginning with motor tics at age 3 that subsided and morphed into obsessions and rituals by age 7. Is the prognosis worse for early onset OCD? I ask because despite extensive ERP therapy, my struggles have continued.

Thank you for your helpful suggestions. I was a pt. at OCDI McLean several years ago, I may consider returning to that program.