First, we are scheduled to see a pediatric specialist in a few weeks. I am writing for your opinion-- not for a solution or diagnosis. I have been trying to figure my son out, it seems, since he was born-- he is now almost eight. As a baby he was rigid with needing routine/structure. He did have some social issues along the way and a clear problem with impulse control. These issues, however have resolved for the most part-- or should I say he has improved-- without medication or "official" therapy. We do have one issue, however that is worsening.
At age 5, fairly actutely he began to touch every object to his nose. He developed a blister because every thing he touched, went to his nose-- not to smell-- just to make contact-- even tiny lego pieces. His pediatrician at the time thought it might just be one of those phases that kids go through. Sure enough-- it went away.
Now at almost 8, and for the last few months he has developed "compulsions." He must touch people or objects a certain number of times; first it was 4 and now it is 12. If he brushes against a wall by accident he will need to go back and touch it again. He also needs to step on all the cracks in the sidewalk-- just a certain way. He says often that he "needs to be even." It is getting worse, he did a deep knee bend the other day, touching his knee a certain number of times. He is aware of them and wants to stop which is why we are now scheduled to see a specialist.
My brother had a facial tic as an adolescent. My sister in law is teased about being OCD (which I think is more of a personality description than a disorder). Other than these things we have no family history.
I have been reading about PANDAS and realize it is very rare. But my son has had strep throat at least 5 times; the first was when he was 5 (the same age that the nose touching started).
In your opinion is PANDAS even a possibility? And if not, what is the long term prognosis for an 8 year old boy with OCD?