Brita List - Clinical Psychologist

Brita List - Clinical Psychologist Clinical Psychologist. PhD Candidate. Niche: PANS/PANDAS. Sydney Australia I am located in Sydney, Australia.

I'm a Clinical Psychologist and board-approved supervisor with a focus on treating anxiety and mood disorders alongside acute and chronic health conditions. Specifically, I have interest and experience in PANS/PANDAS, consistently managing multiple PANS clients (see my treatment approach on my website). I've also completed the Gut Smart course for Psychological Health in Inflammatory Bowel Disease (IBD). I offer appointments on Wednesdays in the treating rooms of Mind & Presence, Pymble, NSW. I have extensive experience working with children, youth and adults with anxiety and mood disorders at the Emotional Health Clinic, Macquarie University (ongoing). I supervise Master of Clinical Psychology students on placement, flexibly delivering the ‘Cool Kids Program’ for anxiety in school-aged children and youth. I have also served as a treating clinician on various research trials, providing assessment and treatment for children, adolescents, parents, and older adults experiencing mood disorders and somatic symptoms, emotion regulation issues, and seeking a more fulfilling life. In addition to working with anxiety, mood and emotion dysregulation concerns, I also provide interventions for when mental health is impacted by acute and chronic health conditions. My approach involves utilising Cognitive Behavioural Therapies (CBT) and other evidence-based modalities. I prioritises being neurodiverse-affirming and LGBTQIAP+🏳️‍🌈 affirming; valuing and celebrating diversity while focusing on client-centred, functional goals. I work with and differentiates between challenges best addressed through CBT and those requiring accommodations to facilitate meaningful engagement in life. I am interested in empowering people of all ages with:
* Anxiety e.g,. social, separation, general, specific phobias, selective mutism, panic… including but not limited to: Accredited Program Provider for the Cool Kids program
* Chronic or acute low mood
* Neurodiversity e.g., Autistic, ADHD, OCD, Tourette Syndrome, twice exceptional, learning differences, sensory overwhelm, ARFID, rages…
* Complex health issues e.g., PANS/PANDAS, IBS, IBD, POTS, EDS, ME/CFS, FND, long covid, autoimmune, hormonal, chronic pain…
* Navigating identity, life stages and times of transition e.g., q***r/ LQBTQI+, interpersonal relationships and building confidence, HSC, tertiary education, relationships, career, parenthood, burnout, retirement, impact of health…
* Other concerns like emotion dysregulation/outbursts, bullying, peer relationships, assertive communication skills and “school can’t” / difficulties attending school. Please note: for children approximately 6 and younger, they are not developmentally ready to engage in strategies within my skillset (CBT). Sessions will predominately be working with parents to identify parent-guided opportunities for change. Professional Memberships:
Australian Clinical Psychology Association (ACPA)
The Australian Association for Cognitive and Behaviour Therapy (AACBT)

Different learning pathways in the brain!In treatment during PANS flares, I advocate for accommodation rather than the u...
21/11/2025

Different learning pathways in the brain!

In treatment during PANS flares, I advocate for accommodation rather than the usual anxiety approach of nudging people out of their comfort zones - due to considerations for greatly reduced "window of tolerance". A terrified person, with impaired capacity to regulate, is not going to learn that the situation is safe, rather, they 'learn' it is very dangerous!

I've been finding more and more hints that while access to prior and new prodecural (habit-forming) learning seems disrupted in PANS (disrupted basal ganglia functioning), the amplified amygdala activity is part of super trauma "learning". In severe flares, the brain can't learn/initiate CBT strategies but its primed to learn threat.

And here's another one of those hints..!!

britapsych.com

18/11/2025

Raising awareness of PANS in Sydney! Metallica calling for plasma donations!! Hugo and family, and Make-A-Wish Foundation!!

britapsych.com

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14/11/2025

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britapsych.com

Join Drs. Dritan Agalliu (Columbia Univ), Madeleine Cunningham (Univ of Oklahoma), Russell Dale (Univ of Sydney, AU), and Jennifer Frankovich (Stanford University) for the clinician/researcher webinar "PANS/PANDAS: Scientific Research Investigating the Roles of Neuroimmune & Epigenetic Factors in Children". 🔹Register now at https://www.pandasppn.org/neuroimmune-epigenetic-webinar.

This webinar is presented in collaboration with PANDAS Physicians Network and PANDAS Network.

13/11/2025

On children's compliance and learning when to not follow the rules, because not everyone in authority is using power responsibly. An important concept, but actually learning this is complex - it takes development of self-awareness and learning about boundaries!
I often hear kids with PANS trying really hard to comply, masking, and trying to tell people in authority when they've reached their limit, and those boundaries are dismissed. This leads to *preventable* escalations and risk to self and others.
britapsych.com

Personal perspectives within this article on the difficult journey of PANDAS.britapsych.com
11/11/2025

Personal perspectives within this article on the difficult journey of PANDAS.

britapsych.com

Here’s how a common throat infection can rewire children's brains: https://bbc.in/463flGZ

We have another free peer consultation, hosted on Zoom, Sydney AEDT 1pm, Mon 17 Nov (SYDNEY DAYLIGHT SAVINGS TIME)If you...
11/11/2025

We have another free peer consultation, hosted on Zoom, Sydney AEDT 1pm, Mon 17 Nov (SYDNEY DAYLIGHT SAVINGS TIME)
If you're professionally working with individuals with PANS/PANDAS, or interested to learn more, please consider joining PANS/ PANDAS Therapists Collective, comment or PM me for further info 🙂
If no one brings a case to discuss, I'll talk about the recent 'proof of concept' article published. We'll always have some resources and info to share.
I've also just set up a form to collect questions: https://tinyurl.com/PANSpeers
britapsych.com

Strep doesn't always show up, and is not the only thing that triggers a PANS flare.britapsych.com
07/11/2025

Strep doesn't always show up, and is not the only thing that triggers a PANS flare.

britapsych.com

PANS Families and Health Professionals, Know This! Adverse drug reaction (ADR) sticker. Australian Commission on Safety ...
31/10/2025

PANS Families and Health Professionals, Know This! Adverse drug reaction (ADR) sticker. Australian Commission on Safety and Quality in Healthcare.
https://www.safetyandquality.gov.au/publications-and-resources/medication-charts/medication-charts-resources-and-tools/adverse-drug-reaction-adr-sticker
The national inpatient medication chart (NIMC) and Pharmaceutical Benefits Scheme (PBS) hospital medication chart (HMC) are designed so that a single adverse drug reaction (ADR) alert sticker can be applied on both pages 3 and 4.
--
PANS Treatment Guidelines: “start low, go slow”
https://doi.org/10.1089/cap.2016.0145
“When antidepressants and antipsychotics are prescribed to patients with PANS, intolerable side effects were noted at doses lower than or equal to suggested starting doses.”
https://doi.org/10.1016/j.jpsychires.2021.01.022
“...patients with PANS developed side effects at lower doses compared to pediatric patients with other psychiatric conditions.
In fact, side effects requiring medication change arose in 54% of PANS subjects (38% for antidepressant trials and 49% for antipsychotic trials)...”
https://doi.org/10.2147/ndt.s362202
--
britapsych.com

For Physicians!"Project ECHO® is a collaborative model of medical education and care management that helps clinicians wo...
28/10/2025

For Physicians!
"Project ECHO® is a collaborative model of medical education and care management that helps clinicians worldwide provide expert-level care to patients. Using video-conferencing to train, advise, and support primary care providers and specialists, Project ECHO® increases access to specialty treatment for a variety of conditions."
"There is no cost to join."
Applications close next Friday, November 7.

britapsych.com

Our second cohort of Psychiatric Presentations with a Neuroimmune Basis, in collaboration with Project ECHO®, will begin in January 2026 and is free for physicians worldwide.

Apply to join here: neuroimmune.org/echo

"Up to 10% of psychosis patients have been reported to contain an autoantibody called anti-NMDAR that targets the brain,...
28/10/2025

"Up to 10% of psychosis patients have been reported to contain an autoantibody called anti-NMDAR that targets the brain, causing autoimmune encephalitis (AE)"

britapsych.com

“This is a very useful test because it directs doctors toward finding an underlying tumor, if there is one, and patients can be treated much earlier.” Sam Pleasure, MD, PhD

We often see PDA in PANS flares. A dysregulated child does not have the resources/capacity for 'compliance'. They don't ...
28/10/2025

We often see PDA in PANS flares. A dysregulated child does not have the resources/capacity for 'compliance'. They don't necessarily need upskilling, they need help (regulating) to access their skills.
"Holding Space, Not Control"
britapsych.com

I’m thrilled to share that my latest article - “When compliance hurts: Rethinking occupational therapy for children with PDA” - has just been published in the Spring edition of Connections, OT Australia’s magazine for members. 🌿

If you’ve worked with neurodivergent children, you’ve probably met the child who resists even the smallest requests - brushing their teeth, joining in a play, or answering a simple question. What can look like defiance is often something else entirely: a nervous system doing its best to protect itself.

In the article, I unpack how traditional, compliance-based approaches can unintentionally miss the mark for children with a PDA profile, and what it looks like when we instead centre relationship, safety, and collaboration in our therapy.

Because real therapeutic change doesn’t come from control - it comes from connection and co-regulation.

This is an important topic that continues to challenge and stretch our profession in all the right ways!

You can find the full article in the Spring 2025 issue of Connections (available to OT Australia members).

If you’re not an OT Australia member, or you’d like to take a deeper dive into this topic, you can explore a 90 minute PDA specific training package I’ve put together here: https://www.michellenewby.com/pdaon-demand_sales_page-1

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Sydney, NSW

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