Lindsey Wells ND, LLC

Lindsey Wells ND, LLC Dr. Lindsey Wells is a Naturopathic Physician in CT.

Her practice focuses on pediatric consultative care for Autism Spectrum Disorder (ASD), PANDAS/PANS, tick-borne diseases, and various chronic illnesses.

02/17/2026

Choreiform movements can be a helpful clinical clue during a PANS/PANDAS flare.

In the office, we assess this by having a child stand with arms extended and eyes closed, watching for small, involuntary “piano-playing” finger movements.

When present, this can suggest inflammation affecting the basal ganglia, helping us understand that symptoms are driven by immune activation.

Not every child with PANS/PANDAS will show this sign, and its absence does not rule out a flare. It’s simply one tool we use to better understand what may be driving symptoms.

02/06/2026

PANS/PANDAS involves a sudden, dramatic change in a child’s behavior or mental health, often overnight:

• OCD
• Anxiety
• Tics
• Rage or emotional volatility
• Regression
• Sleep changes
• Food restriction

This happens because the immune system becomes dysregulated and mistakenly impacts the brain—particularly areas involved in behavior, emotion, and movement.

🚫 This is not a parenting problem.
🚫 It’s not “just anxiety.”
🚫 It’s not defiance or something a child can control.

PANS/PANDAS is a medical condition.
And understanding that is the first step toward appropriate care for the child and the family.

02/04/2026

What’s sometimes labeled as “recurrent” strep may actually be one infection that never fully cleared.

After a confirmed strep infection and a full course of antibiotics, re-swabbing helps confirm whether the infection has truly resolved.

When strep lingers, it can continue to drive immune activation, especially in children with PANS or PANDAS, leading to ongoing flares, behavioral changes, or regression.

02/02/2026

One of the hardest parts of navigating complex neuroimmune conditions is knowing how to measure progress.

I remind parents often:
the goal isn’t instant resolution.

The goal is decreased severity, duration, and frequency of flares.

When we zoom out and look at patterns
instead of comparing today to “before” onset — progress becomes much easier to see.

If you’re noticing this shift, I encourage you to keep going

01/30/2026

Some children with PANS/PANDAS experience symptom flares that seem to follow a pattern — including around the new or full moon.

This is why tracking symptoms and flares can be so helpful. Patterns over time often give us important clinical clues.

If you suspect this pattern, consider monitoring symptoms two days before, the day of, and two days after the moon.

Watch for changes in behavior, mood, bedwetting, sleep, tics, or bowel habits.

When timing patterns are consistent, it may suggest that certain organisms, like parasites or Babesia, could be contributing triggers.

01/28/2026

Your child’s tics are not random.

In children with PANS/PANDAS, tics can sometimes offer clues about immune activation or where infection or inflammation may be present.

For example, a nasal or snorting tic may prompt us to consider evaluating the nose, while frequent throat clearing may lead us to take a closer look at the throat.

Paying attention to symptom patterns can help guide more targeted care.

The body is very intelligent and it gives us helpful signals when we know how to listen

/PANDAS

01/27/2026

PANS/PANDAS is a clinical diagnosis.

There is no single lab test that rules it in and no lab test that rules it out.

Diagnosis is based on the history and physical exam
Labs can offer helpful information, but they don’t always reflect immune dysregulation in real time.

At the end of the day, we don’t treat a piece of paper. We treat the child in front of us


01/21/2026

One of the biggest mistakes I see in Lyme disease treatment?

Not treating for long enough.

The CDC guideline recommends one single dose of doxycycline after a tick bite for prevention. Just ONE dose for prophylaxis.

But in real-world practice and especially in children with Lyme, Babesia, or Bartonella, these infections can persist and hide in tissues, joints, and the nervous system. Short-term or minimal treatment often doesn’t reach them.

That’s why I see the best outcomes when treatment is long enough and comprehensive.

Not one pill. Not one week. And not just a single approach.

When treatment includes:
✔️ appropriate antimicrobials
✔️ immune + inflammatory support
✔️ detox strategies
✔️ nutrition and lifestyle

That’s when we see the biggest improvements in symptoms and lab trends.

So if you’ve been told that a single dose or a couple weeks of treatment is enough to treat Lyme or that once you’ve had it you’ll always test positive anyway—just know this:

Your child CAN improve.

They may just need a longer-term and individualized plan.

01/15/2026

We talk about genetics.
We talk about heavy metals.
We talk about better diagnostics.

But why is almost no one talking about milk?

Autism is most often diagnosed between 12–18 months… and what happens right before that?

Parents are told to start giving their child cow’s milk at 12 months.

For some kids, milk proteins can trigger the immune system to make autoantibodies that block folate receptors on the brain.

When that happens, folate can’t get into the brain.

And folate is essential for:
🧠 brain growth + development
💬 speech + communication
⚡ neurotransmitters
📚 learning + memory
🧬 DNA + RNA synthesis

This is called Cerebral Folate Deficiency (CFD).

Research shows that a high percentage of children with autism have folate receptor autoantibodies (with several studies reporting 60–75%).

So if your child started to regress or change around the time milk was introduced…
this is worth looking into

If you want to understand HOW folate impacts the brain and your child’s symptoms , I created a free guide called:

👉 The Brain–Folate Connection

Comment BRAIN and I’ll send it to you.

01/13/2026

Let’s clear up a huge confusion about PANDAS ⬇️

High strep antibodies do not automatically mean your child has PANDAS.

A*O and anti-DNase B just show that your child’s immune system has seen strep before.

That’s exposure—not diagnosis.

PANDAS is diagnosed clinically:
✔️ based on the history
✔️ sudden onset of OCD/tics/anxiety/regression
✔️ exam and symptoms

Antibodies can be normal and a child can still have PANDAS.

Antibodies can be high and a child doesn’t have PANDAS.

PANDAS is diagnosed by connecting the dots in your child’s story, not by a single blood test.

01/09/2026

I wish more psychiatrists knew this about treating kids with PANS/PANDAS 👇

These kids often respond differently to psychiatric medications than their other patients

A study published in the Journal of Psychiatric Research found that children with PANS/PANDAS:

✔️ often require lower doses of psychiatric medications
✔️ are more likely to experience side effects or adverse reactions
✔️ may respond in unusual or exaggerated ways

This matters because PANS/PANDAS is an neuroimmune illness, not a chemical imbalance.

This doesn’t mean psychiatric meds shouldn’t be used when needed. It means they need to be implemented thoughtfully:

✨ started slowly
✨ dosed more cautiously
✨ monitored closely

Resource: PMID: 33450863

01/07/2026

The biggest red flag in PANS/PANDAS is that parents can tell you the exact date things changed

Other Common patterns:
🚩 bedwetting after being fully dry overnight
🚩 sudden handwriting changes
🚩 tics that come and go
🚩 food restriction or abrupt dietary changes

These don’t diagnose PANS/PANDAS on their own,
but they’re clues that shouldn’t be ignored.

Because the sooner it’s recognized, the sooner kids can get the right treatment, and the sooner they start feeling better.


Address

6515 Main Street
Trumbull, CT
06611

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Monday 8am - 5pm
Tuesday 8am - 5pm
Wednesday 8am - 5pm
Thursday 8am - 5pm

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Dr. Lindsey Wells is a Naturopathic Physician in Wilton CT. Her practice focuses on pediatric and primary care and consultative care for Autism Spectrum Disorder (ASD), PANDAS/PANS, and various chronic illnesses.