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PANS/PANDAS

Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections (PANDAS) and Pediatric Acute-Onset Neuropsychiatric Syndrome (PANS) are common autoimmune disorders that present with physiological, behavioral, and cognitive challenges. The hallmark of PANS/PANDAS presentation is that the onset is extremely acute, so much so that many parents of children with PANS/PANDAS may report that there was a dramatic change “overnight.”

It is important to remember that PANS/PANDAS is a clinical diagnosis based on the history of acute onset of symptoms, and does not rely on a single lab test. In order to properly diagnose PANS/PANDAS, we take a thorough and extensive medical history, along with a comprehensive and nutritional physical exam. Because of this, our initial consults are about 2.5 hours in length. We prioritize that time for new patients, so that families can share their stories in detail, and we are able to make an appropriate diagnosis.

PANS/PANDAS is associated with an infectious trigger and immune dysregulation, so it is very important that we investigate infectious triggers for your child and work to find the root cause. This helps us develop and tailor an individualized treatment plan for your family, decreasing the severity, duration, and frequency of flares. Among the different infections and sources of inflammation we may investigate, the most common include: Streptococcus, mycoplasma, viruses, yeast overgrowth, parasites, Lyme (Borrelia burgdorferi), Lyme co-infections (Bartonella, Babesia, Ehrlichia), environmental exposures (mold, chemicals, heavy metals, or allergies), and other metabolic factors.

Our office takes a unique and effective approach to the treatment of PANS/PANDAS through an integrative lens. Dr. Wells works closely with our medical doctor, Nancy O’Hara, MD, and our nutritionist, Vicki Kobliner, MSN, RD, to provide a truly holistic plan to support your family. Our approach includes antimicrobial therapy with the use broad-spectrum herbals (which are effective and safe for long term use) and if pharmaceuticals are needed we are able to schedule an appointment with Dr. O’Hara to prescribe as necessary. We also address immune dysregulation by correcting underlying nutrient deficiencies and adding natural anti-inflammatory and immune support.

Because of its dramatic, acute, and severe presentation, PANS/PANDAS can be a devastating illness to the child and the entire family, especially upon first diagnosis. However, with the use of natural and conventional interventions, this illness can be transformed to a manageable and treatable disorder, and children living with PANS/PANDAS can begin to thrive.


Autism Spectrum Disorders

We are highly regarded experts in the biomedical management and care of children with Autism Spectrum Disorders. We believe that Autism manifests due to genetic predispositions, but that there are various environmental factors that play a role in your child’s case. These environmental factors can lead to whole-body dysregulation and dysfunction. We listen carefully to your family’s story and investigate any potential cause of dysfunction, which can include gut dysbiosis, immune dysregulation, mitochondrial dysfunction, detoxification impairments, nutrient deficiencies, and metabolic factors–all of which may be treatable with integrative medicine.

In conjunction with a thorough history taking and physical examination, we may decide together to utilize advanced lab testing in order to glean more information about your child.

We are passionate in our belief that AUTISM IS TREATABLE! With our determination to find the root cause of imbalance and our drive to help families, we have seen excellent results firsthand. The positive experiences and successes we have had with our wonderful families continue to push us to develop individualized biomedical plans for each child and family.


Lyme Disease and Lyme Co-Infections

Our offices are located in Connecticut, the “ground zero” state for Lyme Disease, and because of this, we have years of experience in managing Lyme disease and co-infections. As Lyme-literate doctors trained by ILADS (International Lyme and Associated Diseases Society), we have chosen to specialize in managing pediatric Lyme and co-infections that contribute to neuropsychiatric symptoms.

We are leaders in treating Lyme disease and co-infections with an integrative and holistic medical approach, understanding that the body must be evaluated as an interconnected system, while implementing conventional medicine and naturopathic modalities in the development of our treatment plans.

After a detailed conversation regarding your medical history and an evaluation of your previous lab work, we perform a comprehensive physical exam and discuss with you our thoughts on pursuing further laboratory testing for Lyme and related co-infections (Bartonella, Babesia, Ehrlichia, Anaplasma, and mycoplasma). The medical history, physical exam, and results of laboratory tests will allow us to develop an individualized and comprehensive treatment protocol, which may utilize broad spectrum herbal antimicrobials, nutrition support, nutraceutical supplementation, homeopathy, hydrotherapy, and referrals to further wraparound services.


Vaccine Preparation

One concern that many families have upon receiving a diagnosis Autism Spectrum Disorder, PANS/PANDAS, or other neurodevelopmental disorders, is their child’s readiness to receive immunizations. We work to educate parents on the required vaccination schedule, so that they may feel more comfortable about healthcare decisions for their entire family. Although Dr. Wells does not administer any vaccinations, she provides individualized recommendations for before and after the administration of vaccines, in order to support your child’s immune system and detoxification pathways.

Other Conditions Treated


  • Acute Illnesses
  • Allergies
  • Anxiety
  • Attention Deficit Hyperactivity Disorder (ADHD)
  • Asthma
  • Constipation
  • Chronic Inflammatory Response Syndrome (CIRS)
  • Depression
  • Down Syndrome
  • Eczema
  • Hormonal Imbalances
  • Infant Feeding Difficulties
  • Migraines
  • Mold Disease
  • MTHFR
  • Seizure Disorders
  • Sensory Processing Disorder
  • Stress
  • Tic Disorders/Tourettes
  • Fertility and Preconception Care

Modalities


Botanical Medicine

Botanical Medicine

One of the oldest forms of medical intervention, botanical medicine uses medicinal plants to promote natural healing. Plants contain specific constituents, or highly active substances, that can affect living tissues, along with a number of nutrients. This makes them extremely effective at treating illnesses and restoring balance to the body’s metabolic processes.

Medicinal plants can be highly effective and safe when used in the correct dosage and in proper combination with other substances. We utilize botanical medicine in many forms, including tinctures (alcohol- or glycerin-based), syrups, medicinal teas, capsules, powders, creams, and salves.


Nutraceuticals

Supplementation with nutraceuticals includes the recommendation of vitamins, minerals, and other natural substances such as antioxidants, amino acids, enzymes, or probiotics.

These interventions can support normal and healthy metabolism and function and can resolve underlying health issues.

We use physician-grade nutraceuticals to ensure the purity and efficacy of the supplements you purchase, which is an important factor in the success of your child’s care.

Nutraceutical Supplements

Homeopathy

Homeopathy

Homeopathy is an energy-based medical therapy developed in Germany in the 19th century that improves patients’ general level of health by strengthening their internal defense systems.

It is a powerful form of medicine that focuses completely on the individual and his or her symptoms, rather than on a diagnosis.

The patient’s unique physical, mental, and emotional characteristics are taken into account when prescribing a specific homeopathic remedy.

These remedies are formulated based on the principle that “like cures like,” meaning that if the body is given a microdose what it is suffering from, it will naturally regain its pure state of health.

All homeopathic remedies are prepared from herbal, mineral, or animal substances that are regulated by the FDA and are made in accordance with Homeopathic Pharmacopoeia of the United States (HPUS). Homeopathy is non-allergenic and has no known drug interactions.

Homeopathy is truly the medicine of individuality, and therefore it has the ability to successfully treat every person and disease. This form of medicine has been proven for hundreds of years to be extremely effective in treating mental, emotional, or physical ailments as well as acute and chronic illness.

Source: https://homeopathyusa.org/homeopathic-medicine.html


Nutrition

What we consume is the basis for how well our bodies will function. We truly believe that “food is medicine,” and that a healthy diet is the foundation of successful treatment.

It is not enough to say that a particular food is “good” or “bad.” Because different foods will exert different actions on different bodies, an appropriate nutrition plan must take into account the many ways allergies, sensitivities, and personal preferences can affect a child’s diet.

We work with you to determine appropriate dietary interventions to support your child’s nutrition status.

Organic vegetables

Counselling

Counseling

Counseling is a very important aspect of health care.

Naturopathic medicine recognizes that there is a strong connection between emotional health and physical health, and counseling is a tool that is used to explore potential obstacles to health and happiness.

It may be important for not only the child to utilize additional mental/emotional health support throughout the duration of care, but for the entire family to have support services on board as well.


Hydrotherapy

Developed in Germany in the mid-1800s, hydrotherapy is a medical treatment that uses water to manipulate body temperature with the goal of restoring health. Heat packs, in combination with ice or other cold applications, can redistribute blood flow to key areas in the body, stimulate immune function, and decrease both localized and systemic inflammation.

Clinically, we see that hydrotherapy can increase circulation to specific tissues so that nutrients may be delivered and toxins may be excreted, and that the therapy can have broad positive effects on the entire body’s metabolism as well.

Water Drops

Frequently Asked Questions


Naturopathic medicine is a distinct primary health care profession which focuses on prevention, improved health, and individualized treatment. Various therapies, including homeopathy, botanical medicine, and nutrition, are used to encourage inherent self-healing. The practice of naturopathic medicine is based on modern and traditional, scientific, and empirical research. For a complete list and description of therapies, please visit our services

Naturopathic medicine is a safe and effective way to treat children. The most non-invasive measures are used to make sure that the child remains comfortable while improving their health. Treatment plans are not based off a medical diagnosis, they are created based on the individual needs of the child.

Complete all appropriate questionnaires and forms located in the New Patient Portal. This can be found here.

It is important that you include with your submitted materials through the portal all supporting privacy and consent forms, as well as any lab tests, evaluations (medical, psychological or therapeutic) or other previous testing done.

The initial consultation will last at least 2 hours. It is imperative that your child is present and we strongly advise that both parents participate in the initial consultation. Both parents must sign all consents and be fully participating in their child’s care with our office. At the initial consultation, Dr. Wells will review your child’s history, conduct a physical examination, and observe your child. Dr. Wells will discuss how she sees your child’s history and development as it pertains to a functional medical approach and will present a detailed treatment plan for your child. In addition, she may draw your child’s blood at the end of the appointment.

We will provide you with a detailed plan, which may include recommendations for testing (blood, urine, stool), dietary changes, and supplements, new therapies, and/or changes to existing therapies. The first follow-up consultation (which may be via telemedicine) will be scheduled for approximately 5-6 weeks after the initial consultation. This will focus on the results of recommended tests and further treatment. Future follow-up consultations will occur at the discretion of Dr. Wells, but generally take place every 1 to 3 months. Although follow-up consults can be done by telemedicine, patients of the practice must be seen and examined in person by Dr. Wells in the office at least once per year in order to remain an active patient of the practice.

An update is required one week prior to ALL consultations. The Existing Patient Update Form can be found here Patient Portal. Any lab test results will be available on the Patient Portal after you have scheduled the next appointment AND after we have received the update.

Dr. Wells does not accept any insurance and is considered an out of network provider. It is your responsibility to contact your insurance company before committing to our program to determine the exact policies of your insurance company. We will provide all of the documentation to you that is required by your insurer for you to submit for reimbursement. Please note that if you choose to submit our invoices to your insurance company for reimbursement, telephone consults are not generally covered by insurance and email correspondence is not covered by insurance. You should not submit invoices for email correspondence to your insurance provider.

For the Initial Consultation: Because of the great amount of preparation time required prior to the first meeting or Initial Consultation, we require a minimum of 7 business days advanced notice when canceling. Less than 7 business days notice will incur a cancellation fee of half of the initial consultation fee. The only exception would be for an extreme medical emergency or natural disaster.

For Follow-up Consultations: We require 2 business days notice for follow-up consultations, which includes office visits or telephone consults. You may be charged 50% of the standard fee for any consultation not cancelled within 2 business days of the scheduled appointment.

For Office Procedures: We require 1 business day notice for cancellation of office procedures, such as blood draws. We reserve the right to charge you 50% of our standard fees for scheduled procedures.

Yes, there are other practitioners who work with Dr. Wells including Nancy O’Hara, MD and Vicki Kobliner, MS RDN.

Please contact the office for more information at (203 ) 834-2813.

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