PANDAS Affects Siblings Too: Connecting Through Pain

Until my older children angrily vocalized that life in our home was no cake walk for them either, I hadn’t realized the degree to which PANDAS affects siblings also.

Siblings of children with PANS and PANDAS have their own story to tell about these pediatric autoimmune diseases—they are patients too.

PANDAS affects siblings

The brothers and sisters living in our homes are the patients who suffer silently behind their closed bedroom doors. They are the patients who look for reasons to be anywhere but home. They are the patients who eventually cannot be quiet any longer—their sibling’s illness wears on them just as it wears on the parents. And when they are saturated, they don’t mince words.

These kids have a lot to say about the turmoil that they have been living in and that nobody can reasonably explain. Eventually they lash out from a place of hurt, confusion, blame and emotional exhaustion. In my humble opinion, I think they deserve a space in time to be unequivocally vocal and, most importantly, be heard by their parents.

I will never forget hearing my older children tell me through tears how frustrated and upset they were about life in our home. Time stood still, and my heart pounded. No harsher words have ever been said about Aidan’s illness.

Listening to my children vocalize pent-up emotions about my youngest who could not control his emotions or actions took more grace than I alone had—a grace that could only come from a higher power.

Yet, in my moment of pain and desperation, I unknowingly accepted this unexpected gift of grace. I remember a stillness overcome me as I listened. Their messages resonated with me, and I was able to propel our honesty to the next level where I hoped that understanding and healing could occur.

Talking, Listening and Shifting
When our healthy kids lash out about how their PANDAS sibling is turning the house upside down and taking up all of our time, it’s time to tune in and listen. When we embrace the opportunity to have honest conversations with our secondary patients, we create a shift in emotions that only we as parents can.

Think of this shift as a leveling of the emotional landscape in our homes. Allowing our children to express how their lives have also been side swiped fosters unity, and transparency helps keep the family resilient.
Upon reflecting on the tough talks my kids and I had about Aidan’s illness, I tried to think about what messages were potentially the most meaningful to siblings affected by PANDAS.

Here are my top five:

  • Acknowledge their perspectives of home life
  • Gain their trust in your efforts to find healing
  • Commend their bravery and vulnerability
  • Admit that you share some, if not many, of their feelings about the situation
  • Show that you need their love and support as much as they need yours

I’ve learned a lot through Aidan’s journey, but the one thing I have learned the most about is our children’s (healthy and otherwise) innate ability to perceive reality. They truly understand difficult situations at their face value–in their most simplistic terms.

If we listen to our children, I dare say we will gain insights that help us cope with the very situations that we desperately wished we could escape. We were given our families—especially our children—to help bolster and guide us through the toughest times and make the joyous times even more glorious.

Supporting Silently and Strongly
At the beginning of my post, I refer to siblings of PANDAS kids as the silent suffers until they reach their saturation point.

I would like to end with a story about how my oldest, who was very vocal when he reached his saturation point, supported his brother in a way that only he could when it counted the most.

PANDAS affects siblingsI was hanging out in my oldest’s room after a high school soccer game a few months after Aidan’s psych hospital stay in 2016. We were talking about the game highlights, and I looked down at his cleats.

I saw “AJK 11-01-2005” written on the side of one of his cleats.

“Evan, what are Aidan’s initials and birth date doing on your cleat?”

“I wrote that when Aidan was in the hospital,” he replied.

Until that moment, months after our hospital ordeal, I had no idea how affected Evan was by Aidan’s absence from home.

We really have no idea what our kids are thinking when life is going well, let alone when a child in the home is suffering from PANS or PANDAS. I hope my sharing these experiences and my reflections encourage you to spark a conversation about how the illness is affecting the siblings in your home before they are pushed to the brink of combustion.

I also hope that you notice the small, sometimes silent, ways that siblings show their support for their sick brother or sister. I dare say this moment will stop time for you as well.

I truly believe our healthy children yearn for ways to hold us up while they watch us crumble before their own eyes.

PANDAS is hard on everyone–especially the siblings. Talk to them; listen to them. You’ll be amazed by how their young — and healthy – brains work.

After all, isn’t that why you’re here…because your life and home are consumed with how your child’s brain (unhealthy or otherwise) works?

It’s OK. I am too.

MJ Keatts is a mom of three – one of whom inspired her to start this blog. A journalist by trade, minimalist at heart, and a stunt girl in her dreams, MJ proudly admits that she’s learned more from her kids and husband than she could ever teach them herself. She loves to laugh – especially at herself – and one day hopes to amaze her husband and be ready on time.


  1. That’s a well written piece & soooooo true – thank you – am so grateful for the support of the older siblings in our household who honestly didn’t know/understand (prior diagnosis) what was going on in our home – truly very traumatic during those years & so grateful for healing journey since 2013.
    Strength & love to your family


  2. MJ, as you know I never thought God would not come through for your immediately family and us, the sideline family members. But what I didn’t know, was HOW He would accomplish healing through such great pain and suffering . However, I couldnt think of anything this miraculous. Aidan’s healing and your steadfast love for him has reached well beyond what I expected God to do. I love your blog and truly can see that His plan was so much bigger than ours. This is His Will in true color. May He continue to bless you all and through you continue to help and inspire others dealing with this illness and many others . I love you!!!


  3. This is fantastic writing…honest and true. It is so helpful to know that those of us living this nightmare are not alone and share some of the same struggles. Thank you for sharing!


  4. What an awesome story & amazing family that I truly admire!!! You rock!


  5. My grand daughter was 2 and a half when her brother was diagnosed with PANDAS. When he would start to flare she would say, “let’s go hide!” And we would go to her room and lock her door and play. What does that do to a child to have to live like that? She too has since been diagnosed with PANDAS, not as severe as my grandson. We learn about him through her. She is more verbal about what is going on with her. The siblings understand each other’s pain well. Keep posting MJ! You have a real gift for telling it like it is . I love your blog!


  6. Thank you for this. You’ve put it so well, and I was so touched by your older son’s gesture of support for his little brother… I try to check in often with our 13-year-old son, to make sure he’s doing ok. And recently, after his little sister’s illness made him late to an early morning school activity, I took the initiative to email all of his teachers, coaches and counselors to fill them in on his life at home, which has been turned upside down since we had to pull her from school in October. I am grateful for the support and encouragement of all of them, who might be a little more understanding when he drops the ball on an assignment or misplaces a uniform. I wanted them to know that some days just keeping our heads above water is a major accomplishment, and that compassion would be most appreciated… but in spite of all the drama and discord, our son continues to amaze me with his ability to cope. It’s not perfect every day, but he’s shown a strength far beyond his years. Yet I remain constantly vigilant of his well-being as much as that of his sister’s.


  7. MJ is our daughter. Proud of her, beyond words. She is our blessing as well as her family’s. Thank you Dear Lord.


  8. Hello, I’m 14 years old now and I have an older sister with PANDAS. She started showing symptoms at age 10 and I was 7. She started acting out and I was confused. I would try to help my parents as much as I could, it broke my 7 year old heart when I saw my mom break down and cry. I have lived with my sister having PANDAS for 7 years now and I admit it has gotten a lot better. Sure there are still some tough nights but reading this story made me very happy and I drew tears for you and your family, especially being a healthy sibling to someone with PANDAS.


    1. Miley, thank you so much for sharing your story of having a sibling with PANDAS. I’m touched that my post had this effect on you and gives you hope. My apologies for the long delay in replying to your post. As you will see by my latest post, I’ve taken some time to heal myself. My other two children witnessed me breaking down quite often and it took a toll on us all. Moms try to hold it together for our other children, but sometimes a good cry is just what we need to pull ourselves back up and keep going. I am sure that the support you were able to give your mom — especially at such a young age — meant more than you will ever know. I hope that your sister continues to heal, and my intention for yourself and your family is peace.


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