What we treat

PANS & PANDAS

Medication Management: What to Expect

Welcome to our medication management service, an essential part of our commitment to ensuring the best possible care for our patients. Here’s a guide to what you can anticipate:

We are excited to welcome

our new PANS specialist, Theresa Disipio CPNP-AC, to the Mind Align Psychiatry team. Theresa is an experienced pediatric nurse practitioner specializing in PANS, PANDAS, inflammation, chronic medical conditions, and functional medicine.

PANDAS

(Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections) and PANS (Pediatric Acute-onset Neuropsychiatric Syndrome) are conditions identified in children and adolescents who suddenly develop symptoms of obsessive-compulsive disorder (OCD) and/or tic disorders.

PANDAS is specifically linked

to the worsening of symptoms following streptococcal infections like Strep throat or Scarlet Fever. PANS, however, refers to sudden-onset OCD caused by a myriad of other viral and infectious etiologies outside of streptococcal infections.

These conditions can present various

symptoms such as repetitive thoughts, obsessive fears, compulsive behaviors, and tics. To diagnose PANDAS, there should be a presence of OCD symptoms or tics, a positive strep test or history of scarlet fever, and a rapid onset or worsening of symptoms coinciding with a strep infection.

Our treatment for PANDAS and PANS

begins with addressing the underlying infection, whenever possible. The response to treatment can vary, with some cases requiring prolonged or repeated antibiotic, antiviral, and/or antiinflammatory courses. It's important to understand that while treating the infection can alleviate PANDAS symptoms, improvement can be gradual, and additional therapeutic interventions are often beneficial.

For supporting children with PANDAS or PANS,

we offer short-term therapies like Cognitive-Behavioral Therapy (CBT) and Exposure and Response Prevention Therapy (ERP). These approaches are effective in helping children manage their obsessions, compulsions, and strong emotions. Our aim is to provide them with coping skills and strategies to navigate their symptoms, fostering resilience and better mental health.

At Mind Align Psychiatry, under the guidance

of Dr. David Danish, we are committed to providing comprehensive and personalized care, embracing a holistic approach that includes psychiatric care, therapy, life coaching, and dietetics, to support our young patients and their families.

Your monthly subscription ensures continuous, seamless care. Our goal is to make medication management efficient, educative, and empowering, giving you the peace of mind you deserve.

Provider Spotlight

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Meet our team

All Specialties
Psychiatrists
Psychiatric Nurse Practitioners
Dietitians
Licensed Therapists
Behavior Technicians
Coaches
Admin Supports
Dr. David Danish, MD
Owner, Psychiatrist
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Dr. David Danish, MD
Owner, Psychiatrist
Joseph Gagnon Jr., CRNP, PMHNP-BC
Psychiatric Nurse Practitioner
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Joseph Gagnon Jr., CRNP, PMHNP-BC
Psychiatric Nurse Practitioner
Kellie Booth, CRNP, PMHNP-BC
Psychiatric Nurse Practitioner
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Kellie Booth, CRNP, PMHNP-BC
Psychiatric Nurse Practitioner
John Guardiani, MA, LPC
Vice President & Licensed Therapist
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John Guardiani, MA, LPC
Vice President & Licensed Therapist
Kristen Ott, MA, LMFT
Clinical Supervisor of Outpatient Services & Therapist
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Kristen Ott, MA, LMFT
Clinical Supervisor of Outpatient Services & Therapist
Marni Mackey, RDN, LDN
Registered Dietitian
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Marni Mackey, RDN, LDN
Registered Dietitian
Mark Agnew, MS
Licensed Therapist
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Mark Agnew, MS
Licensed Therapist
Dominic D'Angelo, MA, LPC
Licensed Therapist , Coach
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Dominic D'Angelo, MA, LPC
Licensed Therapist , Coach
Alexa Gavrilov, LCSW
Licensed Therapist
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Alexa Gavrilov, LCSW
Licensed Therapist
Tracy Sciulli, MS, Doctoral Candidate,LPC, RYT-200
Licensed Therapist
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Tracy Sciulli, MS, Doctoral Candidate,LPC, RYT-200
Licensed Therapist
Dr. Lauren Bartholomew, Psy.D
Licensed Therapist
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Cross
Dr. Lauren Bartholomew, Psy.D
Licensed Therapist
David R. Feeney, MA, Ed.D., LBS
Licensed Therapist , Coach
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Cross
David R. Feeney, MA, Ed.D., LBS
Licensed Therapist , Coach
Justin Bwint, MA, BCB
Licensed Therapist
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Cross
Justin Bwint, MA, BCB
Licensed Therapist
Alex Brogan, LCSW
Licensed Therapist
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Cross
Alex Brogan, LCSW
Licensed Therapist
Kianna Morgan, MSW, LSW
Licensed Therapist
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Cross
Kianna Morgan, MSW, LSW
Licensed Therapist
Justin Vespasiani
Behavior Technician , Coach , Admin Support
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Cross
Justin Vespasiani
Behavior Technician , Coach , Admin Support
Rebecca Lichtenstein
Behavior Technician
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Rebecca Lichtenstein
Behavior Technician
Kevin Keane CRNP, PMHNP
Psychiatric Nurse Practitioner
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Kevin Keane CRNP, PMHNP
Psychiatric Nurse Practitioner
Juan Montoya
Behavior Technician , Admin Support
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Cross
Juan Montoya
Behavior Technician , Admin Support
Sophia Gant, LCSW
Licensed Therapist
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Cross
Sophia Gant, LCSW
Licensed Therapist
Alane Degli Esposti, MSS, LSW
Licensed Therapist
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Cross
Alane Degli Esposti, MSS, LSW
Licensed Therapist
Stephanie Dunn
Behavior Technician
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Cross
Stephanie Dunn
Behavior Technician
Jahlia Smallwood
Behavior Technician
Learn more
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Cross
Jahlia Smallwood
Behavior Technician
Dr. David Danish, MD
Owner, Psychiatrist
Learn more
Arrow
Cross
Dr. David Danish, MD
Owner, Psychiatrist
Joseph Gagnon Jr., CRNP, PMHNP-BC
Psychiatric Nurse Practitioner
Learn more
Arrow
Cross
Joseph Gagnon Jr., CRNP, PMHNP-BC
Psychiatric Nurse Practitioner
Kellie Booth, CRNP, PMHNP-BC
Psychiatric Nurse Practitioner
Learn more
Arrow
Cross
Kellie Booth, CRNP, PMHNP-BC
Psychiatric Nurse Practitioner
Kevin Keane CRNP, PMHNP
Psychiatric Nurse Practitioner
Learn more
Arrow
Cross
Kevin Keane CRNP, PMHNP
Psychiatric Nurse Practitioner
Marni Mackey, RDN, LDN
Registered Dietitian
Learn more
Arrow
Cross
Marni Mackey, RDN, LDN
Registered Dietitian
John Guardiani, MA, LPC
Vice President & Licensed Therapist
Learn more
Arrow
Cross
John Guardiani, MA, LPC
Vice President & Licensed Therapist
Kristen Ott, MA, LMFT
Clinical Supervisor of Outpatient Services & Therapist
Learn more
Arrow
Cross
Kristen Ott, MA, LMFT
Clinical Supervisor of Outpatient Services & Therapist
Mark Agnew, MS
Licensed Therapist
Learn more
Arrow
Cross
Mark Agnew, MS
Licensed Therapist
Dominic D'Angelo, MA, LPC
Licensed Therapist , Coach
Learn more
Arrow
Cross
Dominic D'Angelo, MA, LPC
Licensed Therapist , Coach
Alexa Gavrilov, LCSW
Licensed Therapist
Learn more
Arrow
Cross
Alexa Gavrilov, LCSW
Licensed Therapist
Tracy Sciulli, MS, Doctoral Candidate,LPC, RYT-200
Licensed Therapist
Learn more
Arrow
Cross
Tracy Sciulli, MS, Doctoral Candidate,LPC, RYT-200
Licensed Therapist
Dr. Lauren Bartholomew, Psy.D
Licensed Therapist
Learn more
Arrow
Cross
Dr. Lauren Bartholomew, Psy.D
Licensed Therapist
David R. Feeney, MA, Ed.D., LBS
Licensed Therapist , Coach
Learn more
Arrow
Cross
David R. Feeney, MA, Ed.D., LBS
Licensed Therapist , Coach
Justin Bwint, MA, BCB
Licensed Therapist
Learn more
Arrow
Cross
Justin Bwint, MA, BCB
Licensed Therapist
Alex Brogan, LCSW
Licensed Therapist
Learn more
Arrow
Cross
Alex Brogan, LCSW
Licensed Therapist
Kianna Morgan, MSW, LSW
Licensed Therapist
Learn more
Arrow
Cross
Kianna Morgan, MSW, LSW
Licensed Therapist
Sophia Gant, LCSW
Licensed Therapist
Learn more
Arrow
Cross
Sophia Gant, LCSW
Licensed Therapist
Alane Degli Esposti, MSS, LSW
Licensed Therapist
Learn more
Arrow
Cross
Alane Degli Esposti, MSS, LSW
Licensed Therapist
Justin Vespasiani
Behavior Technician , Coach , Admin Support
Learn more
Arrow
Cross
Justin Vespasiani
Behavior Technician , Coach , Admin Support
Rebecca Lichtenstein
Behavior Technician
Learn more
Arrow
Cross
Rebecca Lichtenstein
Behavior Technician
Juan Montoya
Behavior Technician , Admin Support
Learn more
Arrow
Cross
Juan Montoya
Behavior Technician , Admin Support
Stephanie Dunn
Behavior Technician
Learn more
Arrow
Cross
Stephanie Dunn
Behavior Technician
Jahlia Smallwood
Behavior Technician
Learn more
Arrow
Cross
Jahlia Smallwood
Behavior Technician
Dominic D'Angelo, MA, LPC
Licensed Therapist , Coach
Learn more
Arrow
Cross
Dominic D'Angelo, MA, LPC
Licensed Therapist , Coach
David R. Feeney, MA, Ed.D., LBS
Licensed Therapist , Coach
Learn more
Arrow
Cross
David R. Feeney, MA, Ed.D., LBS
Licensed Therapist , Coach
Justin Vespasiani
Behavior Technician , Coach , Admin Support
Learn more
Arrow
Cross
Justin Vespasiani
Behavior Technician , Coach , Admin Support
Justin Vespasiani
Behavior Technician , Coach , Admin Support
Learn more
Arrow
Cross
Justin Vespasiani
Behavior Technician , Coach , Admin Support
Juan Montoya
Behavior Technician , Admin Support
Learn more
Arrow
Cross
Juan Montoya
Behavior Technician , Admin Support
Cross

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