We recommend coordinating directly with your PANS/PANDAS physician on timing. Some children do well starting during a flare because the extra regulation support is exactly what they need. Others do better once the acute inflammation is somewhat controlled and they can tolerate sitting through a session. For some families, doing a brain map during a flare and then beginning training as the flare settles is the right sequence. We tailor to your child’s situation and stay in communication with your medical team.