#99 Kiki Chang MD-Discussing PANS/PANDAS

In this episode of the Neuroveda podcast for Complex Health, Gillian Ehrlich, family nurse practitioner certified in Ayurveda and functional medicine at Neuroveda Health in Seattle, sits down with Dr. Kiki Chang, MD, child, adolescent, and adult psychiatrist specializing in mood and neuropsychiatric disorders.

Dr. Chang brings 26 years of experience, including creating and running research programs and clinics at Stanford University focused on Pediatric Bipolar Disorder and PANS/PANDAS. Together, they unpack what “neuropsychiatric” really means, how to tell the difference between typical development and symptoms that are interrupting a child’s life, and why the biology matters, especially when kids change suddenly.

They cover what PANS and PANDAS are, why acute onset and “comorbidity” are such important clues, what a thoughtful clinical workup can look like, and how treatment often spans more than one lane, including infection evaluation, anti-inflammatory strategies, and immunomodulatory approaches when appropriate. Dr. Chang also shares why advocacy and education remain central to progress in this field and how families can find credible resources and care.

Dr. Chang is currently in private practice offering consultations, diagnostic evaluation, and treatment for children, adolescents, and adults. His goal is to distill what he learned in academia into an approach that views psychiatric illness as biological while recognizing psychological input to treatment is important as well. He continues to research and consult for organizations including law firms, pharmaceutical companies, and private foundations.

To contact Dr. Chang and his practice, visit www.kikichangmd.com