Children in Playground

Children's Postinfectious Autoimmune Encephalopathy Clinic

CPAE at Greater Regional

Our Providers

Cheri Standing, MD, FAAP
Brooke Martin, ARNP, CPNP-PC
Sara Reichart, ARNP, CPNP, PPMHS
Sara Rich, BSN, RN, PANS Nurse Navigator
Jessi Ehrsam, BSN, RN

Children's Postinfectious Autoimmune Encephalopathy (CPAE) is a condition where an infection triggers an autoimmune reaction that targets the brain, leading to changes in neurologic function, mood and behavior. PAE includes disorders such as PANS (Pediatric Acute-onset Neuropsychiatric Syndrome), PANDAS (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal infection) and Sydenham chorea.

Does My Child have an Autoimmune Encephalopathy?

Some symptoms of autoimmune encephalopathy (such as PANS/PANDAS):

  • Obsessive Compulsive Disorder (OCD)

  • Restrictive eating

  • Tics

  • Severe anxiety

  • Migraines

  • Irritability and aggression

  • Depression

  • Age regression

  • Sensory sensitivities

  • Hallucinations

Contact Us

CPAE Clinic

Second Floor Medical Arts Plaza

1700 W. Townline St

Creston, IA 50801



8 a.m.- 5 p.m.

What should I do if I think my child has PANS/PANDAS?

Early intervention and treatment are critical to shortening the course of the illness, its recurrences and the functional impairments your child may be experiencing. If your child’s behavior has suddenly changed within days of being ill and is experiencing new symptoms of OCD or food restrictions along with other neuropsychiatric symptoms, don’t wait, see Pediatrician, Dr. Cheri Standing, to be evaluated.


For a list of available service resources in Union County, Iowa click here.

For a "What is PANS/PANDAS" downloadable pdf, click here.

For a downloadable pdf of "PANS/PANDAS Criteria", click here.

Meet Our Providers


Cheri Standing,

Children have an amazing capacity for self-healing. My goal is to empower young patients by helping them access tools for lifelong healthy living.

Brooke Martin, CPNP-PC Pediatrics_edited.jpg

Brooke Martin,

Meet Brooke

I strive to care for my patients and their families the same way I would want to be cared for.