The Rothman Center of USF Health is the Southeast’s Foremost Center for Diagnosis and Evidence-based Treatments.
The USF Health team provides safe and effective treatments for a range of common conditions that include a focus on the whole person as well as the family unit.
The Rothman center conducts clinical trials and research studies that directly impact the advancement of patient care.
USF Health providers at the Rothman Center offer clinical care and support for individuals with;
Cognitive behavioral therapy
-- Exposure and response prevention
-- Cognitive therapy – managing anxious thinking
-- Family support for treating OCD/anxiety and parent training
Habit reversal training/Comprehensive Behavioral Intervention for Tics (CBIT)
-- Becoming aware of urges that precede tics, picking and pulling
-- Replacing hair pulling, skin picking with a competing response; managing tics so they do not cause impairment
-- Manage distress and anxiety that may contribute to hairpulling, skin picking
-- Minimizing side effects
-- Maximizing drug effectiveness
-- Intelligence testing
-- Other aspects of daily living and emotional function
We also provide treatment in an intensive (daily) format so that treatment can be completed in 3-4 weeks. We will help you make accommodations at a nearby extended stay facility. The Ronald McDonald House is one option for low-cost accommodations while receiving treatment
- Recurring thoughts, images, or impulses, that cause distress and anxiety
- Recognition that the thoughts are unreasonableCompulsions
- Activities repeated to reduce anxiety over an obsessive thought
- The acts, though intended to help, are either excessively done or not related to the source of anxietyEmotional instability and/or depression
An initial evaluation is conducted under the supervision of Dr. Justyna Wojas or Dr. Tanya Murphy, an international expert in PANS/PANDAS, and includes a comprehensive assessment of the presenting concerns, developmental history, nutritional history, medical history, history of illness course, and level of psychosocial functioning in order to obtain a proper diagnosis and medication evaluation. This evaluation will assess what neuropsychiatric disorders are currently evident and identify other disorders that need to be ruled out. Recommendations are made at the conclusion of the evaluation for services that, in the opinion of the team, would be most beneficial to address the identified problems. In addition, laboratory testing is frequently used to help identify any underlying medical basis of symptoms. Treatment is tailored to the child's history and clinical presentation.
The first line of treatment for PANS/PANDAS is to treat any infection or inflammation that may be present, which may include antibiotics. In addition, Cognitive Behavioral Therapy (CBT) with Exposure Response Prevention (ERP) is often recommended, which is offered in weekly or intensive (daily) versions. Other options include medication management.
Children should be monitored for acute changes and behavior and screen for potential infectious trigger. Treatment of the precipitating infection may help reduce symptom severity.