Hi Traci -
Yes you are on the right track treating Lyme and coinfections.
Pandas is Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal infections.
PANS is Pediatric Acute Neuropsychiatric Syndrome.
Do you have the PANDAS/PANS symptoms? I believe it is diagnosed by symptoms - one being motor and/or verbal tics, OCD, ADHD...
It usually starts as a child (or infant) but I've read there can be adult onset as well.
We have a member here named Rowingmom whose daughter was treated for Lyme and Bartonella and she is now in remission.
Here's a thread on it:
www.healingwell.com/community/default.aspx?f=30&m=3617265