Before you spend money on testing, spend a week somewhere else. If your child gets noticeably better, you have learned something no lab can tell you.
That asymmetry matters. Mold-driven illness can take longer than a week to shift, and a child can also react to something in the new environment. So a positive result is strong evidence; a negative one is weak evidence.
If symptoms improve away and return home, that is among the most actionable findings in this whole field — and it costs nothing.
Families often stumble onto this by accident: symptoms ease dramatically on a trip, or during a stay at a relative’s house, or in a rental. Pay attention to those accidents. If a child’s daily accidents stopped at an Airbnb, that is data.
Then it is worth spending money on testing — and worth hiring the right specialty. A mold company doing air sampling asks "is there mold in the air today?" A building envelope or moisture investigation asks "is water getting into this structure?" — which is the question that actually finds hidden damage.
Want this answered for your own child? A Plan B synthesis reads every lab and note you have — together — and tells you what is driving the picture, what has never been checked, and what to ask for next.
The first one is free, and you keep the list either way. Phone photos of labs are fine.
Plan B for PANS is written by a parent, not a physician. Nothing here is medical advice or a substitute for your child's clinicians — it is meant to make you the best-informed person in the room when you talk to them.