PANS/PANDAS & Sudden Onset OCD: What Clinicians Need to Know

Dr. Ajay Mirani is a dedicated and passionate pediatric physician who has devoted his career to optimizing the health and wellness of his patients ranging in age from infancy to young adulthood. His approach to care integrates the needs of each patient with a collaborative and co-creative process that incorporates the family. He understands that each person has individualized and evolving considerations within the framework of their home, family, school, and personal and professional circles through their growth and development, and that these factors require regular and ongoing reassessment. As such, Dr. Mirani focuses his expertise not only to provide proactive, preventive primary care and to manage any concerns that arise, but also to lay a foundation that supports each patient’s involvement and accountability in building, nurturing and maintaining their own healthy and fulfilling life.

Dr. Mirani’s breadth of experience with infants, children and young adults has encompassed the guidance of routine primary pediatric healthcare, to the most complex, multi-factorial physical and mental health needs of his patients. Dr. Mirani began his career practicing Pediatric Cardiology where he focused on and cared for the heart health of patients spanning the spectrum from healthy outpatients to those requiring complicated hospital-based care. Assimilation of his training and experience in Pediatric Cardiology and General Pediatrics, combined with application and expansion of his expertise to the practice of holistic primary care led him to create Birch Medical. His main goal in practice is to optimize the health and well-being of his patients through proactive listening, open communication, and tailored care provision.

BS, Florida International University // MD, UCE (San Pedro, DR)

Dr. Omar Canosa brings over two decades of experience as a child, adolescent, and adult psychiatrist to his role at Anxiety Institute. After earning his medical degree, he completed general psychiatry training at Temple University’s School of Medicine, followed by a fellowship in child and adolescent psychiatry at Drexel University. He went on to lead the development of an integrative, evidence-based pediatric eating disorder program at Atlantic Health’s Overlook Medical Center. Throughout his career, Dr. Canosa has been known for his multidimensional approach to mental health, drawing from a wide range of healing traditions to support the whole person—not just their symptoms.

Deeply attuned to the developmental shifts of adolescence and young adulthood, Dr. Canosa tailors his interventions to align with each client’s stage of growth. As Medical Director, he works closely with the clinical team to ensure psychiatric care complements the therapeutic programming. He also consults directly with clients and families to explore personalized treatment options, including medication management. His goal is to create a supportive environment that fosters resilience and promotes lasting recovery from anxiety, OCD, and related disorders.

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