The honest answer is that it varies, and the research on long-term outcomes is still developing. What the clinical experience consistently shows is that many children improve significantly — particularly those identified and treated appropriately, and particularly when that happens earlier in the course of the condition. For some children, episodes become less frequent and less severe over time and eventually stop. For others, the condition is more persistent and management becomes a long-term part of the family's reality. For many families, the picture is somewhere in between — a child who has improved substantially and functions well most of the time but remains vulnerable to setbacks with illness or stress. Significant improvement is possible and common with appropriate treatment. That is not false hope. It is what the evidence in this area shows.