About Dr. Grizelda Anguiano
Pediatric mental health, ADHD, and executive function. San Antonio and telehealth across Texas.
Pediatric Mental Health In San Antonio and Across Texas
Board-Certified Pediatrician
ADHD and Executive Function Specialist
I am a board-certified pediatrician in San Antonio specializing in pediatric mental health, ADHD, and executive function. I also have ADHD myself, diagnosed as an adult, and I am raising a neurodiverse family. I know this work from both sides.
My path here
I grew up in Laredo, earned my undergraduate degree at UTSA, and completed medical school and pediatric residency at UTHealth Houston, finishing in 2009. I came back to San Antonio to be near family, worked as a pediatric hospitalist at Methodist Children's Hospital, then practiced general pediatrics through 2019.
In 2019 I moved fully into pediatric mental health, providing care and medication management at Mind Works through late 2022. I founded Anchored Pediatric Mental Health to build the kind of practice I kept wishing I could refer families to.
Why this work
I did not plan on pediatric mental health. It found me.
Over years of general pediatrics, the same conversation kept happening. A parent would mention that mornings were a battle, or that homework took three hours, or that their child was bright but something was not adding up. Fifteen minutes was not enough to answer that well, and I did not always have somewhere good to send them.
The other half of this is personal. I was diagnosed with ADHD as an adult, well into my career, and I am raising a neurodiverse family. Learning that about myself reframed a lot of things I had spent years assuming were character flaws. It also taught me something I could not have learned from training alone, which is that the nervous system does not respond to shame or sheer willpower.
Sanity School gave my own family tools that actually worked. It helped enough that I trained to teach it, then went on to become a certified coach. Anchored Coaching grew out of that, because some of what families need most is not medical at all.
That is why I practice the way I do. Skills over shame. Regulation before correction. Support is not spoiling.
How I approach care
The whole picture, not one piece of it.
Nearly 4 in 5 children with ADHD have at least one other condition alongside it. So the question is rarely just "is this ADHD." It is whether this is ADHD, ADHD plus something else, or something else entirely. Answering that means looking at attention, worry, mood, sleep, and learning together.
Your family's values, not a template.
Care plans reflect what matters to your family, your culture, and your goals. Medication can be an important part of care and it is never the only part.
Skills that outlast the appointment.
The goal is not just a diagnosis. It is a child who understands how their brain works and a family with practical tools for the hard parts of the day.
Training that informs how I work:
CBT for Insomnia, CBT for Anxiety, DBT-informed practice, HeartMath biofeedback, and Sanity School® for Parents (Behavioral Parent Training), where I am a certified trainer.
These trainings shape how I approach care. Anchored Pediatric Mental Health provides medical evaluation and treatment, not therapy. Anchored Coaching is educational and non-medical.
Two practices, one approach
I run two distinct practices. They share a philosophy and they are not the same thing.
Anchored Pediatric Mental Health is the medical practice.
Evaluation, diagnosis, treatment planning, and medication management for children and teens through age 18.
In person in San Antonio and telehealth across Texas.
Self-pay, with superbills available for possible reimbursement.
Anchored Coaching LLC is educational and non-medical. Executive function coaching for kids, teens, and adults, coaching for parents, courses, and community.
Available in person in San Antonio or online wherever you are. Coaching is not therapy, diagnosis, or a substitute for medical care.
Some families need one. Some need both.
Some start with coaching and never need the medical side at all.
On your free call we can figure out which door makes sense for you.
Credentials and training
Medical
Board-certified pediatrician
Fellow of the American Academy of Pediatrics (FAAP)
MD, UTHealth Houston
Pediatric residency, UTHealth Houston, 2009
BS, University of Texas at San Antonio
Coaching and executive function
iPEC Certified Professional Coach
Energy Leadership Index Master Practitioner (ELI-MP)
COR.E Dynamics
Executive function training, JST Coaching (Coaching Neurodivergent Learners) & Peg Dawson's (Executive Skills Coaching Seminar)
Additional clinical training
CBT for Insomnia (CBT-I)
CBT for Anxiety
DBT-informed practice
Sanity School® for Parents, certified trainer (behavioral parent training)
HeartMath® Biofeedback
In the community
From national parenting podcasts to San Antonio health panels, I speak on pediatric mental health, ADHD, executive function, and family well-being.
Ready when you are.
Whether you are looking for an evaluation or still figuring out what your family needs,
we can start with a conversation.
