Our Services

At Anchored Pediatric Mental Health, we provide comprehensive, evidence-based care for the emotional, behavioral, and developmental needs of children and teens.

Every plan is personalized to reflect your child’s strengths, your family’s values, and your long-term goals. Our focus is clarity, practical strategy, and steady support.

Comprehensive ADHD & Executive Function Evaluation

Most families begin here.

Our evaluation process is structured, thorough, and designed to provide clear answers along with a practical roadmap for home and school.

Parent Initial Visit

60 minutes, virtual or in-person

  • Detailed review of your child’s medical, developmental, emotional, and school history

  • Exploration of current concerns, daily patterns, and stress points

  • Review of prior evaluations, report cards, or testing

  • Clarification of goals, values, and questions

  • Clear outline of the evaluation process and next steps

This visit gives you protected space to share the full story. We look beyond surface behaviors to understand context, patterns, and family dynamics.

Child Evaluation Visit

Up to 60 minutes, in-person

  • Comprehensive medical and developmental history

  • Physical exam and vital signs

  • Functional assessment across home and school environments

  • Observation of attention, regulation, communication, and problem-solving patterns

  • Identification of strengths and growth areas

This visit allows us to understand how your child's brain and body are working together and ensures that medical, developmental, and behavioral factors are thoughtfully considered.

Objective ADHD & Cognitive Assessment (when appropriate)

When attention, impulsivity, or activity concerns arise, we may include computerized attention and cognitive testing along with rating scales from home and school.

This objective data helps clarify whether ADHD or related executive function differences are present and guides treatment planning and school accommodations.

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Results & Treatment Planning Session

We review findings in clear, practical language so you feel informed and confident.

You leave with:

• A clear explanation of what is going on

• Diagnostic clarity when appropriate

• Specific next-step options aligned with your family’s values

• Guidance for home and school

• A written summary for documentation or accommodations

The goal is for you to walk away saying, “I finally understand what is happening, and I know what to do next.”

“She evaluated and diagnosed our son, guided us as parents, and helped us feel more confident.

Our family life has improved so much.”

-PO, Parent

Mental Health & Wellness Evaluation

For families seeking broader assessment of emotional, behavioral, or developmental concerns.

We consider the whole child within the family context, including:

  • Emotional regulation

  • Anxiety or mood symptoms

  • School-related stress

  • Behavioral patterns

  • Family dynamics and environmental stressors

This evaluation may stand alone or evolve into an ADHD-focused process if needed.

Ongoing Mental Health Care

Evaluation provides clarity. Membership provides steady support.

For families under Dr. Anguiano’s care or those seeking ongoing guidance, membership offers consistent, relational care as your child grows.

Membership may include:

  • Medication management when indicated

  • Follow-up visits every 2 to 4 weeks during treatment adjustments

  • Maintenance visits approximately every 3 months once stable

  • Secure messaging access for brief updates or questions

  • Family education and coordination with schools or other providers

Medication is one tool we may use. It is never the whole story.

Membership is not limited to families using medication. It is for families who want steady guidance, school collaboration, and thoughtful plan adjustments over time.

To meet Texas guidelines and ensure safe, effective care for children receiving medication management, membership includes at least two in-person visits annually at our San Antonio office. Telehealth appointments are available between in-person visits when appropriate.

This connected approach ensures medical and behavioral health needs are addressed together.

Coaching and Support Services

Anchored Coaching LLC, separate from medical care

In addition to pediatric medical care, Dr. Anguiano offers non-medical coaching through Anchored Coaching LLC.

Coaching supports:

  • Executive function challenges

  • ADHD strategy and accountability

  • Parenting confidence and communication

  • Sleep habits and stress regulation

  • Emotional resilience and motivation

  • Life transitions and personal growth

Coaching is a strengths-based, collaborative process focused on skill-building and growth. It does not include prescriptions or medical charting, is not covered by insurance, and does not replace therapy or pediatric treatment.

Take the First Step

Support begins here.

Whether you are ready for an evaluation or simply exploring your options, Anchored Pediatric Mental Health is here to guide your family toward clarity, calm, and lasting well-being.

Stay Anchored

Sign up for monthly insights from Dr. Anguiano on parenting, mental health, ADHD, and holistic family wellness.

Anchored Coaching LLC is a separate, non-medical practice providing personal development, parenting, and executive function coaching.

These services are not a substitute for therapy, diagnosis, or medical treatment and are not covered by insurance.

By using this site or engaging with our services, you agree to our Terms of Service and Privacy Policy.

Learn more at Anchored Coaching.

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