Texas Pediatric Specialties and Family Sleep Center - New Braunfels
Neurologists, Sleep Medicine Specialists
Address: 237 Hunters Village
| New Braunfels, TX
78130
Rating: 4.90
(69 reviews)
Insurances:
Aetna,
Humana,
Medicaid,
Medicare,
Molina Healthcare,
Tricare,
UnitedHealthcare,
Blue Cross Blue Shield (BCBS),
Ages Served:
All ages
Care Settings:
In-clinic,
AboutReviewsServicesInsurancesFAQ
About Texas Pediatric Specialties and Family Sleep Center - New Braunfels
Texas Pediatric Specialties and Family Sleep Center is a specialty practice focused on providing outstanding care in the areas of pediatric neurology, pediatric pulmonology, and both pediatric and adult sleep medicine.
Please note that without member information we cannot guarantee that
your specific plan covers these services. We recommend asking the care
provider before beginning services.
Aetna
Humana
Medicaid
Medicare
Molina Healthcare
+ See More
237 Hunters Village,TX,78130
Get in Contact
(210) 761-5456
info@txmss.com
Reviews
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Totally appreciate how Dr.Smith takes his time to visit with us. I never feel rushed out the door. I feel like Dr. Smith really cares about my kid. Ramona is super sweet and patient to our kiddo while getting vitalsheightweight. The whole visit is always a pleasant experience.
Shelley Bufler
17 March 2022
google review
Having recently moved to the area I am a fairly new patient and have yet to meet Dr. Grunspan in person because their offices are still closed. Despite having only met via video so far I am comfortable with Dr. Grunspan and confident with his judgement regarding my sleep apnea care.
Frank Rumbawa
17 March 2022
google review
Had a sleep study done in early April finally on May 13th I decide to call to see whats going on with my study because I get very poor sleep and this is very important to me. Just to find out that they have had my results since April 27th and if I wouldnt have called on May 13th to check on my results no one wouldve called me to set up my follow up appointment but since I called I was fortunate enough to get one for June 1st. If youre looking to get timely results and help I would not recommend this place.
Marco Aguirre
17 March 2022
google review
They made me do all the work to get the results sent over from other lab. Then 2 months for appt only to cancel my appt and tell me next appt is 3 months out. Lady who answers phone for Dr G is rude.
T MD
17 March 2022
google review
Dr. Richards is incredibly responsive and we have loved having him help navigate our sons care So thankful we found Dr. Richards and Dr. Marsh
Jena Sharpton McKinzie
17 March 2022
google review
Dr. Grunspan is so knowledgeable and helpful. He truly cares about his patients and their health.
Brett Naquin
17 March 2022
google review
My son and I met with Dr. Richard for the first time today We loved him It will be taking us about 1.5 hours to get to his office but I think it will definitely be worth it for my son. Dr. Richard is one of the friendliest doctors Ive ever met.
Nadia Mercado Garcia
17 March 2021
google review
Doctor listened to my concerns and we discussed treatment. He was professional and very easy to talk with. First time I have done a virtual office visit and it was easily done.
Raymond Forg
17 March 2021
google review
Mr.Smith was very quick to see my granddaughter and he went over things with me grandmother Ryleighs Dad very well. I would recommend Mr. Smith to anyone. Everyone at the office was also very professional. Thank you All Sincerely Debra Caldwell
Debra Caldwell
17 March 2020
google review
I have 2 children ages 12 and 11 who see Dr. Richards for management of their adhd. Dr. Richards is a very kind knowledgeable Dr. He is good with the kids and keeps his appointments quick but will listen to any concerns you have. His office has really improved the speed and ease of ordering prescriptions. After ordering through the patient portal it is usually sent the sane day or by the next day. We are greatful for Dr. Richards and loves that comes to New Braunfels to see patients.
Melinda Price
17 March 2020
Frequently Asked Questions
When you visit a neurologist, they’ll assess your child’s needs, run some tests (think imaging or EEG), and diagnose. From there, they’ll create a customized treatment plan. Medication, lifestyle tweaks, or maybe even a referral to another specialist could be on the table.
There unfortunately isn’t one test for all neurodevelopmental conditions. Most likely you will go into a visit to test one or two medical conditions. If you are looking for a comprehensive autism evaluation, developmental pediatricians, psychologists, or neuropsychologists are the preferred specialists who can diagnose autism.
No, neurologists focus mainly on non-surgical interventions. If your child needs surgery, neurologists might point you in the direction of a pediatric neurosurgeon.
More research is needed to understand the link between sleep disturbance and autism, but there are a few possible reasons why autistic children have difficulty sleeping.2
Co-occurring conditions. Coexisting medical conditions like ADHD, anxiety, or sleep apnea (when you stop breathing multiple times throughout the night), environmental allergies, and gastrointestinal upset (like constipation), can negatively impact sleep.
Sensory sensitivities. Sensitivity to lights, sounds, and touch (think textures of blankets and clothing) can disrupt sleep.
Medications. Often autistic children are prescribed medications to address various concerns like hyperactivity, anxiety, or aggression. Many of these medications may contribute to sleep problems. Adderall, Focalin, and Vyvanse are examples of stimulants prescribed to children on the spectrum to treat hyperactivity, impulsivity, and inattention, that can cause insomnia. Abilify and Risperdal (medications commonly prescribed for autistic children who have severe irritability, aggression, and/or self-injurious behaviors) may cause some children to become very sleepy. However, each person responds differently to medications. (Pro tip: Keep channels of communication open with your doctor so that you can find the best medication to help your child that least affects sleep.)
Neurobiological differences. Some research suggests autistic people may not produce the same levels of neurotransmitters (such as serotonin) or hormones (melatonin) important for sleep regulation, and may also experience disruption in circadian rhythms.3 In addition, low muscle tone can contribute to sleep-breathing disorders, such as sleep apnea, which also affects the quality of sleep and can lead to increased inattentive and hyperactive symptoms during the day. These behaviors, in turn, make it more challenging for the child to participate in therapies and activities.
Like anyone else, when children on the spectrum don’t get adequate sleep, they may find it difficult to self-regulate during the day. But there’s another consequence – autistic kids who don’t get enough sleep can experience an increase in stimming, irritability, inattention, difficulty socializing, and keeping up in school.3 They may also face challenges with increased hyperactivity and lack of impulse control. In short, lack of sleep can intensify your child’s existing challenges.
The same goes for parents, too. It’s hard for you to keep your cool and be fully present when you aren’t well-rested.5 As you’ve already found out, good sleep is crucial for everyone in the home.
Speak with your doctor if you have concerns – especially if you notice your child snores or gasps in their sleep, grinds their teeth (bruxism), sleeps with their mouth open/drools, or is very sweaty during sleep, as these are potential signs of sleep apnea. It can be helpful to keep a log of concerns, including when the child falls asleep, how many times they wake up, when they wake for the day, and any unusual behaviors (e.g., an unusual number of sleep terrors, recurrent nightmares, sleepwalking, sleep talking, unusual hand movements, lip-smacking).
Research shows that pediatricians are sometimes unaware of the severity of sleep issues in autistic children, so please continue to advocate for your child if you have concerns.
Get in touch with Texas Pediatric Specialties and Family Sleep Center - New Braunfels