How might formal testing serve my child? 

Formal testing is an advocacy tool.  In today’s world, most of us operate in systems (public education, health care, etc.) that sometimes require a formal diagnosis for treatments to be justified and costs to be covered by the insurer or in order for school’s to approve which services (interventions/accommodations/modifications) are provided.  Testing can help to understand your child in the context of their unique development and personality and how they are functioning across settings.  If there is a struggle in one or more areas, we want to understand why, to what extent, and then decide together how and when (in order of priority) to provide the support best suited to your child.  We want to understand each family and weigh the pros and cons of formal testing before deciding what to do next.

Why are so many children being diagnosed with neurodevelopmental disorders? 

This question has different answers depending on the views and professional orientation of every individual we have asked.  We try to understand the perspective and validity of each answer to this question.  A great book that aligns with our guiding philosophy is A Compromised Generation by Beth Lambert.

Why don’t you accept and file insurance for patients? 

Any time insurance is involved, a formal, specifically coded diagnosis is required in the records to justify coverage or treatment.  Only some diagnostic codes are reimbursed, while others are not.  Rendering specific diagnoses in order for insurance to pay for treatment means practitioners face a serious ethical dilemma.  On the other side of things, with health care and electronic records, it becomes likely that your child’s mental health information file will include a diagnosis that will follow them into adulthood.  We can’t predict what that will mean for a child’s future in terms of career or education. We feel strongly about protecting your privacy and your child’s choices for the future.  At your request we will provide coded receipts that you may submit to your insurance provider.

Does my child need evaluation and therapy? 

Not necessarily. Diagnostic evaluation and therapy are separate services. While they sometimes go hand in hand, each child’s needs are uniquely considered whenever you choose to work with us.  We take an individualized approach to every family that requests our help.

How many therapy sessions will we need in order to see progress?  

Every family is unique and there are many variables considered when making treatment decisions.  Research in play therapy suggests a minimum of 14-16 weekly sessions.  For therapy to help a child, consistently attended, weekly sessions are recommended by our team.   To make the MOST of your child’s therapy, parents are also encouraged to learn and grow by implementing a comprehensive parenting philosophy called Conscious Discipline, by Becky Bailey.  COMPLIMENTARY to all parents, we provide a comprehensive parenting workbook and DVD’s that you may watch in our waiting room while your child is in session.   It is ESSENTIAL to learn and grow alongside your child for therapy to be most effective!

If I’ve made some mistakes in parenting, will the therapist think I’m a bad parent? 

NOT AT ALL! We strongly believe that parents have the most difficult job and just like any job – to do it well takes the right tools.  In this day and age, that is changing rapidly! We LOVE equipping parents with tools and heaps and heaps of encouragement and compassion.  It’s like trimming a tree – some branches grow in ways that need to be trimmed. Other branches need more light and air to grow stronger. The tree is never judged for growing branches that we might someday trim back. Trimming branches is just part of taking care of and nurturing the tree. We love and respect parents and children as much as we love and respect trees.

How do I tell my child they will have testing?

We think honesty is always the best policy and usually kids have no problem warming up and developing rapport after 15 minutes or so in our office.  After all, it’s full of toys. Just let them know they will be coming to a place to spend time with a friend who loves to learn how kids’ brains work.  It will feel a lot like school, only there’s just one “teacher” and it’s much more fun just because she is really nice and encouraging. They are teaching her too because they are coming with their unique brain.  All they have to do is try their best and be themselves!

How do I tell my child they will have weekly therapy?

Honesty is always best. You can tell your child or teen that one of the most important jobs of a kid is to learn and grow.  Parents are supposed to be a helpful part of that job too.  Sometimes we get disconnected from enjoying the job and disconnected from one another.  Then, we need someone who is good at helping us reconnect.  Our job in therapy specifically is to feel our feelings and to be connected to ourselves and our therapist. For young children, they connect through play more so than through verbal dialogue.  Therapy works best when the child doesn’t have instructions to “talk about xyz.”  Please ask the therapist (not the child) to summarize progress in therapy.  It works best when parents just remain open and listen if the child shares what they worked on in therapy.  Your therapist will invite you to schedule a parent consultation session to discuss treatment and progress.

How do I find your office?

We are searchable on google maps and inside an integrative practice called Brainworx/Structure Chiropractic at 4508 Legacy Drive, Suite 200 in Plano, TX.  Our office building is directly across the street from The Village Church, Plano on Legacy Dr.  You can see our blue and green signage “Neurodevelopment Associates” on the on the office entry door.

What are the next steps to get started? 

Call 469.408.0331 or email ( and Dr. Koehler will personally assist you to have the required forms sent to you.  You can reserve schedule your first parent session and the child’s weekly standing appointment time for therapy or testing date(s) for diagnostic testing with a $500 deposit.  Parents these days have very busy schedules – please share what days/times work best for you right away so we can reserve appointment times for you whenever possible.