Physical Conditions
Could Your Child Have a Learning Disability?
If your child is having trouble in school, it might be time to think about whether they have a learning disability.
- Anxiety disorders
- Attention deficit hyperactivity disorder (ADHD)
- Autism spectrum disorders
- Cognitive, speech/language delays and disorders (assessment only)
- Disruptive behavior disorders (medication management when appropriate)
- Fine and/or gross motor delays and disorders (assessment only)
- Learning difficulties (assessment only)
- Sleep difficulties
Proud of our
Michole C. Pineda, MDChief, Child Development and Pediatric Behavioral Health
Leadership and Practice
Michole C. Pineda, MDChief, Child Development and Pediatric Behavioral Health"To care, educate, and advocate for the special needs of children and their families."
Medication Management
In the process of managing developmental and behavioral conditions sometimes medication intervention is indicated. Our clinician’s work together with your family to select the appropriate medication and closely monitor your child’s response and medication’s effectiveness.
What is autism?
Autism spectrum disorder (ASD) is a disability that affects a child’s social skills, communication, and behavior. Parents may notice symptoms as early as infancy. Symptoms are usually present before the age of 3 years old. The earlier a diagnosis can be made the sooner interventions can be started.
Attention Deficit Hyperactivity Disorder
ADHD is one of the most common childhood neurodevelopmental disorders. Assessment includes diagnostic interview of the child and parent/guardian, medical examination, screening for other behavioral and developmental conditions, Parent and Teacher Rating scales, or testing to rule out other causes.
Roanoke and Beyond
Through telemedicine, we are able to reach our families in remote areas of Virginia and West Virginia.
Multidisciplinary Team
We collaborate with specialists throughout Carilion Children’s and the child's family to ensure children receive exceptional care. We are passionate about providing quality family centered care. Our team is committed to connecting patients and families to communities supports and resources.
Referral Coordination
Upon receiving referrals to the Child Development Clinic, our referral coordinator assesses the needs of the child based on the report from the referring caregiver. Based on the concerns of the parent and/or healthcare professional and the child’s age, they will be scheduled in an appropriate clinic spot.
Medication Management
In the process of managing developmental and behavioral conditions sometimes medication intervention is indicated. Our clinician’s work together with your family to select the appropriate medication and closely monitor your child’s response and medication’s effectiveness.
What is autism?
Autism spectrum disorder (ASD) is a disability that affects a child’s social skills, communication, and behavior. Parents may notice symptoms as early as infancy. Symptoms are usually present before the age of 3 years old. The earlier a diagnosis can be made the sooner interventions can be started.
Attention Deficit Hyperactivity Disorder
ADHD is one of the most common childhood neurodevelopmental disorders. Assessment includes diagnostic interview of the child and parent/guardian, medical examination, screening for other behavioral and developmental conditions, Parent and Teacher Rating scales, or testing to rule out other causes.
Roanoke and Beyond
Through telemedicine, we are able to reach our families in remote areas of Virginia and West Virginia.
Multidisciplinary Team
We collaborate with specialists throughout Carilion Children’s and the child's family to ensure children receive exceptional care. We are passionate about providing quality family centered care. Our team is committed to connecting patients and families to communities supports and resources.
Referral Coordination
Upon receiving referrals to the Child Development Clinic, our referral coordinator assesses the needs of the child based on the report from the referring caregiver. Based on the concerns of the parent and/or healthcare professional and the child’s age, they will be scheduled in an appropriate clinic spot.
Opening October 2021, the fully accessible Carilion Children’s Tanglewood Center brings Carilion Children’s outpatient practices together to better serve our young patients and their families. Together with Pediatric Medicine, 18 specialties and services will be available at the new location. The facility is located at 4348 Electric Road in Roanoke.
Comprehensive
We are one of 5 Child Development Centers in VA offering comprehensive evaluation and medication management.
Collaborative
We work with therapists, psychologists, educators, law enforcement, foster care system for a holistic approach to treatment.
Specialized
We offer an evidence-based practice delivered by a team of board certified specialists.
Scholarly
We continue to participate in research studies as well as trainings that will improve the care of our patient population.
Comprehensive
We are one of 5 Child Development Centers in VA offering comprehensive evaluation and medication management.
Collaborative
We work with therapists, psychologists, educators, law enforcement, foster care system for a holistic approach to treatment.
Specialized
We offer an evidence-based practice delivered by a team of board certified specialists.
Scholarly
We continue to participate in research studies as well as trainings that will improve the care of our patient population.
Want to learn more?
Resources for Understanding Autism
Understanding autism can be complicated. AutismSpeaks.org offers many useful resources.
Autism Resources
Online information to learn more
Sleep Improvement
Many children with autism have difficulty sleeping which can cause stress. This toolkit can provide effective strategies for parents.
More Autism Resources
Online information to learn more
Challenging Behaviors
The Challenging Behaviors toolkit can help provide strategies and resources to help understand and address challenging behavior.
Patient Resources
Elevating care through innovative
Research and Education
Meet Our Pediatric Child Development Team
Carilion Children’s Pediatric Child Development offers expert diagnosis and treatment for children with developmental disabilities and learning disorders.
Call 540-769-0976Dr. Michole Pineda is board certified in General Pediatrics and Developmental Pediatrics. She is also fluent in both English and Tagalog.
Dr. Alyson Hartkopf is board certified in General Pediatrics. She enjoys running, reading, and being chauffeur for her kids.
3 Pediatric Child Development Locations
To schedule an appointment at a Pediatric Child Development location
We're here to help.
Call 540-769-0976
