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Services for Adults

Assessment and Treatment
Managing life’s challenges and transitions can be difficult.  At times, we may find ourselves feeling overwhelmed or stuck.  If you’re feeling dissatisfied with where you are or struggling to move forward, our team of psychologists can help you get back on track. Our goal is to help you learn strategies to live a more fulfilling life. We have extensive experience in assessing and treating a wide range of problems, including:

        ●  General life stress, anxiety, and worries
        ●  Adjustment to life changes
        ●  Anxiety Disorders
                o  Social Anxiety Disorder (SAD)
                o  Generalized Anxiety Disorder (GAD)
                o  Obsessive Compulsive Disorder (OCD)
                o  Panic Disorder
                o  Specific Phobias
                o  Posttraumatic Stress Disorder (PTSD)
       ●  Health Anxiety
       ●  Depression
       ●  Interpersonal difficulties
       ●  Sleep problems
       ●  Loss and grief
       ●  Self-esteem issues
       ●  Anger problems
       ●  Attention-Deficit/Hyperactivity Disorder (ADHD)
       ●  Habit problems, such as Trichotillomania (hair-pulling), nail biting, or skin picking
       ● Cognitive rehabilitation following brain injury or stroke
       ● Memory loss in dementia

We teach specific skills to help you manage your symptoms and cope better with life’s challenges. Our psychologists can help you develop tools to improve your mood, reduce anxiety, manage stress, enhance relationships, and function better.  We utilize techniques and strategies that have been shown to be effective by both scientific research and clinical practice. The main therapies used include:

● Cognitive-Behavioural Therapy (CBT) – CBT is considered to be the most effective form of treatment for many problems, and it is the primary approach used by our team at NSSAC. CBT focuses on identifying and changing unhealthy ways of thinking and behaving.  
● Interpersonal Therapy (IPT) –This approach helps people learn more effective ways of dealing with interpersonal struggles (e.g., developing romantic relationships, building friendships).
● Mindfulness and Acceptance-Based Therapies – These approaches are used in combination with CBT and focus on developing more helpful perspectives for living with difficult experiences.
● Motivational Interviewing (MI) – Used in combination with traditional CBT, this approach focuses on exploring ambivalence and strengthening one’s motivation to make important behavioural changes.
● Medical Consultation and Management – The psychiatrists at NSSAC are highly qualified to recommend and prescribe medications that help lower anxiety, improve mood and sleep, manage symptoms of ADHD, and enhance overall functioning. These medications are often used in conjunction with CBT and other forms of therapy.

Medical-Legal and Disability Assessment
Medical-legal assessments are special types of psychological assessments most commonly used in civil or criminal litigation.  These assessments are often requested by a lawyer, insurance company, or other third-party (e.g., WorkSafeBC) with a number of goals in mind:
        ●  Describe the nature and severity of a person’s psychological injuries
        ●  Explain the relationship between a particular traumatic event (e.g., motor vehicle accident, workplace
            accident, assault, workplace harassment) and a person’s psychological difficulties
        ●  Document any psychological limitations or disability that affect a person’s work, social or recreational
            functioning
        ●  Provide an opinion regarding prognosis for a person’s recovery from his or her psychological injuries and
            factors that may influence the recovery process

Psychoeducational Assessment
Some of our psychologists offer a specialized type of assessment known as a “psychoeducational assessment” for adults. These assessments have a variety of different purposes. At NSSAC, we aim to:
        ●   Discover and describe your unique strengths and challenges
        ●   Identify or diagnose
                o   Learning difficulties, disabilities, and disorders
                o   Intellectual delays
                o   ADHD
                o   Giftedness
        ●   Understand how these strengths and challenges impact you at home, work, and school
        ●   Make recommendations to help you be more effective in life

Neuropsychological Assessment
A neuropsychological assessment is a type of specialized assessment that focuses on brain-behaviour relationships. This type of assessment can be beneficial for some individuals to help clarify diagnosis, identify strengths and weakness, support rehabilitation, or help manage cognitive impairments. A neuropsychological assessment can be conducted for the following:
        ●  Memory problems/mild cognitive impairment/possible dementia
        ●  Concussion or traumatic brain injury
        ●  Stroke
        ●  Neurological disorder, e.g. Parkinson's Disease, Multiple Sclerosis, etc.

The Adult Services Team
Dr. Sharon Agar, R.Psych.
Dr. Melanie Badali, R.Psych.
Dr. Dagmar Bernstein, R.Psych.
Dr. Lisa Brown, R.Psych.
Dr. Kristin Buhr, R.Psych.
Dr. Valerie Caldeira, R.Psych.
Dr. Mazen Elchami, R.Psych.
Dr. Haydeh Esmaili, MD, FAPA
Dr. Sarah Greer, R.Psych.
Dr. Michelle Haring, R.Psych.
Dr. William J. Koch, R. Psych., ABPP
Dr. Jocelyn Lymburner, R.Psych.
Dr. Andrew Miki, R. Psych.
Dr. Sarah Mordell, R.Psych.
Dr. Rami Nader, R.Psych.
Dr. Sarah Newth, R.Psych.
Dr. Michael Papsdorf, R.Psych.
Dr. Michelle Patterson, R.Psych.
Dr. Anton Schweighofer, R.Psych.
Dr. Susan Siklos, R.Psych.
Dr. Dana Thordarson, R.Psych.
Dr. Iris Torchalla, R. Psych.
Dr. Jennifer Trew, R. Psych.