Dr. Ariel Katherine Dalfen

Dr. Ariel Dalfen provides assessment and treatment for a wide spectrum of mental health conditions, including:

Anxiety, OCD & Trauma-Related Disorders

• Social Anxiety Disorder (Social Phobia): Intense fear or anxiety of social situations where one might be scrutinized by others, leading to avoidance.
• Agoraphobia: Fear and avoidance of situations where escape might be difficult or help unavailable if panic-like symptoms occur, such as public transportation, open spaces, or crowds.

Mood Disorders

• Bipolar Disorder (Type I, Type II, Cyclothymia): Characterized by extreme shifts in mood, energy, activity levels, and concentration, ranging from depressive lows to manic or hypomanic highs.
• Premenstrual Dysphoric Disorder (PMDD): A severe form of premenstrual syndrome (PMS) with significant mood swings, irritability, depression, or anxiety in the week or two before menstruation.

Other Psychiatric Conditions & Focus Areas

• Sleep-Wake Disorders (Insomnia, Hypersomnolence, Parasomnias - when psychiatrically related): Persistent disturbances in sleep patterns or quality that are often comorbid with or exacerbated by psychiatric conditions.
• Impulse Control Disorders (e.g., Intermittent Explosive Disorder, Kleptomania): Difficulties controlling impulses or urges, leading to behaviors that are harmful to oneself or others.

This list is not exhaustive. Effective mental health care is highly personalized. Please consult with Dr. Ariel Dalfen for an accurate diagnosis and tailored treatment plan.

• Treatment of Mood Disorders (Depression, Bipolar Disorder) with Medication: Pharmacological management of major depressive disorder, dysthymia, bipolar I & II disorder, and cyclothymia, utilizing evidence-based medication strategies.
• Supportive Psychotherapy: A therapeutic approach aimed at reducing distress, reinforcing coping mechanisms, and improving adaptive functioning through a supportive therapeutic relationship.
• Crisis Intervention & Urgent Psychiatric Assessment (in appropriate settings): Providing rapid assessment and intervention for individuals experiencing acute psychiatric crises, such as suicidal ideation, acute psychosis, or severe agitation, typically in emergency departments or crisis clinics.
• Augmentation & Combination Strategies for Treatment-Resistant Conditions: Employing advanced psychopharmacological strategies, including combining medications or adding augmenting agents, for individuals who have not responded adequately to initial treatments.
• Second Opinion Consultations for Complex Psychiatric Cases: Providing expert second opinions on challenging diagnoses, treatment-resistant conditions, or complex psychopharmacological management plans.
• Capacity Assessment (Mental Capacity/Competency Evaluation - specific contexts): Specialized evaluations to determine an individual's mental capacity to make informed decisions regarding treatment, finances, or other legal matters, often in forensic or geriatric settings.

Note: This list provides a general overview. Treatment approaches are highly individualized. Please discuss with Dr. Dalfen for care relevant to your specific mental health needs.

All psychiatric services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of Ontario (CPSO) and relevant psychiatric care guidelines. Contact the clinic or your referring physician regarding new patient intake and referral processes.

Dr. Dalfen's practice is located within the Oakville Trafalgar Memorial Hospital, situated in Toronto's First Canadian Place, Underground city (Financial District) neighborhood. The facility is easily accessible from the Port Lands area and is well-served by public transit options including TTC (Subway, Streetcar, Bus). The location offers a discreet and welcoming environment, with wheelchair accessibility and amenities designed to ensure patient comfort. Metered street parking and nearby public lots provide convenient access for patients arriving by car. The practice aims to offer a confidential, comfortable, and private setting for all patients seeking mental health care.

Are psychiatric consultations and treatments with Dalfen, a Psychiatrist, covered by Ontario Health Insurance Plan (OHIP) in ON?

Medically necessary consultations, diagnostic assessments, and medication management provided by a licensed Psychiatrist like Dalfen are generally covered by Ontario Health Insurance Plan (OHIP) in ON when a referral from a family doctor is in place. Coverage for psychotherapy services provided by a psychiatrist can vary; some provinces cover it, while others may have limitations or it may be part of hospital-based programs. Specific medications may also require special authorization or be subject to formulary restrictions. It's crucial to discuss coverage specifics for therapy or any specialized treatments with Dalfen's office or Ontario Health Insurance Plan (OHIP).

Do I need a referral to see Dalfen, a Psychiatrist?

Yes, a referral from your family physician or another medical doctor (e.g., a pediatrician for child psychiatry, or an ER physician for urgent assessment) is almost always required to see a Psychiatrist such as Dalfen for services covered by the provincial health plan. Mental health conditions often benefit from initial assessment by a primary care provider who can determine the need for specialist psychiatric care. The referral ensures coordinated care, appropriate triaging, and transfer of relevant medical history.

What if I experience side effects from medication prescribed by Dalfen?

It's common for psychotropic medications to have potential side effects, especially when starting a new medication or adjusting a dose. Dalfen will discuss common side effects to watch for. If you experience side effects, it's very important to communicate this to Dalfen or her office promptly. Do not stop taking your medication suddenly unless instructed to do so by Dalfen, as this can sometimes cause withdrawal symptoms or a worsening of your condition. Dalfen can help manage side effects by adjusting the dosage, switching to a different medication, or suggesting strategies to mitigate them.

How is confidentiality handled in psychiatric care?

Confidentiality is a cornerstone of psychiatric care. Information you share with Dr. Dalfen and her team is kept private and protected by law and professional ethics. This means your information will not be disclosed to anyone without your explicit consent, except in very specific situations where there is a legal obligation or an immediate risk of serious harm to yourself or others (e.g., imminent risk of suicide or homicide, child abuse, or a court order). Dr. Dalfen will typically discuss the limits of confidentiality with you at the beginning of your treatment.

Does Dalfen offer psychotherapy (talk therapy)?

Many psychiatrists, including potentially Dalfen, are trained in various forms of psychotherapy (talk therapy) and may offer it as part of their treatment approach, either as a standalone treatment or in combination with medication. The specific types of psychotherapy offered can vary (e.g., Cognitive Behavioral Therapy - CBT, psychodynamic therapy, supportive therapy). It's best to inquire directly with Dalfen's office or discuss this during your initial consultation to understand her approach to therapy and if it's a service She provides or if She would refer you to another mental health professional like a psychologist or social worker for more intensive or specialized psychotherapy if needed.

What is the main difference between a Psychiatrist like Dalfen and a Psychologist?

The main difference is that a Psychiatrist, like Dalfen, is a medical doctor (MD) who has completed medical school and then specialized residency training in psychiatry. Because they are physicians, psychiatrists can diagnose mental health conditions, prescribe and manage psychotropic medications, and provide various forms of psychotherapy. They can also order medical tests to rule out physical causes of psychiatric symptoms. A Psychologist typically has a doctoral degree (PhD or PsyD) in psychology and is trained in psychological assessment, diagnosis, and providing psychotherapy (talk therapy). Psychologists generally cannot prescribe medication in Canada, though they often work closely with psychiatrists or family doctors who do.

How can I prepare for my first appointment with Dalfen?

For your first psychiatric appointment with Dalfen, it's helpful to gather some information beforehand. Try to make a list of your main concerns, symptoms (including when they started, how often they occur, and their intensity), and any significant life events or stressors. Bring a list of all current medications (psychiatric and non-psychiatric), including dosages, as well as any past psychiatric medications you've tried and your experience with them. Information about your family history of mental health conditions can also be very useful. Be prepared to discuss your personal history, social situation, and coping strategies. Writing down any questions you have for Dalfen can also ensure you get the most out of your consultation.

Oakville Trafalgar Memorial Hosp
1-100 King St W, Department of Pathology
Toronto, ON M5X 1A0

Phone: (416) 646-2742 | Fax: (416) 646-2741

The facility is wheelchair accessible and aims to provide a comfortable and private environment for all patients.

Dr. Dalfen is a licensed Psychiatrist regulated by the College of Physicians and Surgeons of Ontario (CPSO) under the Regulated Health Professions Act, 1991 and Medicine Act, 1991 in ON. A referral from a family physician or another medical doctor is typically required for consultations with Dr. Dalfen for services covered by the provincial health plan.

Verify registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Dalfen-Ariel-Katherine/0149891-72279