About
Dr. Brian Andrew Scarth is a dedicated Psychiatrist specializing in the diagnosis, treatment, and prevention of a wide range of mental, emotional, and behavioral disorders in adults, and may see older adolescents for certain conditions. Practicing at Crescent Beach Medical Arts in White Rock, BC, he is a key member of the local mental healthcare community. His practice adheres to the standards and ethical guidelines established by the College of Physicians and Surgeons of British Columbia (CPSBC). Dr. Scarth provides comprehensive psychiatric care, including diagnostic assessment, medication management, and psychotherapeutic interventions for a variety of conditions such as mood disorders, anxiety disorders, and psychotic disorders. His approach is patient-centered, aiming to support individuals in achieving optimal mental health and well-being.
He graduated with a Doctor of Medicine (MD) from the University of British Columbia in Canada and holds specialty certification as a Psychiatrist. He maintains certification through the Royal College of Physicians and Surgeons of Canada, demonstrating his commitment to maintaining high standards of psychiatric practice and ongoing professional development.
Dr. Scarth’s clinical philosophy emphasizes collaborative care, empowering patients through education and understanding of their mental health conditions. He utilizes evidence-based treatment approaches and fosters a therapeutic alliance built on trust, respect, and confidentiality. Dedicated to serving the community in White Rock, he provides care in English, ensuring clear communication and personalized treatment for each individual.

Dr. Brian Scarth provides assessment and treatment for a wide spectrum of mental health conditions, including:
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.
- Somatic Symptom Disorder & Illness Anxiety Disorder: Characterized by significant focus on physical symptoms (Somatic Symptom Disorder) or preoccupation with having or acquiring a serious illness (Illness Anxiety Disorder), causing major distress or functional impairment.
Schizophrenia Spectrum & Other Psychotic Disorders
- Delusional Disorder: Characterized by one or more firmly held false beliefs (delusions) that persist for at least one month, without other prominent symptoms of schizophrenia.
- Schizoaffective Disorder: A condition that includes symptoms of both schizophrenia (like hallucinations or delusions) and a mood disorder (like depression or mania).
Personality Disorders
- Avoidant Personality Disorder: Characterized by social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation.
- Narcissistic Personality Disorder (NPD): A pattern of grandiosity, need for admiration, and lack of empathy.
- Obsessive-Compulsive Personality Disorder (OCPD): A preoccupation with orderliness, perfectionism, and mental and interpersonal control, at the expense of flexibility, openness, and efficiency (distinct from OCD).
This list is not exhaustive. Effective mental health care is highly personalized. Please consult with Dr. Brian Scarth for an accurate diagnosis and tailored treatment plan.
- Neuropsychiatric Evaluation & Cognitive Assessment (Initial Screening/Referral): Initial assessment of cognitive function and neuropsychiatric symptoms, with referral for detailed neuropsychological testing if indicated, to differentiate psychiatric from neurological conditions.
- Psychopharmacological Management & Medication Optimization: Prescribing, monitoring, and adjusting psychotropic medications (e.g., antidepressants, antipsychotics, mood stabilizers, anxiolytics, stimulants) to treat various mental health disorders, focusing on efficacy, tolerability, and minimizing side effects.
- Psychodynamic Psychotherapy / Psychoanalytic Psychotherapy: Exploratory therapy focused on understanding how past experiences and unconscious patterns influence current feelings, thoughts, and behaviors.
- Group Therapy (various focuses, e.g., mood disorders, anxiety, trauma, DBT skills): Facilitating therapeutic groups where individuals with similar concerns can share experiences, learn coping strategies, and receive mutual support under the guidance of a therapist.
- Comprehensive Psychiatric Assessment & Diagnostic Evaluation: In-depth clinical interview to assess mental health status, including review of psychiatric and medical history, family history, psychosocial factors, symptom patterns, and formulation of a multiaxial diagnosis according to DSM/ICD criteria.
- Second Opinion Consultations for Complex Psychiatric Cases: Providing expert second opinions on challenging diagnoses, treatment-resistant conditions, or complex psychopharmacological management plans.
Note: This list provides a general overview. Treatment approaches are highly individualized. Please discuss with Dr. Scarth 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 British Columbia (CPSBC) and relevant psychiatric care guidelines. Contact the clinic or your referring physician regarding new patient intake and referral processes.
Crescent Beach Medical Arts is situated in the areas near central White Rock, BC. The practice is conveniently accessible via local public transit, making it easy for patients to reach the facility. The neighborhood is known for its scenic views and tranquil environment, providing a discreet and welcoming atmosphere for mental health care. The facility is wheelchair accessible and aims to provide a comfortable and private environment for all patients. Parking is available at or near the facility, with designated accessible spots, ensuring ease of access for individuals with mobility needs.
- Are psychiatric consultations and treatments with Scarth, a Psychiatrist, covered by Medical Services Plan (MSP) in BC?
- Medically necessary consultations, diagnostic assessments, and medication management provided by a licensed Psychiatrist like Scarth are generally covered by Medical Services Plan (MSP) in BC 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 Scarth's office or Medical Services Plan (MSP).
- Do I need a referral to see Scarth, 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 Scarth 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.
- Does Scarth offer psychotherapy (talk therapy)?
- Many psychiatrists, including potentially Scarth, 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 Scarth's office or discuss this during your initial consultation to understand his approach to therapy and if it's a service He provides or if He 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 Scarth and a Psychologist?
- The main difference is that a Psychiatrist, like Scarth, 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 is confidentiality handled in psychiatric care?
- Confidentiality is a cornerstone of psychiatric care. Information you share with Dr. Scarth and his 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. Scarth will typically discuss the limits of confidentiality with you at the beginning of your treatment.
- What does a Psychiatrist like Scarth specialize in?
- A Psychiatrist is a medical doctor (MD) who has completed specialized training in psychiatry, which is the branch of medicine focused on the diagnosis, treatment, and prevention of mental, emotional, and behavioral disorders. Unlike psychologists, psychiatrists can prescribe medication. He is a Psychiatrist who assesses, diagnoses, and treats mental, emotional, and behavioral disorders through medication, psychotherapy, or other interventions. Scarth is trained to assess both the mental and physical aspects of psychological problems and can provide a range of treatments including psychotherapy, medications, and sometimes other interventions like ECT or rTMS.
- What if I experience side effects from medication prescribed by Scarth?
- It's common for psychotropic medications to have potential side effects, especially when starting a new medication or adjusting a dose. Scarth will discuss common side effects to watch for. If you experience side effects, it's very important to communicate this to Scarth or his office promptly. Do not stop taking your medication suddenly unless instructed to do so by Scarth, as this can sometimes cause withdrawal symptoms or a worsening of your condition. Scarth can help manage side effects by adjusting the dosage, switching to a different medication, or suggesting strategies to mitigate them.
Crescent Beach Medical Arts
211-1522 Finlay St
White Rock, BC V4B 4L9
Phone: (236) 975-1008
The facility is wheelchair accessible and aims to provide a comfortable and private environment for all patients.
Dr. Scarth is a licensed Psychiatrist regulated by the College of Physicians and Surgeons of British Columbia (CPSBC) under the Health Professions Act in BC. A referral from a family physician or another medical doctor is typically required for consultations with Dr. Scarth for services covered by the provincial health plan.
Verify registration with the College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/312247/Scarth%2CBrian