Dr. Carina Yolanda Marsay – Psychiatrist | Duncan, BC

Dr. Carina Yolanda Marsay 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 a mental health clinic or hospital department in Duncan, BC, she is a key member of the local mental healthcare community. She 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. Her practice is committed to providing confidential and respectful mental health care, fostering a safe space for patients to explore their concerns and work towards recovery and well-being.

She graduated with a Medical Degree (MD) from the University of the Witwatersrand in South Africa and holds specialty certification as a Psychiatrist recognized by the College of Physicians and Surgeons of British Columbia (CPSBC). She also holds additional certifications including those recognized by the College Registration Committee, ensuring adherence to the highest standards of psychiatric practice and patient safety.

Dr. Marsay's clinical philosophy emphasizes collaborative care, patient empowerment through education and understanding, and the application of evidence-based treatment approaches. She is dedicated to building a therapeutic alliance founded on trust and respect, providing attentive and personalized care to her patients in Duncan. She offers her services in English and strives to support her patients in achieving their mental health goals with compassion and professionalism.

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

Personality Disorders

• Avoidant Personality Disorder: Characterized by social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation.
• Borderline Personality Disorder (BPD): Characterized by instability in interpersonal relationships, self-image, emotions, and marked impulsivity.

Mood Disorders

• Adjustment Disorder with Depressed Mood: Development of emotional or behavioral symptoms like sadness or hopelessness in response to an identifiable stressor occurring within 3 months of the onset of the stressor.
• 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.

Other Psychiatric Conditions & Focus Areas

• Eating Disorders (Anorexia Nervosa, Bulimia Nervosa, Binge Eating Disorder - psychiatric co-management): Serious conditions related to persistent eating behaviors that negatively impact health, emotions, and ability to function, often requiring multidisciplinary care including psychiatric management.
• 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.

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

• 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.
• Interpersonal Therapy (IPT): A time-limited therapy that focuses on interpersonal relationships and social functioning as they relate to current psychiatric symptoms, particularly depression.
• 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.
• 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.
• 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.
• 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.

Note: This list provides a general overview. Treatment approaches are highly individualized. Please discuss with Dr. Marsay 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.

In Duncan, BC, Dr. Marsay practices at a mental health clinic located in an area near central Duncan. The facility is situated close to local points of interest, accessible via local public transit. It is designed to be discreet and welcoming, with the environment aimed at providing a comfortable and private space for all patients. The clinic is wheelchair accessible and strives to accommodate patients with mobility needs. Parking is available at or near the facility, with designated accessible spots to ensure ease of access for everyone. The practice emphasizes a discreet, welcoming atmosphere conducive to open and effective mental health care.

Are psychiatric consultations and treatments with Marsay, a Psychiatrist, covered by Medical Services Plan (MSP) in BC?

Medically necessary consultations, diagnostic assessments, and medication management provided by a licensed Psychiatrist like Marsay 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 Marsay's office or Medical Services Plan (MSP).

Do I need a referral to see Marsay, 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 Marsay 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.

When should someone consider a referral to a Psychiatrist like Marsay?

A referral to a Psychiatrist like Dr. Marsay is typically considered when mental health symptoms are severe, persistent, complex, or not responding adequately to initial treatments provided by a family doctor or therapist. This can include: thoughts of suicide or self-harm; severe depression or mania; psychosis (hallucinations, delusions); debilitating anxiety or panic attacks; complex PTSD; severe OCD; suspected bipolar disorder or schizophrenia; treatment-resistant depression; or when medication management by a specialist is indicated. Psychiatrists are also consulted for diagnostic clarification and comprehensive treatment planning, especially for co-occurring conditions.

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

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

Does Marsay offer psychotherapy (talk therapy)?

Many psychiatrists, including potentially Marsay, 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 Marsay'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.

How is confidentiality handled in psychiatric care?

Confidentiality is a cornerstone of psychiatric care. Information you share with Dr. Marsay 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. Marsay will typically discuss the limits of confidentiality with you at the beginning of your treatment.

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

The main difference is that a Psychiatrist, like Marsay, 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.

3088 Gibbins Rd, Duncan Mental Health and Addiction Services
Duncan, BC V9L 1E8

Phone: (250) 709-3040

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

Dr. Marsay 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. Marsay 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/380173/Marsay%2CCarina