Dr. Constantine Lai – Psychiatrist | New Westminster, BC

Dr. Constantine Lai 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 New Westminster, BC, he is a key member of the local mental healthcare community. He 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 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.

He graduated with an MD from McMaster University in Canada and holds specialty certification as a Psychiatrist. He also maintains certifications including those from the Royal College of Physicians and Surgeons of Canada, ensuring adherence to the highest standards of psychiatric practice and ongoing professional development.

Dr. Lai’s clinical philosophy is grounded in collaborative care, emphasizing patient empowerment through education and understanding. He utilizes evidence-based treatment approaches and fosters a therapeutic alliance built on trust and respect. Dedicated to serving the community in New Westminster, he provides care in English and strives to support each patient’s journey towards mental wellness with compassion and professionalism.

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

Mood Disorders

• 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.
• Persistent Depressive Disorder (Dysthymia): A chronic form of depression with less severe but longer-lasting symptoms than major depression, present for at least two years.
• 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.

Schizophrenia Spectrum & Other Psychotic Disorders

• Substance/Medication-Induced Psychotic Disorder: Psychotic symptoms (hallucinations or delusions) that develop during or soon after substance intoxication or withdrawal or after exposure to a medication.
• Schizophrenia: A serious mental disorder affecting how a person thinks, feels, and behaves, often involving delusions, hallucinations, disorganized speech, and impaired functioning.

Anxiety, OCD & Trauma-Related Disorders

• Generalized Anxiety Disorder (GAD): Excessive, persistent worry and anxiety about various everyday life events or activities, often difficult to control.
• Obsessive-Compulsive Disorder (OCD): Characterized by unwanted, intrusive thoughts or images (obsessions) and repetitive, ritualistic behaviors (compulsions) performed to reduce anxiety.

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

• Individual Psychotherapy (various modalities): Offering one-on-one talk therapy tailored to individual needs, potentially incorporating elements from different therapeutic approaches (e.g., psychodynamic, CBT, supportive).
• Management of Sleep Disorders (Insomnia, Parasomnias - psychiatric aspects): Pharmacological and behavioral approaches to treating sleep difficulties that are secondary to or co-occurring with psychiatric conditions.
• 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.
• Second Opinion Consultations for Complex Psychiatric Cases: Providing expert second opinions on challenging diagnoses, treatment-resistant conditions, or complex psychopharmacological management plans.
• Couples & Family Therapy (psychiatric context): Providing therapy to couples or families to address relationship dynamics, communication problems, and the impact of mental illness on the family system.
• 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. Lai 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.

Dr. Lai's practice is situated within a dedicated mental health clinic in the Uptown neighborhood of New Westminster, BC. The facility is conveniently located near Queensborough Landing Outlet Mall, with accessible public transit options including TransLink's SkyTrain Expo Line and local bus services. The clinic is wheelchair accessible and aims to provide a comfortable and private environment for all patients. Metered street parking and nearby public parking lots are available for visitors, ensuring ease of access. The setting offers a discreet, welcoming atmosphere, designed to foster trust and support in a serene environment, whether as part of a hospital department or a specialized standalone psychiatric service.

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

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

Do I need a referral to see Lai, 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 Lai 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.

How can I prepare for my first appointment with Lai?

For your first psychiatric appointment with Lai, 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 Lai can also ensure you get the most out of your consultation.

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

A referral to a Psychiatrist like Dr. Lai 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.

How is confidentiality handled in psychiatric care?

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

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

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

330 Columbia St E, Mental Health and Substance Use Building, Royal Columbian Hospital
New Westminster, BC V3L 3W7

Phone: (604) 520-4667

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

Dr. Lai 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. Lai 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/356061/Lai%2CConstantine