Dr. Darcy Gilbert Good

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

Substance-Related & Addictive Disorders (Dual Diagnosis)

• Alcohol Use Disorder: A chronic relapsing brain disorder characterized by an impaired ability to stop or control alcohol use despite adverse social, occupational, or health consequences.
• Opioid Use Disorder: A problematic pattern of opioid use leading to clinically significant impairment or distress.

Personality Disorders

• 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).
• Antisocial Personality Disorder (ASPD): A pattern of disregarding or violating the rights of others, often involving deceitfulness, impulsivity, irritability, and lack of remorse.

Anxiety, OCD & Trauma-Related Disorders

• Specific Phobias (e.g., heights, animals, injections): Intense, irrational fear of a specific object or situation that poses little or no actual danger.
• 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.
• 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. Darcy Good 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.
• 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.
• Second Opinion Consultations for Complex Psychiatric Cases: Providing expert second opinions on challenging diagnoses, treatment-resistant conditions, or complex psychopharmacological management plans.
• 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).
• 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.
• Supportive Psychotherapy: A therapeutic approach aimed at reducing distress, reinforcing coping mechanisms, and improving adaptive functioning through a supportive therapeutic relationship.

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

Located in Vancouver's Kensington-Cedar Cottage East neighborhood, the practice operates within a reputable mental health clinic or hospital department that serves the local community. The facility is situated near Riley Park (Nat Bailey Stadium), making it accessible for patients. Public transit options are plentiful, including TransLink's SkyTrain Expo, Millennium, and Canada Lines, as well as bus, SeaBus, and West Coast Express services connecting the area to wider Vancouver. The clinic is wheelchair accessible and aims to provide a comfortable and private environment for all patients. Paid parking options are conveniently located nearby, with some offering direct building access, ensuring ease of access for patients attending appointments.

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

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

Do I need a referral to see Good, 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 Good 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 does a Psychiatrist like Good 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. Good 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 is the main difference between a Psychiatrist like Good and a Psychologist?

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

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

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

How can I prepare for my first appointment with Good?

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

2970 Nanaimo St, Lu'ma Medical Centre
Vancouver, BC V5N 5G3

Phone: (604) 558-8822 | Fax: (604) 398-4546

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

Dr. Good 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. Good 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/345743/Good%2CDarcy