Dr. Erin Kathleen Smith-Khany – Psychiatrist | Vancouver, BC

Dr. Erin Kathleen Smith-Khany 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 Vancouver, 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 adheres to the standards set by the College of Physicians and Surgeons of British Columbia (CPSBC), ensuring high-quality, ethical, and confidential care for all patients.

She holds a medical degree (MB BCh BAO) from the University of Dublin (Ireland) and is certified as a Psychiatrist by the Royal College of Physicians and Surgeons of Canada. Her training and certifications enable her to provide specialized mental health care across a broad spectrum of psychiatric conditions, utilizing evidence-based approaches tailored to individual patient needs.

Dr. Smith-Khany is committed to a collaborative, patient-centered approach, emphasizing education, empowerment, and trust. She strives to foster a supportive therapeutic relationship, ensuring patients feel heard, respected, and actively involved in their treatment journey. Her clinical philosophy is grounded in evidence-based practices, and she provides care primarily in English to serve the diverse Vancouver community with compassion and professionalism.

Dr. Erin Smith-Khany provides assessment and treatment for a wide spectrum of mental health conditions, including:

Other Psychiatric Conditions & Focus Areas

• 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.
• 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.
• Dissociative Disorders: Conditions involving disruptions or breakdowns of memory, consciousness, awareness, identity, and/or perception, often linked to trauma.

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.
• 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.
• Major Depressive Disorder (MDD) / Clinical Depression: Persistent feelings of sadness, loss of interest or pleasure, fatigue, changes in appetite or sleep, and difficulty concentrating, significantly impairing daily functioning.

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.
• Borderline Personality Disorder (BPD): Characterized by instability in interpersonal relationships, self-image, emotions, and marked impulsivity.

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

• 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.
• Psychodynamic Psychotherapy / Psychoanalytic Psychotherapy: Exploratory therapy focused on understanding how past experiences and unconscious patterns influence current feelings, thoughts, and behaviors.
• Cognitive Behavioral Therapy (CBT): A structured, goal-oriented psychotherapy that helps individuals identify and change negative thought patterns and behaviors contributing to mental health problems like depression, anxiety, and OCD.
• 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.
• 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. Smith-Khany 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 Fairview neighbourhood, Dr. Erin Smith-Khany practices within a dedicated mental health clinic that offers a discreet and welcoming environment. The facility is situated near the Museum of Vancouver / H.R. MacMillan Space Centre (Vanier Park), making it a convenient choice for residents and visitors alike. Accessible via TransLink (SkyTrain Expo/Millennium/Canada Lines, Bus, SeaBus, West Coast Express - Waterfront), the location is well-connected and easy to reach. The clinic is wheelchair accessible and strives to provide a comfortable and private environment for all patients. Paid parking options are conveniently located nearby, some with direct access to the building, ensuring ease of parking for those attending appointments. The practice prioritizes confidentiality, comfort, and accessibility to support patients in their mental health journey.

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

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

Do I need a referral to see Smith-Khany, 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 Smith-Khany 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 Smith-Khany offer psychotherapy (talk therapy)?

Many psychiatrists, including potentially Smith-Khany, 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 Smith-Khany'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 Smith-Khany and a Psychologist?

The main difference is that a Psychiatrist, like Smith-Khany, 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.

When should someone consider a referral to a Psychiatrist like Smith-Khany?

A referral to a Psychiatrist like Dr. Smith-Khany 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 does a Psychiatrist like Smith-Khany 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. She is a Psychiatrist who assesses, diagnoses, and treats mental, emotional, and behavioral disorders through medication, psychotherapy, or other interventions. Smith-Khany 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.

2775 Laurel St, UBC Faculty of Medicine
Vancouver, BC V5Z 1M9

Phone: (604) 875-2025

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

Dr. Smith-Khany 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. Smith-Khany 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/334350/Smith-Khany%2CErin