Dr. Garen Gharakhanian

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

Other Psychiatric Conditions & Focus Areas

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

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.

Personality Disorders

• Antisocial Personality Disorder (ASPD): A pattern of disregarding or violating the rights of others, often involving deceitfulness, impulsivity, irritability, and lack of remorse.
• Narcissistic Personality Disorder (NPD): A pattern of grandiosity, need for admiration, and lack of empathy.
• Avoidant Personality Disorder: Characterized by social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation.

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

• Treatment of Anxiety Disorders (GAD, Panic, Social Anxiety, OCD, PTSD) with Medication: Use of anxiolytics, antidepressants (SSRIs, SNRIs), and other medications to manage symptoms of generalized anxiety disorder, panic disorder, social phobia, obsessive-compulsive disorder, and post-traumatic stress disorder.
• 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.
• Psychodynamic Psychotherapy / Psychoanalytic Psychotherapy: Exploratory therapy focused on understanding how past experiences and unconscious patterns influence current feelings, thoughts, and behaviors.
• Second Opinion Consultations for Complex Psychiatric Cases: Providing expert second opinions on challenging diagnoses, treatment-resistant conditions, or complex psychopharmacological management plans.
• Interpersonal Therapy (IPT): A time-limited therapy that focuses on interpersonal relationships and social functioning as they relate to current psychiatric symptoms, particularly depression.
• 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. Gharakhanian 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. Gharakhanian practices at a mental health clinic located in areas near central North Vancouver, BC. The facility is situated close to local points of interest and is easily accessible via local public transit. The practice is situated in a discreet, welcoming environment that prioritizes patient comfort and privacy. The facility is wheelchair accessible and aims to provide a comfortable and private environment for all patients. Metered street parking and nearby public lots are available, ensuring convenient access for patients and visitors. The practice's location fosters a calm, confidential atmosphere, making it an ideal setting for sensitive mental health care and ongoing treatment.

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

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

Do I need a referral to see Gharakhanian, 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 Gharakhanian 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 if I experience side effects from medication prescribed by Gharakhanian?

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

Does Gharakhanian offer psychotherapy (talk therapy)?

Many psychiatrists, including potentially Gharakhanian, 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 Gharakhanian'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.

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

A referral to a Psychiatrist like Dr. Gharakhanian 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. Gharakhanian 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. Gharakhanian will typically discuss the limits of confidentiality with you at the beginning of your treatment.

What does a Psychiatrist like Gharakhanian 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. Gharakhanian 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.

145 West 17th Street, # 350
North Vancouver, BC V7M 3G4

Phone: (604) 982-5600 | Fax: (604) 982-5601

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

Dr. Gharakhanian 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. Gharakhanian 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/312898/Gharakhanian%2CGaren