About
Dr. James Edward Fabian 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 West Vancouver, 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 the University of Alberta in Canada and holds specialty certification as a Psychiatrist. He is certified by the Royal College of Physicians and Surgeons of Canada, ensuring adherence to high standards of medical practice and ethical care in psychiatry.
Dr. Fabian's clinical philosophy emphasizes collaborative care, patient empowerment through education and understanding, and evidence-based treatment approaches. He is dedicated to providing compassionate care tailored to each patient's unique needs in West Vancouver. Fluent in English, he strives to build a therapeutic alliance based on trust and respect, supporting his patients' journey toward mental wellness.
Dr. James Fabian provides assessment and treatment for a wide spectrum of mental health conditions, including:
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).
- Borderline Personality Disorder (BPD): Characterized by instability in interpersonal relationships, self-image, emotions, and marked impulsivity.
Mood Disorders
- 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.
- Seasonal Affective Disorder (SAD): A type of depression related to changes in seasons, most commonly beginning in the fall and continuing through the winter months.
Anxiety, OCD & Trauma-Related Disorders
- 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.
- Generalized Anxiety Disorder (GAD): Excessive, persistent worry and anxiety about various everyday life events or activities, often difficult to control.
This list is not exhaustive. Effective mental health care is highly personalized. Please consult with Dr. James Fabian for an accurate diagnosis and tailored treatment plan.
- Dialectical Behavior Therapy (DBT) - Skills Training / Informed Therapy: Providing DBT-informed therapy or facilitating DBT skills groups to help individuals manage intense emotions, reduce self-harming behaviors, and improve relationships, particularly for borderline personality disorder.
- Second Opinion Consultations for Complex Psychiatric Cases: Providing expert second opinions on challenging diagnoses, treatment-resistant conditions, or complex psychopharmacological management plans.
- 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.
- 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.
- 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.
- 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. Fabian 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. Fabian practices at a discreet mental health clinic located in the Caulfeild, Eagle Harbour neighborhood of West Vancouver. The facility is situated near the Sea-to-Sky Highway Start, offering easy access via public transit, including TransLink (BlueBus - operated by West Vancouver). The location is designed to be welcoming and accessible, with the facility being wheelchair accessible to ensure a comfortable experience for all patients. Metered street parking and nearby public lots are available, providing convenient options for visitors. The environment is intended to be private and calming, fostering a discreet atmosphere where patients can feel safe and comfortable during their appointments.
- Are psychiatric consultations and treatments with Fabian, a Psychiatrist, covered by Medical Services Plan (MSP) in BC?
- Medically necessary consultations, diagnostic assessments, and medication management provided by a licensed Psychiatrist like Fabian 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 Fabian's office or Medical Services Plan (MSP).
- Do I need a referral to see Fabian, 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 Fabian 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 is the main difference between a Psychiatrist like Fabian and a Psychologist?
- The main difference is that a Psychiatrist, like Fabian, 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 Fabian?
- It's common for psychotropic medications to have potential side effects, especially when starting a new medication or adjusting a dose. Fabian will discuss common side effects to watch for. If you experience side effects, it's very important to communicate this to Fabian or his office promptly. Do not stop taking your medication suddenly unless instructed to do so by Fabian, as this can sometimes cause withdrawal symptoms or a worsening of your condition. Fabian can help manage side effects by adjusting the dosage, switching to a different medication, or suggesting strategies to mitigate them.
- How is confidentiality handled in psychiatric care?
- Confidentiality is a cornerstone of psychiatric care. Information you share with Dr. Fabian 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. Fabian will typically discuss the limits of confidentiality with you at the beginning of your treatment.
- How can I prepare for my first appointment with Fabian?
- For your first psychiatric appointment with Fabian, 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 Fabian can also ensure you get the most out of your consultation.
203-1868 Marine Dr
West Vancouver, BC V7V 1J6
Phone: (604) 921-1130 | Fax: (604) 676-2472
The facility is wheelchair accessible and aims to provide a comfortable and private environment for all patients.
Dr. Fabian 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. Fabian 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/324471/Fabian%2CJames