Dr. Mahnaz Salsali

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

Substance-Related & Addictive Disorders (Dual Diagnosis)

• Cannabis Use Disorder: Continued use of cannabis despite clinically significant impairment or distress.
• Stimulant Use Disorder (e.g., Cocaine, Amphetamines): Problematic pattern of stimulant use leading to impairment or distress.
• Dual Diagnosis (Co-occurring Substance Use Disorder & Other Mental Illness): The simultaneous presence of a substance use disorder and one or more other psychiatric disorders (e.g., depression, anxiety, bipolar disorder, schizophrenia).

Mood Disorders

• 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.
• 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.
• 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.

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.
• Post-Traumatic Stress Disorder (PTSD): Develops after experiencing or witnessing a terrifying event, involving symptoms like flashbacks, nightmares, severe anxiety, and uncontrollable thoughts about the event.

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

• Treatment of Mood Disorders (Depression, Bipolar Disorder) with Medication: Pharmacological management of major depressive disorder, dysthymia, bipolar I & II disorder, and cyclothymia, utilizing evidence-based medication strategies.
• 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.
• 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.
• 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.
• 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.

Note: This list provides a general overview. Treatment approaches are highly individualized. Please discuss with Dr. Salsali 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. Salsali's practice is situated within a well-regarded mental health clinic in North Vancouver, conveniently located near central North Vancouver neighborhoods. The facility is easily accessible via local public transit, with bus stops within walking distance and nearby parking options. Paid parking options are conveniently located, some with direct building access. The clinic is wheelchair accessible and strives to provide a comfortable and private environment for all patients. Its discreet setting ensures confidentiality and a welcoming atmosphere for individuals seeking mental health support. The practice is situated close to local points of interest, making it convenient for patients to attend appointments while maintaining privacy and ease of access.

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

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

Do I need a referral to see Salsali, 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 Salsali 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 Salsali offer psychotherapy (talk therapy)?

Many psychiatrists, including potentially Salsali, 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 Salsali'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 if I experience side effects from medication prescribed by Salsali?

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

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

The main difference is that a Psychiatrist, like Salsali, 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 Salsali?

A referral to a Psychiatrist like Dr. Salsali 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.

PO Box 52257, RPO Lynnmour
North Vancouver, BC V7J 3V5

Phone: (236) 982-9144 | Fax: (604) 969-2320

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

Dr. Salsali 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. Salsali 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/374854/Salsali%2CMahnaz