Dr. Nancy Patricia Hana Miki – Psychiatrist | Vancouver, BC

Dr. Nancy Patricia Hana Miki 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 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.

Dr. Miki graduated with a Medical Degree from the University of Toronto, Canada, and holds specialty certification as a Psychiatrist. She is certified by the Royal College of Physicians and Surgeons of Canada, ensuring adherence to the highest standards of psychiatric practice and ongoing professional development.

Her clinical philosophy emphasizes collaborative care, patient empowerment through education and understanding, and evidence-based treatment approaches. Dr. Miki is dedicated to fostering a therapeutic alliance built on trust and respect, providing individualized care to her patients in Vancouver. She communicates in English and is committed to supporting her patients’ mental health journeys with compassion and professionalism.

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

Mood Disorders

• 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.
• 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.

Schizophrenia Spectrum & Other Psychotic Disorders

• Schizoaffective Disorder: A condition that includes symptoms of both schizophrenia (like hallucinations or delusions) and a mood disorder (like depression or mania).
• Delusional Disorder: Characterized by one or more firmly held false beliefs (delusions) that persist for at least one month, without other prominent symptoms of schizophrenia.
• Schizophrenia: A serious mental disorder affecting how a person thinks, feels, and behaves, often involving delusions, hallucinations, disorganized speech, and impaired functioning.

Anxiety, OCD & Trauma-Related Disorders

• Social Anxiety Disorder (Social Phobia): Intense fear or anxiety of social situations where one might be scrutinized by others, leading to avoidance.
• Specific Phobias (e.g., heights, animals, injections): Intense, irrational fear of a specific object or situation that poses little or no actual danger.
• 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. Nancy Miki for an accurate diagnosis and tailored treatment plan.

• Psychodynamic Psychotherapy / Psychoanalytic Psychotherapy: Exploratory therapy focused on understanding how past experiences and unconscious patterns influence current feelings, thoughts, and behaviors.
• 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.
• 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).
• Second Opinion Consultations for Complex Psychiatric Cases: Providing expert second opinions on challenging diagnoses, treatment-resistant conditions, or complex psychopharmacological management plans.
• Treatment of Psychotic Disorders (Schizophrenia, Schizoaffective Disorder) with Antipsychotics: Management of schizophrenia spectrum and other psychotic disorders using first and second-generation antipsychotic medications, including long-acting injectables where appropriate.
• 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.

Note: This list provides a general overview. Treatment approaches are highly individualized. Please discuss with Dr. Miki 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. Miki practices at a mental health clinic located within Vancouver's Hastings-Sunrise neighbourhood, in the area of Burrard Inlet East. The facility is situated conveniently near Queen Elizabeth Park and Cambie Village, accessible via public transit options such as TransLink's SkyTrain Expo, Millennium, and Canada Lines, as well as bus, SeaBus, and West Coast Express routes at Waterfront Station. The practice environment is designed to be discreet, welcoming, and accessible, with the facility being wheelchair accessible and aiming to provide a comfortable and private environment for all patients. Parking is available at or near the location, with designated accessible parking spots to ensure ease of access for all visitors.

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

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

Do I need a referral to see Miki, 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 Miki 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.

How is confidentiality handled in psychiatric care?

Confidentiality is a cornerstone of psychiatric care. Information you share with Dr. Miki and her 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. Miki will typically discuss the limits of confidentiality with you at the beginning of your treatment.

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

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

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

3rd Floor-2750 Hastings St E, Early Psychosis Intervention
Vancouver, BC V5K 1Z9

Phone: (604) 675-3875 | Fax: (604) 675-3894

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

Dr. Miki 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. Miki 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/328001/Miki%2CNancy