Dr. Nathan John Unger – Psychiatrist | Port Coquitlam, BC

Dr. Nathan John Unger 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 Port Coquitlam, 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 work is grounded in the standards and ethical guidelines established by the College of Physicians and Surgeons of British Columbia (CPSBC). The practice emphasizes confidentiality, respect, and patient-centered care, fostering a safe environment where individuals can openly explore their concerns and work towards recovery and well-being.

Dr. Unger graduated with a Doctor of Medicine (MD) from the University of British Columbia (Canada). He holds specialty certification as a Psychiatrist and maintains active certifications including those from the Royal College of Physicians and Surgeons of Canada. His training and ongoing professional development ensure he remains current with the latest evidence-based practices in mental health care, enabling him to deliver high-quality, effective treatment tailored to each patient's needs.

Committed to a collaborative approach, Dr. Unger believes in empowering his patients through education, understanding, and active participation in their treatment plans. He fosters a therapeutic alliance built on trust, respect, and open communication. Fluent in English, he provides care that is compassionate and respectful of each individual’s unique circumstances, with a focus on achieving optimal mental health outcomes in a supportive and discreet setting.

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

Substance-Related & Addictive Disorders (Dual Diagnosis)

• 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).

Other Psychiatric Conditions & Focus Areas

• Eating Disorders (Anorexia Nervosa, Bulimia Nervosa, Binge Eating Disorder - psychiatric co-management): Serious conditions related to persistent eating behaviors that negatively impact health, emotions, and ability to function, often requiring multidisciplinary care including psychiatric management.
• Impulse Control Disorders (e.g., Intermittent Explosive Disorder, Kleptomania): Difficulties controlling impulses or urges, leading to behaviors that are harmful to oneself or others.
• 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.

Mood Disorders

• 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.
• 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.

This list is not exhaustive. Effective mental health care is highly personalized. Please consult with Dr. Nathan Unger 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.
• Augmentation & Combination Strategies for Treatment-Resistant Conditions: Employing advanced psychopharmacological strategies, including combining medications or adding augmenting agents, for individuals who have not responded adequately to initial treatments.
• 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.
• Second Opinion Consultations for Complex Psychiatric Cases: Providing expert second opinions on challenging diagnoses, treatment-resistant conditions, or complex psychopharmacological management plans.
• 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.
• Psychodynamic Psychotherapy / Psychoanalytic Psychotherapy: Exploratory therapy focused on understanding how past experiences and unconscious patterns influence current feelings, thoughts, and behaviors.

Note: This list provides a general overview. Treatment approaches are highly individualized. Please discuss with Dr. Unger 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. Unger's practice is located within a mental health clinic in the Central Port Coquitlam neighborhood. The facility is situated near Port Coquitlam City Hall, making it easily accessible from various parts of the city. Public transit options, including TransLink services such as buses and the West Coast Express, provide convenient access for patients. The clinic is wheelchair accessible and aims to provide a comfortable and private environment for all patients. Metered street parking and nearby public lots are available for those arriving by car. The practice is committed to maintaining a discreet and welcoming atmosphere for individuals seeking mental health care in Port Coquitlam.

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

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

Do I need a referral to see Unger, 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 Unger 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 can I prepare for my first appointment with Unger?

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

How is confidentiality handled in psychiatric care?

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

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

A referral to a Psychiatrist like Dr. Unger 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 is the main difference between a Psychiatrist like Unger and a Psychologist?

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

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

1-2232 Elgin Ave, Tri-Cities Mental Health
Port Coquitlam, BC V3C 2B2

Phone: (604) 777-8400 | Fax: (604) 777-8411 | Website: http://www.fraserhealth.ca/

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

Dr. Unger 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. Unger 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/331286/Unger%2CNathan