Dr. Rachel Allegra Rothbart – Psychiatrist | North Vancouver, BC

Dr. Rachel Allegra Rothbart 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 within a hospital department in North Vancouver, BC, she is a key member of the local mental healthcare community. 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. Rothbart adheres to the standards and ethical guidelines established by the College of Physicians and Surgeons of British Columbia (CPSBC), ensuring the highest quality of psychiatric services.

She graduated with a Medical Degree from the University of the Witwatersrand in South Africa and holds specialty certification as a Psychiatrist. She has obtained key certifications including those from the Royal College of Physicians and Surgeons of Canada, demonstrating her commitment to ongoing professional development and adherence to Canadian psychiatric standards.

Dr. Rothbart’s clinical philosophy emphasizes collaborative care, patient empowerment through education and understanding, and evidence-based treatment approaches. She strives to establish a therapeutic alliance built on trust and respect, dedicated to supporting her patients in North Vancouver through personalized mental health care in English. Her goal is to foster a compassionate environment where patients feel heard, understood, and actively involved in their journey toward mental wellness.

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

Mood Disorders

• 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.
• 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.

Personality Disorders

• Narcissistic Personality Disorder (NPD): A pattern of grandiosity, need for admiration, and lack of empathy.
• 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.

Substance-Related & Addictive Disorders (Dual Diagnosis)

• 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).
• Alcohol Use Disorder: A chronic relapsing brain disorder characterized by an impaired ability to stop or control alcohol use despite adverse social, occupational, or health consequences.

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

• 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.
• 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.
• 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.
• Psychopharmacological Management & Medication Optimization: Prescribing, monitoring, and adjusting psychotropic medications (e.g., antidepressants, antipsychotics, mood stabilizers, anxiolytics, stimulants) to treat various mental health disorders, focusing on efficacy, tolerability, and minimizing side effects.
• 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.

Note: This list provides a general overview. Treatment approaches are highly individualized. Please discuss with Dr. Rothbart 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.

Located in the areas near central North Vancouver, Dr. Rothbart’s practice is situated within a well-established mental health facility. The clinic serves patients from the local neighborhood and surrounding communities, with easy access via local public transit. The facility is wheelchair accessible and aims to provide a comfortable and private environment for all patients. Parking is convenient with metered street parking and nearby public lots. The practice offers a discreet, welcoming atmosphere, ensuring confidentiality and ease of access for individuals seeking mental health support in North Vancouver.

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

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

Do I need a referral to see Rothbart, 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 Rothbart 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 Rothbart?

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

When should someone consider a referral to a Psychiatrist like Rachel Rothbart?

A referral to a Psychiatrist like Dr. Rothbart 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.

Does Rothbart offer psychotherapy (talk therapy)?

Many psychiatrists, including potentially Rothbart, 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 Rothbart'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.

How is confidentiality handled in psychiatric care?

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

1337 St. Andrews Ave, Hope Centre - Lion's Gate Hospital
North Vancouver, BC V7L 0B8

Phone: (604) 984-5000 | Fax: (604) 983-6073

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

Dr. Rothbart 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. Rothbart 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/335578/Rothbart%2CRachel