Dr. Roche, Registered Psychologist BC1610
Practicing in the Fields of
Educational and Neuropsychology
I am a Registered Psychologist in Burnaby, British Columbia. I see children, adolescents and adults for a variety of issues including: learning disabilities, dyslexia, depression, anxiety, OCD, ADHD, ADD, autism spectrum disorder (ASD or Asperger's Disorder) and related issues. The focus of my practice is on testing or diagnostic services including psycho-educational, neuropsychological, developmental, and autism spectrum disorder (Asperger's) assessments and diagnosis.
AboUT My Background and Training
My background includes two years of clinical internship in family therapy, and then, following my PhD, two years of supervised clinical experience at Middletown Psychiatric and Kirby Forensic Psychiatric Center in New York focused on clinical and forensic psychology. I also completed two years of post-doctoral studies in neuropsychology and then obtained a Certificate of Advanced Graduate Studies (CAGS) at Norwich University in educational psychology. I also hold a doctorate in law from CUNY School of Law as well as an advanced certificate in Cognitive Behaviour Therapy from the Adler Institute in NYC
I have been the behavioural specialist for several school districts, worked as a community-based neuropsychologist for Gentiva Medical Services, as a provincial consultant for autism and related disorders here in British Columbia and as a family consultant for the Department of Defence in Europe and Asia. I have severed as a Clinical Instructor in the Department of Psychiatry at Bellevue Hospital/New York University Medical Center and as the Department Chair for Psychology at Kirby Forensic Center in NYC. I have taught graduate and undergraduate courses at several universities and graduate schools including NYU, Brooklyn College, SUNY New Paltz, Adler University, and as a doctoral supervisor at Norwich University.
I work with two assistants, both certified school psychologists or nationally certified school psychologists (NCSP), each who have several years experience working with students, teachers and parents.
GETTING AN APPOINTMENT
I have office hours during the day, from 10-6pm. Saturday hours are set aside for more lengthy assessments.
The best way to arrange an appointment is to first contact me by email using the contact form below.
While at times it may be difficult to reach us, when we have appointments they are usually available within 10-14 days. If you email or call we will return your call if we have an appointment available within the next 3-4 weeks. We apologise that we cannot return all enquires. If you haven’t heard from us in a week please wait at least 10 days to contact us again, as it means we have no appointments available at the moment. Please, when emailing make use of the subject line and tell us quickly what the issue is. This helps us prioritize our wait list. Include a contact phone number in your email.
Regretfully due to my caseload I am usually only able to provide therapy services for individuals I have assessed with ADHD or Autism Spectrum Disorder (ASD). If you have ADHD or ASD I would suggest you contact the practitioner who provided the assessment and diagnosis, as they are most familiar with your case. For those I am able to see I need a copy of your assessment report and diagnostic tests that were used to make the diagnosis.
It is our practice to set up an initial appointment to review your history and current issues, and then, if appropriate, set up a time for testing. The cost of the initial consultation is $200. This is part of the overall cost of any further testing or assessment we complete. Usually testing is scheduled in 2-4 hour blocks. We complete most testing within 2-4 weeks, and full reports are available shortly thereafter (2-4 weeks). This is considerably shorter than most other providers.
Psychoeducational Testing is performed by myself or members of my team who are all certified school psychologists and, like myself, have many years of experience working in the classroom. The rate for a psychoeducational assessment is $2,400.00 Our assessments are designed to meet the requirements of the Ministry of Education of British Columbia for coding and classification for learning disabilities. Our psychoeducational assessments also look at ADHD and issues relating to executive functioning. We complete psychoeducational assessments with children, adolescents, college students and adults.
ADHD Assessments: We only conduct comprehensive assessments for ADHD. These assessments follow the Canadian ADHD Resource Alliance (CADDRA) guidelines for the diagnosis of ADHD. ADHD assessments include a full personality assessment to rule out other possible causes for your symptoms and co-morbid conditions, and a neuropsychological assessment to better understand the nature of your presentation and help us with developing a treatment plan. The cost of an ADHD assessment is $1,200. Please note, an ADHD assessment does not include an assessment for learning disabilities. Learning disabilities are assessed as part of a psychoeducational assessment (see above). Your family doctor is able to provide you with a brief assessment and diagnosis, which is covered by BC MSP. Usually that consists only of a short interview and 26 question “test.”
Autism Assessments: We provide diagnostic assessments for children, teens and adults who are suspected of having autism spectrum disorder (ASD), sometimes called “Asperger’s Disorder.” These assessments require an initial appointment, and then one or more sessions for testing. Our assessments for children and teens meet the requirements for the Ministry here in BC. We try to focus on late teen and adult assessments, as these are the most underserved populations in British Columbia. We have been doing autism assessments and treatment planning for over 25 years. These assessments cost $2,4000. You will find that average costs for these assessments range from $2,400-$5,000 with other providers. Below I have also provided some suggested on-line screeners for children, adolescents and adults.
If your child is 6 years old or under you need to have the assessment completed by a specialized team which includes a speech pathologist and medical doctor. We do not test children under 6 at this time.
Adoption Assessments: We conduct assessments for adoption agencies. If you need such an assessment please have all the paperwork, or at least a letter from the adoption agency, prepared so we will know if we can complete this and are better able to judge the cost. These run from $1,800-$2,400, depending on the complexity of the assessment the agency requires. Note in the subject line of any email “adoption assessment” to better help us schedule your appointment.
Forensic/Legal Evaluations: We complete both psychological and neuropsychological forensic/legal evaluations, however we only complete these through direct arrangements with your legal representative or insurance company. There are very few situations where an individual should be arranging a legal evaluation. Usually when conducting such an assessment we write reports that specifically address questions presented to us rather than a general evaluation.
Written Reports, Feedback Sessions and Related Forms/Applications: Most testing is completed and then we arrange a meeting to discuss the results, sometimes teach skills that would be useful, and look at community services that would be appropriate. Some individuals also request applications or forms be completed. Because some of these are very complex and can take more than an hour to complete we require payment for these supplemental. We do, as part of our services for those obtaining an IEP, provide a review of the school’s IEP once it is completed.
overview of services WE Provide:
Psychoeducational assessments for school aged, college/university students which start with a quick screening for academic difficulties: reading, listening, time-management, writing, math, concentration and memory, organisation and self-control, oral presentation, anxiety and academic pressure
Individual Cognitive Behaviour Therapy (CBT) for issues ranging from anxiety, depression, OCD, and anger management (I hold an advanced certificate in CBT from the Albert Ellis Institute in New York) is available, but primarily this is for patients I have seen for a diagnosis of ADHD or autism spectrum disorder.
Workplace/Rehabilitation assessments and treatment (WSBC-ICBC)
Psychological consultation and assessment services for those involved in legal issues such as independent neuropsychological or psychological exams (IMEs) and independent psychological exams (IPE). These examinations need to be arranged through your legal representative.
Teacher/Staff training and consultation: I provide staff consultation to teachers, schools and mental health service organizations throughout British Columbia, California and Europe. This includes individual case consultations, assessment services and training workshops.
Fees for Psychological Services
Many psychological services are covered by an individual's extended health care plans, although the extent of coverage varies from plan to plan. Please check with your plan before making an appointment so you understand what is covered, and what is not. In BC patients usually contact their insurance provider to make sure services are covered, and to what extent. They then pay for services at the time they are delivered, and then make a claim with the provider for reimbursement. We also request that you request information on how the billing/receipt should be provided. We bill at an hourly rate, but only break this down if requested prior to the end of the services.
My hourly rate is lower than the average billing rate based upon the suggested fees of the British Columbia Psychological Association, $200.
College and University Students with Learning Disabilities
Please check with your college. There are some college/university based funds available for these services, as well as federal funding. Please note, however, that the funding is only provided after the assessment, and only if you then qualify. I can make no guarantee that you will qualify. You will need to pay for the assessment and seek reimbursement. Again, visit your educational institution's student support centre for more information about funding for assessments, and for information on accommodations.
Frequently Asked Questions (FAQs)
Do you treat anxiety, depression and anger management issues?
Yes. In addition to the diagnostic services mentioned above I provide counselling/therapy for depression, anxiety, stress (including work related stress) using Brief Solution Focused Therapy (BSFT), Behavioural and Cognitive Behavioural Therapy (CBT). I hold an advanced certificate in Cognitive Behaviour Therapy from the Albert Ellis Institute in New york. These services are behaviourally oriented, solution focused and brief. Again, these services are provided primarily for individuals I have seen for ADHD or autism assessments.
What about assessment and treatment for ADHD ?
I provide extensive services for ADHD. Some children and adolescents with ADHD also require a psychoeducational assessment to help develop an educational plan through their school district. As nearly 50% of individuals with ADHD have a co-morbid disorder such as a specific learning disability, anxiety, depression or other mood disorder, the complexity of ADHD testing can vary from individual to individual. Comprehensive ADHD testing costs approximately $1,200. Psychoeducational assessment, neuropsychological assessments and workplace or forensic assessments are billed separately and fees are discussed at our initial meeting. These assessments included several hours of face-to-face testing, scoring and completing an analysis of the test results, and the writing of a comprehensive report for you and the schools based upon these results. We also meet for 1-2 hours to discuss the test results and appropriate interventions for those with specific learning disabilities.
I have been providing ADHD and psychoeducational assessments and treatment for children, adolescents and adults for over 25 years addressing relationship, workplace, school and social issues. If you are a college or university student at SFU, UBC, BCIT or other local school I often recommend an initial session during which we review your history, current symptoms and complete a wide-range screening tool, the Kane Learning Difficulties Assessment (KLDA) which helps us understand your current strenths and weaknesses in a number of areas including reading, listening skills, time management, writing, math skills, concntration and learning, organizational, planing and self control skills, oral presentation issues and anxiety/academic pressure. This screening is usually completed on-line prior to our session, and the results guide us in making determinations about further testing and assessment. Please email or call my office for further information or to set up an appointment.
Do you provide individual, family and couple therapy / counselling?
In addition to being a Registered Psychologist I was also a Registered Marriage and Family Therapist and a Clinical Fellow of AAMFT. Individual, couple or relationship therapy is provided using evidence-based methods such as Cognitive Behavioural Therapy (CBT), Brief Solution Focused Therapy and Acceptance and Commitment Therapy (ACT), a type of CBT. I have also received training in Gottman Therapy techniques as well an Advanced Certificate in cognitive behaviour therapy (CBT) from the Albert Ellis Institute in New York City. CBT has been shown to be effective with depression, stress, anxiety and anger management. Currently my emphasis is on assessment and treatment of ADHD and autism diagnosis. Again, these services are primarily for individuals we have seen for assessments.
Do you provide psychoeducational assessments
for learning disabilities and behaviour problems?
Yes. Are you concerned your child has a learning disorder? Problems with reading, math, motivation or study skills? Do you need help with the IEP process at your school? I can help you with all of these issues. A psychoeducational assessment is often the place to start and is necessary to obtain any school-based accommodations or specialized instruction. Psychoeducational assessments are part of a comprehensive process to assess your child’s school/academic performance and help your child's school develop an Individualized Education Plan (IEP). These assessments help find and diagnose specific learning disabilities, attention problems, ADHD, behavioural and emotional issues or simple poor study skill habits that have an effect on your child's learning.
My assessment results reflect my near decade of teaching in the public schools. I have worked with school districts and teachers for over 30 years as a school psychologist, director of behaviour management services and provincial consultant on autism spectrum disorder. I hold a school psychologist licence and certification as a teacher of special education. I have attended over 500 IEP meetings and worked directly as a consultant to classroom teachers in BC, California and New York. The fee for a psycho-educational assessment is $2,400. For students who need both a psychoeducational assessment and an assessment for autism there is a reduced fee.
For information about psychoeducational assessments for college and university students see the note above. I complete numerous assessments for students seeking accommodations at Simon Fraser University (SFU), The University of British Columbia (UBC), the British Columbia Institute of Technology (BCIT) Douglas college and other local institutions. We are usually able to arrange an assessment within three to four weeks.
Do you provide child behaviour therapy?
Parent education, parent training, and individual child therapy is available for issues ranging from acting-out behaviour to anxiety, OCD, depression and stress. I have been the behaviour management specialist for several school districts, for the provincial government in BC and for federal programs in both Canada and the United States. I have over 30 years experience in the field of child and adolescent therapy. Because of the lack of professionals trained in behaviour therapy I see these types of cases frequently. Usually this is short term therapy, often parent based training is at the heart of what we do.
Do you provide assessment and treatment for adults
with Asperger's Disorder and High Functioning Autism?
In addition to services for children and adolescents, I am one of the few providers in BC working with adults and adults with autism spectrum disorder (ASD) or "Asperger’s Disorder/Syndrome." My practice has focused on working with young adults and social/work-place issues. This includes social coaching, workplace evaluations, intervention planning and family consultations. Full comprehensive evaluations and diagnosis of adult ASD/Aspergers is provided. Some of the aims of therapy for adults with Asperger's or high-functioning autism are:
to teach new cognitive and behavioral skills that were never learned
to teach compensatory strategies for deficits that cannot be changed
to facilitate self-acceptance
to teach strategies to decrease or prevent symptoms of co-morbid mental health problems, such as anxiety disorders and depression
to teach communications skills and skills for developing deeper and meaningful relationships with others
to support success at school, college, university and the workplace
Are you an ACT/RASP (Autism Community Training) Approved Behaviour Interventionist for children with autism ?
I have been an approved behavioural interventionist and consultant with Autism Community Training (Member of the RASP - an approved behaviour interventionist) for nearly 15 years. I provide behavioural therapy and family consultation. If you qualified for Ministry funding, this will usually pay for these services. You need to obtain the appropriate forms and make arrangements with the ministry prior to seeing me. Please CLICK HERE for the Ministry’s webpage that contains the proper form to complete to arrange such funding.
I also provide autism diagnostic testing and assessments for those seeking to qualify for provincial autism funding or appropriate support services in the schools.
Do you work with Military and Service Member Families ?
I have worked extensively with members of the military through the Department of Defense's Military and Family Support programs, working in Europe and Asia on numerous US and NATO bases and I welcome members of the US and Canadian Forces and their families in my practice. I provide services relating to PTSD, stress, anxiety, depression and related disorders.
Is there anything I can prepare for our initial meeting? Intake and Consent Forms
To save time during our initial session you may want to complete the following intake form prior to coming in, and print out and read the informed consent form. We will need to review these briefly, but this procedure can save some time. There may also be forms concerning ADHD or other behavioural forms that are found on the "forms" page which I might ask you to complete.
Click here to view and download the BRIEF INTAKE form
Click here to download and review the INFORMED CONSENT form
Click here to visit the FORMS page where there are a variety of forms you may have been requested to complete.
How can i make payments?
The preferred method of payment is by check, e-transfer or cash.
We can also send you an invoice to pay through e-transfer, again, send an email requesting that and we will process it.
We will send you a password upon request.
Initial sessions and prepayments for testing can be sent through PayPal below.
Note: These are approximate costs.
Here are some forms you might be asked to complete before coming in.
(Don't worry, copies are available in the office.)
For ALL Children, Adolescents and Adults, please complete these forms
Click here for the BRIEF INTAKE FORM
Click here to view and download the INFORMED CONSENT FORM
For Children coming in to see me about educational issues or ADHD
The BASC STRUCTURED DEVELOPMENTAL HISTORY
The CADDRA SNAP IV-Teacher Parent scale (one from the teacher, and from parents)
The CADDRA TEACHER ASSESSMENT FORM (to be completed by the classroom teacher)
The CADDRA WEISS FUNCTIONAL IMPAIRMENT SCALE (Parent Form)
The CADDRA WEISS SYMPTOM RECORD will be completed in the office
For Adults coming to see me about ADHD
The ADULT ADHD SELF-REPORT SCALE (ASRS-V1.1) SYMPTOM CHECKLIST (about current symptoms)
The WENDER UTAH RATING SCALE (This should be completed by a parent, sibling, someone who knew you or about you at or before the age of 12)
The CADDRA WEISS FUNCTIONAL IMPAIRMENT RATING SCALE -SELF REPORT
Click here to visit the FORMS page for other forms
Suggested Screening tests For Autism Related Disorder
For children ages 3-11, I would suggest The Childhood Autism Spectrum Test (CAST) Here is a link to an on-line version:
Autism Screening Tool for Teens ages 12-15
For teens I would suggest The Adolescent Autism Spectrum Quotient (AQ). Here is a link to an on-line version:
Autism Screening Tool for Adults Ages 16+
For adults I would suggest the The Adult Autism Spectrum Quotient (AQ)
EMAIL CONTACT FORM
I apologize that at times it may be difficult to reach us. If you email or call we will return your call if we have an appointment available within the next 3-4 weeks. We cannot promise to return all enquires. If you haven’t heard from us in a week please wait to contact us again, as it means we have no appointments available for four or more weeks. While others health providers may keep waiting lists ranging from 6-12 months we keep a very short waiting list. Once we contact you we usually begin services within a week to 10 days. You are also welcome to contact the British Columbia Psychological Association for a referral near you if your situation is urgent. Below give a brief description of what you need. Use the Subject line to be specific (ADHD Assessment/Autism Assessment for Adult etc.). Leave us a phone contact number, but for your privacy don’t put too much personal or identifiable information in the email.