Dr. Roche, Registered Psychologist BC1610
Practicing in the Fields of Educational,
Clinical and Neuropsychology
I am a Registered Psychologist in Burnaby, British Columbia. I see children, adolescents, adults and couples 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 disorder assessments and diagnosis.
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 a week to contact us again, as it means we have no appointments available at the moment. We usually return emails and phone calls on Weds, Thursday and Friday. Please, when emailing make use of the subject line and tell us quickly what the issue is. This helps us prioritise or waiting list.
While I do provide therapy services, for the most part those services are focused on individuals we have assessed with ADHD, autism spectrum disorder/Aspergers and related issues. I focus on these areas as they are underserved in British Columbia.
FOR TESTING AND ASSESSMENTS we set up an initial appointment to review your history and current issues, and then set up an appointment 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. Psychoeducational testing is often performed by myself and members of my team who are all certified school psychologists and, like myself, have many years of experience working in the classroom. If you are involved in ANY kind of legal issue, you need to tell us before we meet. Legal issues, such as those relating to a motor vehicle accident or employment related issues need to be arranged by your legal representative, not by you.
We also 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.
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.
I work with couples dealing with ADHD, adult autism/Asperger's Disorder and those dealing child behaviour issues relating to these disorders. I have been a registered family therapist and clinical member of the American Association for Marriage and Family Therapy for over thirty years and hold a separate graduate degree in marriage and family therapy. Again, these services are primarily available to patients I have seen for an assessment.
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). These examinations need to be arranged through your legal representative. These complex exams are usually arranged through your legal representative or insurance carrier.
Teacher/Staff training and consultation: I have provided staff consultation to teachers, schools and mental health service organizations throughout British Columbia, California and Europe. This includes individual case consultations and assessment services.
AboUT My Background and Training
I completed much of my training in medical settings including Middletown Psychiatric Center in New York, where I completed my APA Clinical internship, Kirby Forensic Psychiatric Centre, where I worked as the department chair and provided treatment, forensic assessment services, and worked as the State's expert witness in both civil and criminal cases. I served on the Clinical Faculty in Psychiatry at New York University Medical Centre and Bellevue Hospital/Kirby Forensic Centre, and as the director of the forensic internship program. In the field of education I have been a classroom teacher of special education, and director of behavioural services for school districts in New York, California and here in Canada. I have also served as a provincial consultant for autism spectrum disorder, as a school psychologist and as a neuropsychologist for Rehab Without Walls, a home based rehabilitation provider in California. I hold an MA in Family Therapy, a PhD in Clinical Psychology, a Certificate of Advanced Graduate Studies in Educational Psychology and a doctorate of law (JD) in education law and medical malpractice.
Fees for Psychological Services
Most 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.
Children with autism: As an approved member of the ACT-BC RASP my services for children and adolescents with autism spectrum disorder are usually covered by Ministry funding in BC. I make use of Michelle Winner's "Social Thinking" curriculum, and have many years of experience in this field. I also provide diagnostic services for families seeking autism support from the provincial government or their local school district.
An assessment for autism is time consuming and expensive costing $2,400. These assessments take well over 12-15 hours of the psychologist’s time to complete. Please be aware of these costs. Psychoeducational Assessments also cost $2,400. ADHD assessments cost $800-$1,200. If you are undergoing a psychoeducational or autism assessment, the components of an ADHD assessment are incorporated into that assessment and there is no additional fee.
My hourly rate is based upon the suggested fees of the British Columbia Psychological Association, $200. Be aware that unlike other provinces psychological services are not covered by BC MSP.
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 $800-$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.
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, attentional 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 run between $2,400 and $2,600 depending upon the issues presented.
For information about psychoeducational assessments for college and university students see the note above. I complete numerous assessments for students seeking accomodations at Simon Fraser University (SFU), The University of British Columbia (UBC), BCIT 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.
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 (Autism Community Training) Approved Behaviour Interventionist for children with autism ?
Yes. I am an approved behavioural interventionist and consultant with Autism Community Training (Member of the RASP - an approved behaviour interventionist ). I provide behavioural therapy and family consultation. 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 view and download 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.
If you are unfamiliar with e-transfers email me at firstname.lastname@example.org and ask for instructions.
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 yourself - 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
About Dr. Roche's Educational Background and Clinical Experience
I provide psychological treatment and comprehensive assessment services for ADHD, autism spectrum disorder/Asperger's, psychoeducational assessments and independent neuropsychological exams (INEs). I hold graduate degree in counselling psychology and marriage and family therapy from Norwich University, a doctorate in Clinical Psychology from The Union of Experimenting Colleges and Universities (UNION) as well as a post-graduate certificate in educational psychology (Certificate of Advanced Graduate Studies- CAGS) from Vermont College and have completed two years of post-doctoral studies neuropsychology at The Fielding Institute. I hold a second doctorate (education and family law) from The Law School of the City University of New York (CUNY Law).
I completed two years of APA clinical psychology internship at Middletown Psychiatric Center, NYU Medical Center-Bellvue Hospital and Kirby Forensic Psychiatric Center in New York. I have served as the department chair for several agencies, held the position of Clinical Instructor in Psychiatry at NYU Medical Center and hold an advanced certificate in Cognitive Behaviour Therapy from the Albert Ellis Institute in New York. I have worked as a forensic psychologist for the State of New York (the state's expert witness in civil and criminal trials), as a Provincial Consultant for Autism in British Columbia and as the behaviour management specialist for several school districts in the Bay area. I have worked in the field of ADHD, autism spectrum disorder (ASD) and neuropsychological rehabilitation for over 30 years. If you are interested in arranging an appointment for services, please contact me using the form below.
To arrange an appointment, please use the form below. Because of my busy schedule it is best to try to reach me by email. I usually answer emails and phone calls during office hours on Weds, Thursdays and Fridays. I may not be able to answer all emails, but you are welcome to email me more than once. I may be away for periods of time in the summer and a reply may be delayed. 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 to contact us again, as it means we have no appointments available for three too four weeks.