Psychological and Neuropsychological Assessments / Therapy / Coaching
About Dr. Roche
I am a Registered Psychologist and Marriage and Family Therapist with offices in Burnaby, British Columbia. I see children, adolescents, adults and couples for a variety of issues including: depression, anxiety, OCD, ADHD, autism spectrum disorder (ASD or Asperger's Disorder) and related problems. I provide therapy as well as testing and diagnostic services such as psychoeducational, neuropsychological, developmental, and autism spectrum disorder/Asperger's disorder assessments. I have office hours during the day, early evening and some Saturday hours which are usually set aside for assessments. The best way to arrange an appointment is to first contact me by email using the contact form on this website.
Above My Background and Training
I completed much of my training in medical settings including Middeltown Psychiatric Centre, where I completed my internship, Kirby Forensic Psychiatric Centre where I worked as the department chair and provided treatment and assessment services, and worked as the State's expert witness in both civil and criminal cases. I also served on the faculty of New York University Medical Centre and Bellevue Hospital as the director of the forensic internship program. I have also worked at California Medical Facility and San Quentin Prison as a forensic psychologist. In the field of education I have been a 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 POPARD consultant on autism spectrum disorder and served as a school psychologist. My private practice incorporates all of my background, along with my training in family and education law.
NOTICE: My schedule is quite full until August 15th. Please email me to set up an appointment at that time. I may have some cancellations and I will let you know once we communicate with each other.
Services I Provide:
- Assessments: Psycheducational, neuropsychological and diagnostic testing for Asperger's Syndrome, autism, ADHD, learning disabilities and related disorders
- Psychoeducational assessments for college/university students which start with a quick screening for academic difficulties: reading, listening, time-management, writing, math, concentration and memory, organization 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)
- Relationship, couple and family therapy, including Gottman Therapy based services, for couples. I specialize in working with couples dealing with issues involving ADHD, adult autism/Asperger's Disorder and those dealing child behaviour issues. 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 seperate graduate degree in marriage and family therapy.
- 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.
- 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.
Most psychological services are covered by various Canadian extended health care plans, although the extent of coverage varies from plan to plan. As an approved member of the ACT-BC RASP my services for children and teens with Asperger's and autism spectrum disorder are usually covered by Ministry funding in BC. I also provide diagnostic services for families seeking autism services from the provincial government or their local school district. My hourly rate is based upon the suggested fees of the British Columbia Psychological Association, $200. Psychological services are not covered by BC MSP.
Frequently Asked Questions (FAQs)
Do you also 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) andBehavioural and Cognitive Behavioural Therapy (CBT). These services are behaviourally oriented, solution focused and brief.
What about assessment and treatment for ADHD ?
Yes, 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. Psychoeducational assessment, neuropsychological assessments and workplace or forensic assessments are billed separately and fees are discussed at our initial meeting. This usually ranges from $2,400.00 to $2,600.
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?
Yes. In addition to being a Registered Psychologist I am 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 ACT or Acceptance and Commitment Therapy, a type of CBT. I have 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. Many couples see Dr. Roche for consultation when one member has Aspergers Disorder, high functioning autism, ADHD or other related issues. Click here for information on Couple and Marriage Therapy | Counselling
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.
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 INTAKE form
Click here to view and download the INFORMED CONSENT form
Click here to visit the FORMS page.
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 medical exams (IMEs). 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 Thursdays and Fridays. I may be away for periods of time in the summer and a reply may be delayed. While it may take a little while to reach me, we are usually able to set up appointments quick, even for assessments.