Thursday, April 21, 2016

Concerns about autism spectrum disorder: Where to get advice, a diagnosis and treatment in Vancouver/Burnaby and the lower mainland.

I conduct diagnostic assessments for autism spectrum disorder (ASD), sometimes called Asperger's Disorder, with individuals aged 6 and above. There are special conditions for those below the age of six involving a team of professionals that I cannot make arrangements for, however, another member of a team may ask me to participate in such an investigation. Private assessments are costly, with the cost ranging from $1,600-$1,950. The BC government does provide for these assessments through their own system. If you wish to make arrangements for the government to provide an assessment please see your family doctor who may refer you to the British Columbia Autism Assessment Network (BCAAN) for assessment and diagnosis. There are, sometimes, substantial waiting lists. Also, while at one age a child may not meet the criterion for a diagnosis, as two, three or more years go by patterns may develop that make the diagnosis much clearer, and sometimes it is very difficult to arrange a second assessment, so families often contact a private psychologist such as myself.
From the BCAAN site: "BCAAN is responsible for assessing and diagnosing children in British Columbia who may have Autism Spectrum Disorder (ASD) and will arrange for an assessment to be done as close to where you live as possible. There is no charge for their services. For more information on ASD diagnosis and testing, visit the BCAAN website or contact BCAAN at 604 453-8343." 
Often parents who wish to arrange for a private diagnostic assessment. BCANN states: "These assessments must meet the same standards and guidelines as BCAAN assessments. The clinician will need to complete a Non-BCAAN (Private) Diagnosis of Autism Spectrum Disorder form to document the diagnosis if the family wishes to apply for Autism Funding programs. Parents are responsible for any costs charged by the private clinician."  Clinicians who provide these services must have specific tools and experience, these include the use of the ADOS and ADI-R assessment instruments, required by the provincial government to accept the practitioner's diagnosis. Many times parents see a practitioner who is not familiar with the government requirements, and then, regretfully, need to have a new assessment completed. Make sure your provider knows their way around these regulations. 
I complete diagnostic assessments on children, adolescents/teens, as well as adults who suspect they have autism spectrum disorder, or what previously had been referred to as "Asperger's Disorder." In addition to being a registered psychologist I am also an approved member of the RASP list of behaviour interventionists, and my services (after diagnosis and acceptance of the diagnosis by the ministry) are paid for through ministry fundings. I provide autism consultation services to parents, families, brothers and sisters of children or teens with autism spectrum disorder or "Asperger's" who may be having relational difficulties, I provide training and consultation to individual teachers, schools, and the workplace of many young adults. i also provide couples therapy for individuals who are in relationships and one or both may have autism spectrum disorder of "Asperger's Disorder." These services are provide in my Burnaby office, and some arrangements can be made for my Vancouver office.
If your child is diagnosed with ASD, you may be eligible to receive funding from the ministry's Autism Funding Programs. If your child does not have ASD, there may be other services to assist you and your child such as tax credits or special education services and supports based upon other issues such as learning disorders, ADHD or dyslexia. Many of these issues require additional testing, such as a psychoeducational assessment.
My services are available to those with autism spectrum disorder of any age. Please contact me through my webpage at www.relatedminds.com. Email is the best way to make arrangements for an initial meeting, as I am often with patients throughout the day.

Wednesday, April 20, 2016

Couple Therapy for Families Dealing with Autism Spectrum Disorder, Asperger's and Related Cognitive Disorders

Dr. Jim Roche provides individual and couple therapy for families dealing with autism spectrum disorder/ Asperger's. Dr. Roche has been working with adults and couples dealing with autism/Asperger's for over twenty years as a registered family therapist and licensed/registered psychologist. His post-graduate background in neuropsychology and specific training in couples counselling make him uniquely qualified to help couples dealing with this complex issue.

Dr. Roche has also completed training in Gottman Couple's Counselling and holds an advanced certificate in Cognitive Behaviour Therapy from the Albert Ellis Institute in New York City. He has also served as an autism consultant for the province and worked as a behaviour management
specialist for several school districts.

Dr. Roche also provides autism diagnostic assessments and is a member of the ACT/RASP. Services can be paid for through Ministry Autism Services.

For more information visit his website at:
www.relatedminds.com
http://www.actcommunity.ca/resource/902/
http://www.psychologists.bc.ca/users/jimroche 
https://therapists.psychologytoday.com/rms/70682
http://www.ementalhealth.ca/index.php?m=record&ID=21201

Monday, April 4, 2016

Assessment and Treatment for Adults with Asperger's Disorder and High-Functioning Autism
In addition to services for children and adolescents with Asperger's or Autism Spectrum Disorder I am one of the few providers in BC with extensive experience working with young adults and adults with autism and Asperger’s Disorder / Syndrome. As a matter of fact, over the past twenty years more and more of my practice has focused on working with young adults and family,social, school or work-place issues. This includes social coaching, work-place evaluations, intervention planning and family consultations. I see numerous couples where one or both members have or suspect they have ASD. I also complete comprehensive diagnostic evaluations of adult Aspergers for ASD.  These assessments are often used for disability tax credits, qualifying for different types of disability support programs, or qualifying for accommodations and support services in school, university of the workplace.

Services for Autism and Asperger's Disorder / Syndrome
  • Assessment and Diagnostic Services (autism, Asperger’s, ADHD and related disorders). Assessments for Asperger's and high-functioning autism spectrum disorder (ASD) cost a maximum of $1,950.  Forensic assessment, those involving legal or workplace issues, are billed on an individual basis.
  • Workplace consultations and site-based education programs
  • Community-based social coaching programs for individuals with high-functioning autism and Asperger’s Disorder / Syndrome
  • Educational / Social coaching for young adults in the workplace, college, and similar settings
  • Social coaching for adults with high-functioning autism, Asperger's Disorder/Syndrome
  • Couples counselling for couples dealing with adult autism, adult  Asperger's Disorder /Syndrome
Frequently Asked Questions (FAQs):
What is Your Background for Providing Treatment for Adults with Asperger's and High Functioning Autism?

My background for working with adults starts with my work with children and adolescents for over two decades. Understanding adult ASD symptoms requires being familiar with the developmental issues of Asperger's and high-functioning autism. I have worked as a teacher of special education, a school psychologist, a district behaviour specialist for autism and a provincial consultant for autism and related disorders providing consultation throughout the province of British Columbia.
Three other important skills and experience also come into play in working with adults with Asperger's Disorder or high-functioning autism. First, I have several years of experience working as a neuropsychological consultant with Rehab Without Walls in California which provided me with experience in working with workplace related problems. Second, many adults come to me with concerns about their relationships, including couple relations and relations as a parent. Before becoming a registered psychologist I was a licensed and Registered Marriage and Family Therapist and have worked as a couple and family therapist for over 30 years. This includes advanced training in the Gottman Couple's Therapy technique. Third, one of the most commonly used individual therapy techniques when working with adults with Asperger's or High Functioning Autism is Cognitive Behavioural Therapy or CBT. I hold an advanced certificate in CBT from the Albert Ellis Institute in New York City. My original training in psychology was in behaviour therapy, which is often a critical knowledge base when teaching individuals specific compensatory skills.
What are some of the aims of therapy for adults with Asperger's or high functioning autism?
  • 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 
Most importantly, I try to help you discover ways to make life easier, how to reach your goals, and try to help you be as happy and fulfilled in life as you want to be.

Do you work with ADHD (Attention-Deficit/Hyperactivity Disorder) and Executive Dysfunction?
ADHD is now often diagnosed along with Asperger's Disorder of High Functioning Autism. Much of my work with children, adolescents and adults focuses on ADHD and deficits of executive function. Executive function is the concept referring to the cognitive processes required to plan and direct activities, including what we refer to as task-initiation and follow-through, working memory, sustained attention, performance monitoring, inhibition of impulses, and goal-directed persistence. It also affects an individual's ability to control and modulate their emotions.

Many clients I see have deficits in executive functioning which prevents them from having the necessary skills to perform well in school, work or in social settings. With these clients we often need to make diagnostic decisions through testing and assessment, and then develop an individualized treatment plan addressing school, home and work. This might involve individual behavioural therapy, school or work consultation, referral to medical professionals, and psychoeducation.

I often provide reading material, training videos and demonstrate and practice specific intervention techniques with clients. Much of the work we do in the area of ADHD is based upon the research and treatment programs developed by Dr. Russell Barkley. Please refer to my ADHD/ADD page for more information.

What about Anxiety, Depression or Family Issues?
 
Adolescents and adults are seen for both diagnostic assessments and treatment of depression, anxiety and behaviour problems that might arise out of environmental or interpersonal situations. These individuals might take part in cognitive based therapy or counselling, or they might be provided with more traditional supportive therapy.  Anxiety and depression are frequent co-morbid disorders for adults with Asperger's Disorder or high-functioning autism and need to be addressed in treatment.

How Do I Make an Appointment and is there a Waiting List?
You may phone my office at 778.998-7975 or email me to begin setting up an appointment. I always start by meeting for an initial session to gather a developmental history, hear about your current issues, and to develop a plan of where to go from here. An assessment may or may not be the best choice, and you should fully understand what your options are before proceeding. Fees for initial and ongoing sessions are $185.00 per hour and may be paid by cash, check or through PayPal. 

Please visit my website at: