Toronto Team

Dr. Rylie Moore, C.Psych.


If you are reading this, you have already taken a brave step towards reaching out and finding the help you deserve. I admire your courage to start making a positive change in your life. Broadly speaking, I work on issues with clients including neuropsychology, sexuality, gender identity/transition, trauma or post-traumatic stress disorder, anxiety, depression, psychosis, family and relationship issues, loss and grief, self-esteem and assertiveness, and workplace stress. Through advocacy and community engagement, I strive to promote awareness of mental health services to underrepresented and diverse populations, including the LGBT2QA community. I look forward to working with you.

Therapy

In my perspective, issues do not exist in a vacuum. During our appointments, we will work together to understand what is happening for you in its larger context, including your past experiences and your social world. Using this holistic, collaborative and relational approach will ensure the work we do is helpful and meaningful for you. My therapeutic style is an integrated use of various approaches, including cognitive behavioural, interpersonal, emotion-focused, psychodynamic, and mindfulness-based therapies. These approaches provide an effective perspective from which to understand factors that may contribute to and maintain mental health difficulties. In consideration of my ethical responsibility to maximize benefits for my clients, I strive to be a psychologist who is well versed in a range of research-supported interventions and flexible enough to accommodate a diverse range of needs, goals and interpersonal styles. I have come to appreciate that each individual has his/her/xir own interpersonal style and unique way of relating with the world. As such, I believe it is important to consider all facets of you as an individual and to collaboratively develop a treatment plan that will best serve your unique needs. Clients often say they appreciate that I am warm, compassionate and relatable. In addition to therapy, I have training in neuroscience, brain-behaviour relationships, cognitive functioning, and the biological underpinnings of mental health, which offers a unique perspective in working with and understanding you. 

I have specific interests and extensive clinical experience in working with individuals within the LGBT2QA community, including the assessment and treatment of gender dysphoria, as well as the intersection of mental health issues within this community. I am aware that psychological stressors and resulting difficulties are more prevalent within marginalized populations, including the LGBT2QA community, and thus, have sought diverse training to meet the needs of my clients. As such, I have experience and interest in the assessment and treatment of individuals with moderate distress as well as persistent, severe, and complex mental health concerns including anxiety, depression, psychosis, personality disorders, and trauma. While working together, I am aware of, and work directly on, systemic influences (i.e., oppression, racism, marginalization, and stigma) as well as the development of our personal identities, cultural and community connections, and resiliency. If are not familiar with some of these approaches, that is ok! That is part of coming to therapy, and we will work collaboratively so that you become well-informed and engaged in your treatment options.

Neuropsychological Assessment

In addition to my therapy experiences and services, I have extensive training and clinical experience in neuropsychological assessment. A comprehensive neuropsychological assessment will help you understand and formally document your medical or psychiatric condition, such as brain injury and progressive neurological conditions. A neuropsychological assessment can also be helpful if you are looking to learn more about the impacts of substance use, depression, anxiety, or psychosis on your cognitive, academic, and social functioning. A neuropsychological assessment may be used for legal cases, insurance disability applications, or rehabilitation (such as return to work or school planning after a brain injury). It involves an interview, 5-8 hours of formal assessment (e.g., paper-pencil tasks), and feedback session; a total of 10-15 hours. I also work to provide practical recommendations to clients experiencing cognitive and/or emotional difficulties following brain injury or cognitive changes. For example, this could include strategies that may be useful in helping to adjust to new ways of living. 

Gender Affirming Surgery Readiness Assessments

As a psychologist with extensive experience conducting assessments through a gender identity clinic, I am qualified and competent to provide these assessments in the “second assessor” category for those seeking gender-affirming surgeries, such as orchiectomies and vaginoplasties for MtF trans women, and hysterectomies, metaoidioplaties or phalloplasties for FtM trans men. As is my clinical training, I work with adults (and not children or youth). This assessment typically involves 2 hours of clinical interviewing where I will ask questions designed to assess the diagnostic, eligibility and readiness criteria according to the World Professional Association for Transgender Health (WPATH) Standards of Care (SOC 7). As well, 1-2 hours will be spent completing document review, contact with relevant healthcare providers (if necessary), and report writing.

Cautions:

Psychologist services are unlike lawyer services, where you essentially pay someone to argue your case favourably. In psychological assessments, you are paying for a clinical opinion, regardless of its nature. The outcome may be in support of surgery at this time and it is possible it may not be. Like any other kind of assessment, the report is not a negotiated document. I do not alter clinical impressions or selectively include/exclude diagnoses. I will amend factual errors, missing information or typos in a report. It is within your rights to ask me not to send the report to the intended referral source. If the outcome is a non-recommendation at this time, I will explain why and if possible, offer next steps that may assist you in meeting the criteria in the future. However, I recommend you come for assessment when you are sure and informed about the medical intervention you are seeking, have the resources to move forward, and are in a stable place in your life. 


Training Experience 

I graduated from the Clinical Psychology program (Neuropsychology Emphasis) at the University of Victoria and completed my clinical internship at CAMH, where I work in the Adult Gender Identity Clinic and the Complex Mental Illness Program. As well, I am a member of the Canadian Psychological Association, the International Neuropsychological Association, and the Positive Space Network.

Since starting graduate training in 2010 at the University of Victoria (UVic), I have provided clinical services in various out-patient settings, including the UVic psychology clinic, Victoria Child and Youth Mental Health (CYMH) Clinic, the Victoria Forensic Psychiatry Clinic, and the Centre for Addiction and Mental Health (CAMH). I have worked with government agencies, hospitals, and private practice settings to provide individual and group therapy, psychological assessment, and neuropsychological assessment services to adolescents and adults with diverse needs and backgrounds. 

I have published academic articles in peer-reviewed journals, book chapters, and have presented at numerous national and international academic conferences on topics related to gender dysphoria, LGBT2QA advocacy, psychological assessment, executive functions (cognitive abilities that could be described as the CEO of the brain), stuttering, and bilingualism. At the University of Victoria, I have taught two undergraduate courses in neuropsychology and have taught a range of psychology lectures, including neuropsychology, psychopathology, psychological assessment, as well as treatment of mental health disorders.

Moore, W. R. (2016). Progress monitoring in therapy: On-going assessment of mental health symptoms and the therapeutic alliance. Presentation at the Ontario Associations for Psychological Associates (OAPA), Toronto, ON.

Yager, C., Moore, W. R., Yule, M., Lawford, C., de Figuireudo, D. (2016). Gender Identity Consultation Service; Trans health care. Clinical workshop with the Sherbourne Health Center (SHC), SHC, Toronto, ON.

Moore, W. R. (2013). Mr. Gay Canada: Changing perceptions of mental health from within the LGBTQ community. Psynopsis, 35(1), 22.

Garcia-Barrera, M. A., Direnfeld, E., Frazer, J. & Moore, W. R. (2012). Psychological Assessment: From Interviewing to Objective and Projective Measurement. In C.A. Noggle & R. S. Dean (Eds.) The Neuropsychology of Psychopathology. New York: Springer Publishing Company.

Treatments

Assessment

Therapies