Dr. Annie Metivier

Dr. Annie Metivier provides comprehensive family medical care for a wide variety of health concerns affecting patients of all ages, including but not limited to:

Mental Health Concerns

• Stress-Related Conditions, Burnout & Adjustment Disorders: Providing support, psychoeducation, and coping strategies for managing the physical and emotional impacts of acute or chronic life stressors, workplace burnout, or difficulties adjusting to significant life changes (e.g., bereavement, job loss, relationship changes, illness).
• Attention-Deficit/Hyperactivity Disorder (ADHD) - Assessment & Management (All Ages): A comprehensive and collaborative approach to ADHD care, addressing core symptoms and associated impairments across the lifespan, often involving a multidisciplinary team approach.
• Anxiety Disorders (Generalized Anxiety, Panic Disorder, Social Anxiety - Management): Providing comprehensive assessment, psychoeducation, supportive counseling, lifestyle advice (exercise, mindfulness, sleep hygiene), evidence-based medication management (e.g., SSRIs, SNRIs, buspirone), and facilitating timely referrals for psychotherapy (CBT, DBT, etc.) or psychiatric consultation for common anxiety disorders.
• Depression & Other Mood Disorders (e.g., Dysthymia, Seasonal Affective Disorder - Management): Helping individuals navigate feelings of sadness, hopelessness, and other depressive symptoms, aiming to restore emotional well-being, daily functioning, and prevent relapse.

Dermatological Skin Conditions

• Psoriasis (Mild to Moderate Plaque Psoriasis - Initial Management): Primary care support for individuals with psoriasis, coordinating with specialist care as needed for more advanced treatment options and comprehensive management of this chronic systemic condition.
• Eczema (Atopic Dermatitis), Contact Dermatitis & Seborrheic Dermatitis: Diagnosing and managing various forms of eczema/dermatitis, including atopic dermatitis (the most common type, often starting in childhood), irritant/allergic contact dermatitis (identifying and avoiding triggers), and seborrheic dermatitis (affecting scalp, face, chest). Management focuses on skincare education (frequent emollients, gentle cleansers, lukewarm baths), trigger identification and avoidance, topical corticosteroids (appropriate potency for site and severity), topical calcineurin inhibitors (TCIs like tacrolimus, pimecrolimus), and antihistamines for itch relief. Referral for patch testing or to dermatology for severe or refractory cases.
• Benign Skin Lesion Assessment & Management (Skin Tags, Seborrheic Keratoses, Cysts, Lipomas): Differentiating between benign and potentially suspicious skin lesions is a key role, with prompt biopsy or referral to dermatology if any features suggest skin cancer (melanoma, basal cell carcinoma, squamous cell carcinoma).
• Bacterial Skin Infections (Impetigo, Folliculitis, Cellulitis - uncomplicated): Effective antimicrobial therapy for common bacterial skin infections to resolve infection, prevent spread, and alleviate associated symptoms.

Adult Common Health Issues

• Helicobacter pylori (H. pylori) Infection - Testing & Eradication Therapy: Prescribing evidence-based eradication therapy regimens (typically involving a combination of antibiotics and a proton pump inhibitor - PPI) for confirmed H. pylori infection, according to local guidelines and resistance patterns. Providing patient education on medication adherence and potential side effects.
• Anemia (Iron Deficiency, Vitamin B12/Folate Deficiency - Diagnosis & Management): Managing common types of nutritional anemia such as iron deficiency anemia (oral or intravenous iron supplementation, dietary advice to increase iron intake and absorption, investigation for source of chronic blood loss if suspected - e.g., GI bleed, heavy menses) and megaloblastic anemia due to vitamin B12 or folate deficiency (oral or parenteral supplementation, dietary counseling, investigation for underlying causes like pernicious anemia, malabsorption syndromes - celiac disease, Crohn's, post-gastric surgery, medication effects - metformin, PPIs).
• Allergic Conjunctivitis & Dry Eye Syndrome - Primary Care Management: Diagnosing and managing common eye conditions like allergic conjunctivitis (itchy, red, watery eyes often seasonal or related to specific allergens) with advice on allergen avoidance, cool compresses, artificial tears, and topical/oral antihistamines or mast cell stabilizers. Assessing and providing initial management for dry eye syndrome (keratoconjunctivitis sicca - gritty, burning, foreign body sensation, intermittent blurry vision) with education on environmental modifications, regular use of artificial tears/lubricating ointments, and advice on blinking exercises/lid hygiene. Referral to ophthalmology if symptoms are severe, persistent, vision is affected, or diagnosis is uncertain.
• Benign Prostatic Hyperplasia (BPH) - Symptom Management & Monitoring: Assessing and managing lower urinary tract symptoms (LUTS) in aging men commonly due to benign prostatic hyperplasia (BPH). Symptoms include urinary frequency, urgency, nocturia (waking at night to urinate), weak or intermittent stream, hesitancy, straining, and incomplete bladder emptying. Assessment involves history, International Prostate Symptom Score (IPSS) questionnaire, digital rectal exam (DRE) to assess prostate size/consistency, urinalysis to rule out UTI, and serum PSA discussion (for prostate cancer screening context).

This list offers some examples of common conditions managed in family practice. A diagnosis is always based on an individual assessment by Dr Metivier. If your specific health concern isn't listed, please contact the clinic to discuss your needs.

• Attention-Deficit/Hyperactivity Disorder (ADHD) Care (All Ages - Initial & Ongoing): A comprehensive approach to ADHD care, addressing challenges in attention, hyperactivity, and impulsivity across the lifespan.
• Eating Disorder Screening & Referral Coordination: A sensitive and proactive approach to identifying potential eating disorders and connecting individuals with appropriate, specialized care.
• Management of Common Adult Acute & Chronic Illnesses: Expert management of prevalent adult health concerns to support optimal health, function, and quality of life.
• Sexually Transmitted & Blood-Borne Infection (STBBI) Screening, Counseling & Treatment: Offering routine and risk-based STBBI screening and harm reduction counseling in a supportive and non-judgmental environment.
• Care for Minor Injuries & Acute Musculoskeletal Complaints: Providing first-line care for common minor injuries, including wound care advice, pain management strategies, and guidance on activity modification and rehabilitation.

Note: This list highlights some of the key services offered by Dr Metivier. For a comprehensive understanding of all services, or to discuss your specific health needs, please schedule a consultation.

All services are provided in accordance with the scope of practice for Médecin de familles in QC and the ethical and professional standards set by The Collège des médecins du Québec (CMQ).

At Clinique Médicale Lavaltrie, family medicine is centered on a collaborative partnership to help individuals like you achieve significant improvements in your health, manage ongoing conditions effectively, and enhance your overall well-being. Dr Metivier frequently works with patients towards goals such as:

• If their child having recurrent nosebleeds that seem excessive is a barrier, Dr Metivier develops strategies aimed at achieving substantially better and more integrated management of their multiple co-existing chronic conditions (multimorbidity) through the highly coordinated, holistic, and patient-centered approach to care championed by Dr Metivier, facilitating the ability to enjoy proudly and comfortably attending their children's or grandchildren's various school events, important sports games, recitals, graduations, and artistic performances without being hindered by physical discomfort or lack of stamina.
• Many seek Dr Metivier's help for feeling very irritable or having mood swings that are out of character. The collaborative goal is receiving compassionate, understanding, and effective support and strategies from Dr Metivier for managing a spectrum of mental health challenges including persistent anxiety, significant depression, debilitating grief, overwhelming life stress, or initial symptoms of more complex psychiatric conditions, allowing a return to valued activities like consistently keeping all appointments for essential preventative dental care, vision checks, hearing tests, and other important allied health services as part of a comprehensive approach to their overall health maintenance.

Your personalized healthcare plan, developed in discussion with Dr Metivier, will be thoughtfully designed to help you reach your specific functional, preventative, and wellness objectives. She believes in empowering patients with the knowledge and support needed to take an active role in their health journey.

Dr Metivier practices at Clinique Médicale Lavaltrie, situated in a family medical practice in the central Lavaltrie neighborhood of Lavaltrie. The clinic is conveniently located near local community centers, schools, and shopping areas and is accessible via major local public transit routes. Ample parking is generally accessible close to the clinic entrance; please observe local signage.

How can I find a family doctor (Médecin de famille) in QC who is accepting new patients?

Finding a family doctor in Quebec who is accepting new patients can be challenging. The Collège des médecins du Québec (CMQ) website often has a search tool to help you find doctors in your area. You can also use the Guichet d'accès à un médecin de famille (GAMF) in Quebec. Asking friends, family, or colleagues for recommendations is also helpful. Contacting local community health centres or clinics that specifically mention accepting new patients is another good strategy. Be aware that it may take time to find a doctor.

Do I need a referral to see a family doctor (Médecin de famille) in QC?

Generally, you do not need a referral to see a family doctor in Quebec if that doctor is accepting new patients. However, finding a family doctor who is accepting new patients can be difficult. Resources like the GAMF or the CMQ website may assist in your search. A referral from a family doctor is usually required to see specialists.

Is seeing a family doctor (Médecin de famille) covered by Régie de l'assurance maladie du Québec (RAMQ) in QC?

Medically necessary visits to a family doctor are typically covered by the Régie de l'assurance maladie du Québec (RAMQ) for eligible residents with a valid health card. However, some services, such as cosmetic procedures or travel medicine consultations, may not be covered and could involve additional fees. Please confirm with Clinique Médicale Lavaltrie if you have questions about specific services or potential costs.

What exactly is a family doctor (Médecin de famille) and what is their role?

A family doctor, also known as a general practitioner (GP), is a medical doctor specializing in comprehensive primary healthcare for people of all ages. They are your first point of contact for most health concerns, providing preventative care, diagnosing and treating illnesses, managing chronic conditions, offering mental health support, and referring you to specialists when needed. They build long-term relationships with patients to promote overall well-being.

Clinique Médicale Lavaltrie
201-49 ch Lavaltrie
Lavaltrie, QC, J5T 2H3

Phone: (450) 586-1033

Dr. Annie Metivier is regulated by the Code des professions & Loi médicale (Québec) in QC and is a registered member in good standing with The Collège des médecins du Québec (CMQ).

Registration Number: 99130

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=99130

Family doctors like Dr Metivier are skilled in managing a wide range of health issues. For urgent or life-threatening emergencies, please call 911 or visit the nearest emergency department. It is always recommended to maintain open communication with your family doctor about all aspects of your health, including any treatments received from other practitioners.