Dr. Bastian Bertulies-Esposito

Dr. Bastian Bertulies-Esposito provides assessment and treatment for a wide spectrum of mental health conditions, including:

Schizophrenia Spectrum & Other Psychotic Disorders

• Schizoaffective Disorder: A condition that includes symptoms of both schizophrenia (like hallucinations or delusions) and a mood disorder (like depression or mania).
• Schizophrenia: A serious mental disorder affecting how a person thinks, feels, and behaves, often involving delusions, hallucinations, disorganized speech, and impaired functioning.

Anxiety, OCD & Trauma-Related Disorders

• Obsessive-Compulsive Disorder (OCD): Characterized by unwanted, intrusive thoughts or images (obsessions) and repetitive, ritualistic behaviors (compulsions) performed to reduce anxiety.
• Post-Traumatic Stress Disorder (PTSD): Develops after experiencing or witnessing a terrifying event, involving symptoms like flashbacks, nightmares, severe anxiety, and uncontrollable thoughts about the event.
• Generalized Anxiety Disorder (GAD): Excessive, persistent worry and anxiety about various everyday life events or activities, often difficult to control.

Other Psychiatric Conditions & Focus Areas

• Eating Disorders (Anorexia Nervosa, Bulimia Nervosa, Binge Eating Disorder - psychiatric co-management): Serious conditions related to persistent eating behaviors that negatively impact health, emotions, and ability to function, often requiring multidisciplinary care including psychiatric management.
• Impulse Control Disorders (e.g., Intermittent Explosive Disorder, Kleptomania): Difficulties controlling impulses or urges, leading to behaviors that are harmful to oneself or others.
• Dissociative Disorders: Conditions involving disruptions or breakdowns of memory, consciousness, awareness, identity, and/or perception, often linked to trauma.

This list is not exhaustive. Effective mental health care is highly personalized. Please consult with Dr. Bastian Bertulies-Esposito for an accurate diagnosis and tailored treatment plan.

• Individual Psychotherapy (various modalities): Offering one-on-one talk therapy tailored to individual needs, potentially incorporating elements from different therapeutic approaches (e.g., psychodynamic, CBT, supportive).
• Capacity Assessment (Mental Capacity/Competency Evaluation - specific contexts): Specialized evaluations to determine an individual's mental capacity to make informed decisions regarding treatment, finances, or other legal matters, often in forensic or geriatric settings.
• Group Therapy (various focuses, e.g., mood disorders, anxiety, trauma, DBT skills): Facilitating therapeutic groups where individuals with similar concerns can share experiences, learn coping strategies, and receive mutual support under the guidance of a therapist.
• Treatment of Psychotic Disorders (Schizophrenia, Schizoaffective Disorder) with Antipsychotics: Management of schizophrenia spectrum and other psychotic disorders using first and second-generation antipsychotic medications, including long-acting injectables where appropriate.
• Comprehensive Psychiatric Assessment & Diagnostic Evaluation: In-depth clinical interview to assess mental health status, including review of psychiatric and medical history, family history, psychosocial factors, symptom patterns, and formulation of a multiaxial diagnosis according to DSM/ICD criteria.
• Neuropsychiatric Evaluation & Cognitive Assessment (Initial Screening/Referral): Initial assessment of cognitive function and neuropsychiatric symptoms, with referral for detailed neuropsychological testing if indicated, to differentiate psychiatric from neurological conditions.

Note: This list provides a general overview. Treatment approaches are highly individualized. Please discuss with Dr. Bertulies-Esposito for care relevant to your specific mental health needs.

All psychiatric services are provided in accordance with the standards of practice set by the Collège des médecins du Québec (CMQ) and relevant psychiatric care guidelines. Contact the clinic or your referring physician regarding new patient intake and referral processes.

Dr. Bastian Bertulies-Esposito practices within the CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Département de psychiatrie, situated in Montréal's Plateau Mont-Royal South / Village East neighborhood. The facility is conveniently accessible via public transit, including Société de transport de Montréal (STM) services such as the Métro and Bus. It is located near notable landmarks like the Pointe-à-Callière Museum (Old Montreal) and Lachine Canal National Historic Site, offering a scenic and tranquil environment for patients. The clinic is wheelchair accessible and strives to provide a comfortable and private environment for all patients. Parking options include metered street parking and nearby public lots, ensuring ease of access for those arriving by car. The location fosters a discreet, welcoming atmosphere where patients can feel at ease to discuss their mental health concerns.

Are psychiatric consultations and treatments with Bertulies-Esposito, a Psychiatrist, covered by Régie de l'assurance maladie du Québec (RAMQ) in QC?

Medically necessary consultations, diagnostic assessments, and medication management provided by a licensed Psychiatrist like Bertulies-Esposito are generally covered by Régie de l'assurance maladie du Québec (RAMQ) in QC when a referral from a family doctor is in place. Coverage for psychotherapy services provided by a psychiatrist can vary; some provinces cover it, while others may have limitations or it may be part of hospital-based programs. Specific medications may also require special authorization or be subject to formulary restrictions. It's crucial to discuss coverage specifics for therapy or any specialized treatments with Bertulies-Esposito's office or Régie de l'assurance maladie du Québec (RAMQ).

Do I need a referral to see Bertulies-Esposito, a Psychiatrist?

Yes, a referral from your family physician or another medical doctor (e.g., a pediatrician for child psychiatry, or an ER physician for urgent assessment) is almost always required to see a Psychiatrist such as Bertulies-Esposito for services covered by the provincial health plan. Mental health conditions often benefit from initial assessment by a primary care provider who can determine the need for specialist psychiatric care. The referral ensures coordinated care, appropriate triaging, and transfer of relevant medical history.

What if I experience side effects from medication prescribed by Bertulies-Esposito?

It's common for psychotropic medications to have potential side effects, especially when starting a new medication or adjusting a dose. Bertulies-Esposito will discuss common side effects to watch for. If you experience side effects, it's very important to communicate this to Bertulies-Esposito or his office promptly. Do not stop taking your medication suddenly unless instructed to do so by Bertulies-Esposito, as this can sometimes cause withdrawal symptoms or a worsening of your condition. Bertulies-Esposito can help manage side effects by adjusting the dosage, switching to a different medication, or suggesting strategies to mitigate them.

What does a Psychiatrist like Bertulies-Esposito specialize in?

A Psychiatrist is a medical doctor (MD) who has completed specialized training in psychiatry, which is the branch of medicine focused on the diagnosis, treatment, and prevention of mental, emotional, and behavioral disorders. Unlike psychologists, psychiatrists can prescribe medication. He is a Psychiatrist who assesses, diagnoses, and treats mental, emotional, and behavioral disorders through medication, psychotherapy, or other interventions. Bertulies-Esposito is trained to assess both the mental and physical aspects of psychological problems and can provide a range of treatments including psychotherapy, medications, and sometimes other interventions like ECT or rTMS.

When should someone consider a referral to a Psychiatrist like Dr. Bertulies-Esposito?

A referral to a Psychiatrist like Dr. Bertulies-Esposito is typically considered when mental health symptoms are severe, persistent, complex, or not responding adequately to initial treatments provided by a family doctor or therapist. This can include: thoughts of suicide or self-harm; severe depression or mania; psychosis (hallucinations, delusions); debilitating anxiety or panic attacks; complex PTSD; severe OCD; suspected bipolar disorder or schizophrenia; treatment-resistant depression; or when medication management by a specialist is indicated. Psychiatrists are also consulted for diagnostic clarification and comprehensive treatment planning, especially for co-occurring conditions.

CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Département de psychiatrie
1560 rue Sherbrooke Est
Montréal, QC H2L 4M1

Phone: (514) 413-8777

The facility is wheelchair accessible and aims to provide a comfortable and private environment for all patients.

Dr. Bertulies-Esposito is a licensed Psychiatrist regulated by the Collège des médecins du Québec (CMQ) under the Medical Act in QC. A referral from a family physician or another medical doctor is typically required for consultations with Dr. Bertulies-Esposito for services covered by the provincial health plan.

Verify registration with the Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=20364