Dr. Casimiro Jose Cabrera Abreu – Psychiatrist | Kingston, ON

Dr. Casimiro Jose Cabrera Abreu is a dedicated Psychiatrist specializing in the diagnosis, treatment, and prevention of a wide range of mental, emotional, and behavioral disorders in adults, and may see older adolescents for certain conditions. Practicing at West Park Healthcare Centre in Kingston, ON, he is a key member of the local mental healthcare community. He provides comprehensive psychiatric care, including diagnostic assessment, medication management, and psychotherapeutic interventions for a variety of conditions such as mood disorders, anxiety disorders, and psychotic disorders. His practice adheres to the standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring high-quality, ethical, and patient-centered care. The environment at his clinic is designed to be welcoming and supportive, fostering a safe space where patients can openly discuss their concerns and work collaboratively towards recovery and well-being.

He obtained his Medical Degree from Universidad De La Laguna in Spain and has accumulated over 9 years of experience as a Psychiatrist since 2015. Dr. Abreu is recognized as a RCPSC Specialist by the College of Physicians and Surgeons of Ontario (CPSO), reflecting his advanced training and commitment to excellence in mental health care. His professional background includes extensive training in psychiatric evaluation, psychopharmacology, and evidence-based psychotherapeutic techniques. He continually updates his skills to incorporate the latest advances in psychiatric medicine, ensuring his patients receive the most effective treatment options available.

Dr. Abreu is committed to a collaborative approach to mental health care, emphasizing patient empowerment through education and understanding. He believes in building a therapeutic alliance based on trust, respect, and open communication. Fluent in both English and Spanish, he is able to effectively communicate with a diverse range of patients, facilitating better understanding and more personalized care. His dedication to the Kingston community extends beyond clinical practice, as he strives to provide compassionate, respectful, and culturally sensitive mental health services tailored to each individual's unique needs.

Dr. Casimiro Abreu provides assessment and treatment for a wide spectrum of mental health conditions, including:

Personality Disorders

• Antisocial Personality Disorder (ASPD): A pattern of disregarding or violating the rights of others, often involving deceitfulness, impulsivity, irritability, and lack of remorse.
• Borderline Personality Disorder (BPD): Characterized by instability in interpersonal relationships, self-image, emotions, and marked impulsivity.
• Obsessive-Compulsive Personality Disorder (OCPD): A preoccupation with orderliness, perfectionism, and mental and interpersonal control, at the expense of flexibility, openness, and efficiency (distinct from OCD).

Mood Disorders

• Adjustment Disorder with Depressed Mood: Development of emotional or behavioral symptoms like sadness or hopelessness in response to an identifiable stressor occurring within 3 months of the onset of the stressor.
• Bipolar Disorder (Type I, Type II, Cyclothymia): Characterized by extreme shifts in mood, energy, activity levels, and concentration, ranging from depressive lows to manic or hypomanic highs.
• Premenstrual Dysphoric Disorder (PMDD): A severe form of premenstrual syndrome (PMS) with significant mood swings, irritability, depression, or anxiety in the week or two before menstruation.

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).
• Brief Psychotic Disorder: A sudden, short-term episode of psychotic behavior, often following a highly stressful event, lasting less than one month.

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

• Dialectical Behavior Therapy (DBT) - Skills Training / Informed Therapy: Providing DBT-informed therapy or facilitating DBT skills groups to help individuals manage intense emotions, reduce self-harming behaviors, and improve relationships, particularly for borderline personality disorder.
• Management of Sleep Disorders (Insomnia, Parasomnias - psychiatric aspects): Pharmacological and behavioral approaches to treating sleep difficulties that are secondary to or co-occurring with psychiatric conditions.
• 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.
• 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.
• Second Opinion Consultations for Complex Psychiatric Cases: Providing expert second opinions on challenging diagnoses, treatment-resistant conditions, or complex psychopharmacological management plans.

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

All psychiatric services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of Ontario (CPSO) and relevant psychiatric care guidelines. Contact the clinic or your referring physician regarding new patient intake and referral processes.

West Park Healthcare Centre is situated in Kingston's Downtown Kingston, Queen's University Area, and Sydenham Ward neighborhood. The facility is conveniently accessible via Kingston Transit, with stops nearby allowing easy access for patients. The location is close to Kingston Centre (redeveloping) and the Grand Theatre, providing a vibrant cultural setting. The building is fully wheelchair accessible and designed to offer a comfortable and private environment for all patients. Ample parking options are available, including metered street parking and nearby public lots. The practice emphasizes a discreet, welcoming atmosphere to ensure patients feel safe and at ease during their visits.

Are psychiatric consultations and treatments with Abreu, a Psychiatrist, covered by Ontario Health Insurance Plan (OHIP) in ON?

Medically necessary consultations, diagnostic assessments, and medication management provided by a licensed Psychiatrist like Abreu are generally covered by Ontario Health Insurance Plan (OHIP) in ON 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 Abreu's office or Ontario Health Insurance Plan (OHIP).

Do I need a referral to see Abreu, 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 Abreu 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.

When should someone consider a referral to a Psychiatrist like Abreu?

A referral to a Psychiatrist like Dr. Abreu 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.

What if I experience side effects from medication prescribed by Abreu?

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

Does Abreu offer psychotherapy (talk therapy)?

Many psychiatrists, including potentially Abreu, are trained in various forms of psychotherapy (talk therapy) and may offer it as part of their treatment approach, either as a standalone treatment or in combination with medication. The specific types of psychotherapy offered can vary (e.g., Cognitive Behavioral Therapy - CBT, psychodynamic therapy, supportive therapy). It's best to inquire directly with Abreu's office or discuss this during your initial consultation to understand his approach to therapy and if it's a service He provides or if He would refer you to another mental health professional like a psychologist or social worker for more intensive or specialized psychotherapy if needed.

How is confidentiality handled in psychiatric care?

Confidentiality is a cornerstone of psychiatric care. Information you share with Dr. Abreu and his team is kept private and protected by law and professional ethics. This means your information will not be disclosed to anyone without your explicit consent, except in very specific situations where there is a legal obligation or an immediate risk of serious harm to yourself or others (e.g., imminent risk of suicide or homicide, child abuse, or a court order). Dr. Abreu will typically discuss the limits of confidentiality with you at the beginning of your treatment.

What does a Psychiatrist like Abreu 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. Abreu 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.

West Park Healthcare Centre
752 King Street West, Division of Respirology
Kingston, ON K7L 4X3

Phone: (613) 544-4900

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

Dr. Abreu is a licensed Psychiatrist regulated by the College of Physicians and Surgeons of Ontario (CPSO) under the Regulated Health Professions Act, 1991 and Medicine Act, 1991 in ON. A referral from a family physician or another medical doctor is typically required for consultations with Dr. Abreu for services covered by the provincial health plan.

Verify registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Cabrera-Abreu-Casimiro-Jose/0264389-94420