Dr. Catherine Paillé

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

Neurodevelopmental Disorders (Psychiatric Aspects)

• Intellectual Disability - Co-occurring Psychiatric Conditions: Diagnosing and managing mental health conditions that can occur alongside intellectual disabilities, adapting treatment approaches as needed.
• Autism Spectrum Disorder (ASD) - Co-occurring Psychiatric Conditions: Management of associated psychiatric conditions like anxiety, depression, OCD, or ADHD that frequently co-occur in individuals with ASD.

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.
• 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.

Anxiety, OCD & Trauma-Related Disorders

• Panic Disorder (with or without Agoraphobia): Recurrent, unexpected panic attacks (sudden periods of intense fear) and persistent concern about having additional attacks or their consequences.
• Generalized Anxiety Disorder (GAD): Excessive, persistent worry and anxiety about various everyday life events or activities, often difficult to control.
• Agoraphobia: Fear and avoidance of situations where escape might be difficult or help unavailable if panic-like symptoms occur, such as public transportation, open spaces, or crowds.

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

• Interpersonal Therapy (IPT): A time-limited therapy that focuses on interpersonal relationships and social functioning as they relate to current psychiatric symptoms, particularly depression.
• 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.
• Family Therapy & Parent Management Training for Child Psychiatric Conditions: Working with families to improve communication, implement behavioral strategies, and support children with mental health challenges.
• 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.
• Treatment of Mood Disorders (Depression, Bipolar Disorder) with Medication: Pharmacological management of major depressive disorder, dysthymia, bipolar I & II disorder, and cyclothymia, utilizing evidence-based medication strategies.
• 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.

Note: This list provides a general overview. Treatment approaches are highly individualized. Please discuss with Dr. Paillé 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. Catherine Paillé practices at the CIUSSSS MCQ, Centre de services en santé mentale Trois-Rivières, located in the vibrant Cap-de-la-Madeleine Sector West neighborhood in Trois-Rivières. The clinic is situated along the Commercial Corridor, easily accessible by public transit via the Société de transport de Trois-Rivières (STTR). The facility is wheelchair accessible and aims to provide a comfortable and private environment for all patients. Paid parking options are conveniently located nearby, with some offering direct access to the building, ensuring ease of access for families and young patients seeking mental health support. The setting fosters a discreet and welcoming atmosphere, dedicated to addressing the unique mental health challenges of children and adolescents in a caring environment.

Are psychiatric consultations and treatments with Paillé, a Child and Adolescent 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 Child and Adolescent Psychiatrist like Paillé 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 Paillé's office or Régie de l'assurance maladie du Québec (RAMQ).

Do I need a referral to see Paillé, a Child and Adolescent 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 Child and Adolescent Psychiatrist such as Paillé 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 is the main difference between a Psychiatrist like Paillé and a Psychologist?

The main difference is that a Psychiatrist, like Paillé, is a medical doctor (MD) who has completed medical school and then specialized residency training in psychiatry. Because they are physicians, psychiatrists can diagnose mental health conditions, prescribe and manage psychotropic medications, and provide various forms of psychotherapy. They can also order medical tests to rule out physical causes of psychiatric symptoms. A Psychologist typically has a doctoral degree (PhD or PsyD) in psychology and is trained in psychological assessment, diagnosis, and providing psychotherapy (talk therapy). Psychologists generally cannot prescribe medication in Canada, though they often work closely with psychiatrists or family doctors who do.

Does Paillé offer psychotherapy (talk therapy)?

Many psychiatrists, including potentially Paillé, 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 Paillé's office or discuss this during your initial consultation to understand her approach to therapy and if it's a service She provides or if She would refer you to another mental health professional like a psychologist or social worker for more intensive or specialized psychotherapy if needed.

How can I prepare for my first appointment with Paillé?

For your first psychiatric appointment with Paillé, it's helpful to gather some information beforehand. Try to make a list of your main concerns, symptoms (including when they started, how often they occur, and their intensity), and any significant life events or stressors. Bring a list of all current medications (psychiatric and non-psychiatric), including dosages, as well as any past psychiatric medications you've tried and your experience with them. Information about your family history of mental health conditions can also be very useful. Be prepared to discuss your personal history, social situation, and coping strategies. Writing down any questions you have for Paillé can also ensure you get the most out of your consultation.

CIUSSSS MCQ, Centre de services en santé mentale Trois-Rivières
1573 Boul Des Forges
Trois-Rivières, QC G8Z 1T7

Phone: (819) 374-6291 | Fax: (819) 374-0982

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

Dr. Paillé is a licensed Child and Adolescent Psychiatrist regulated by the Collège des médecins du Québec (CMQ) under the Medical Act in QC. A referral from a family physician or pediatrician is typically required for consultations with Dr. Paillé for child and adolescent psychiatric 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=12232