Dr. Christelle Comeau

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

Neurodevelopmental Disorders (Psychiatric Aspects)

• 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.
• Tourette's Syndrome & Tic Disorders (Psychiatric Co-morbidities): Addressing co-occurring psychiatric conditions like ADHD or OCD in individuals with Tourette's or other tic disorders.

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.
• Social Anxiety Disorder (Social Phobia): Intense fear or anxiety of social situations where one might be scrutinized by others, leading to avoidance.
• Specific Phobias (e.g., heights, animals, injections): Intense, irrational fear of a specific object or situation that poses little or no actual danger.

Mood Disorders

• Major Depressive Disorder (MDD) / Clinical Depression: Persistent feelings of sadness, loss of interest or pleasure, fatigue, changes in appetite or sleep, and difficulty concentrating, significantly impairing daily functioning.
• Persistent Depressive Disorder (Dysthymia): A chronic form of depression with less severe but longer-lasting symptoms than major depression, present for at least two years.

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

• 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.
• Management of ADHD, Oppositional Defiant Disorder (ODD), & Conduct Disorder in Youth: Multimodal treatment approaches for neurodevelopmental and disruptive behavior disorders, including medication management, behavioral interventions, and family therapy.
• Couples & Family Therapy (psychiatric context): Providing therapy to couples or families to address relationship dynamics, communication problems, and the impact of mental illness on the family system.
• Treatment of Mood & Anxiety Disorders in Children & Adolescents (Depression, Anxiety, OCD): Age-appropriate psychopharmacological and psychotherapeutic interventions for young people experiencing mood and anxiety disorders.
• Interpersonal Therapy (IPT): A time-limited therapy that focuses on interpersonal relationships and social functioning as they relate to current psychiatric symptoms, particularly depression.
• Assessment & Management of Autism Spectrum Disorder (ASD) Co-occurring Psychiatric Conditions: Addressing psychiatric conditions such as anxiety, ADHD, or mood disorders that often co-occur in children and adolescents with ASD.

Note: This list provides a general overview. Treatment approaches are highly individualized. Please discuss with Dr. Comeau 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.

CSSS d'Arthabaska et de l'Érable is located in Victoriaville's areas near central Victoriaville, within a welcoming healthcare environment. The facility is situated close to local points of interest and accessible via local public transit, making it convenient for families and young patients to reach. The practice is housed within a larger healthcare facility that emphasizes accessibility; the building is wheelchair accessible, ensuring comfort and ease of access for all visitors. Parking is available at or near the facility, with designated accessible spots to accommodate individuals with mobility needs. The environment is discreet, professional, and designed to provide a comfortable and private space for mental health consultations, fostering trust and openness in young patients and their families.

Are psychiatric consultations and treatments with Comeau, 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 Comeau 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 Comeau's office or Régie de l'assurance maladie du Québec (RAMQ).

Do I need a referral to see Comeau, 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 Comeau 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 Comeau?

A referral to a Psychiatrist like Dr. Comeau 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.

How is confidentiality handled in psychiatric care?

Confidentiality is a cornerstone of psychiatric care. Information you share with Dr. Comeau and her 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. Comeau will typically discuss the limits of confidentiality with you at the beginning of your treatment.

Does Comeau offer psychotherapy (talk therapy)?

Many psychiatrists, including potentially Comeau, 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 Comeau'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.

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

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

CSSS d'Arthabaska et de l'Érable
5 rue des Hospitalières
Victoriaville, QC G6P 6N2

Phone: (819) 357-2030

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

Dr. Comeau 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. Comeau 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=14033