Dr. Courtney Marie Wickens

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

Pediatric Common Issues

• Common Childhood Infections (Viral & Bacterial - Ear, Throat, Chest, Skin, GI): Expert management of a wide spectrum of acute illnesses affecting infants, toddlers, and school-aged children, including clear guidance for parents on home care, symptom relief, and when to seek urgent re-assessment.
• Pediatric Asthma, Eczema & Allergy Management (Primary Care): Diagnosing and managing common chronic conditions in pediatric patients, such as asthma (including education on inhaler/spacer technique, trigger avoidance, development of personalized asthma action plans for home and school), eczema (atopic dermatitis - focusing on skincare, emollients, topical corticosteroids/calcineurin inhibitors, trigger management), and allergic rhinitis (hay fever). Includes initial assessment and guidance for food allergies, with referral to pediatric allergists for confirmation and comprehensive management if indicated.
• Newborn Care & Infant Feeding Support (Breastfeeding, Formula): Comprehensive medical care for newborns immediately after birth and through the first year of life. Includes routine physical exams, growth monitoring, screening for jaundice and congenital conditions (e.g., hip dysplasia, heart murmurs), umbilical cord care, and vitamin K/eye prophylaxis discussions (hospital-based). Strong focus on infant feeding support, including guidance and troubleshooting for breastfeeding (latch, positioning, supply concerns, mastitis management) and appropriate formula feeding practices, ensuring adequate nutrition and hydration.
• Developmental, Behavioral & Learning Concerns in Children (Screening, Initial Assessment, Guidance & Referral Coordination): Performing routine developmental surveillance and targeted screening (e.g., using Ages & Stages Questionnaires - ASQ) when parents or educators raise concerns regarding potential developmental delays (in speech/language, gross/fine motor skills, cognitive abilities, social-emotional development). Offering initial assessment and guidance for common behavioral issues (e.g., significant tantrums, sleep problems, childhood anxiety, aggression), symptoms suggestive of ADHD, or learning difficulties.

Mental Health Concerns

• Attention-Deficit/Hyperactivity Disorder (ADHD) - Assessment & Management (All Ages): Conducting initial assessments and ongoing management for ADHD symptoms in children, adolescents, and adults, using validated screening tools and collateral information (from parents, teachers). Providing psychoeducation, behavioral strategies, lifestyle coaching, academic/workplace accommodation discussions, evidence-based medication management (stimulants, non-stimulants), and referral to specialists (pediatricians, psychiatrists) for complex cases, diagnostic confirmation, or co-occurring conditions.
• Insomnia & Chronic Sleep Disturbances: Thoroughly evaluating persistent sleep problems (difficulty initiating or maintaining sleep, early morning awakening, non-restorative sleep), offering education on optimal sleep hygiene, principles of cognitive behavioral therapy for insomnia (CBT-I) or facilitating referrals for it, addressing underlying contributing factors (e.g., anxiety, pain, medications, restless legs syndrome), and judiciously considering short-term medication if necessary.
• Stress-Related Conditions, Burnout & Adjustment Disorders: Helping individuals build resilience, develop adaptive coping mechanisms (e.g., problem-solving, relaxation techniques, mindfulness), and navigate stressful periods effectively to protect their mental and physical health.
• Initial Assessment & Referral for Other Mental Health Concerns (e.g., OCD, PTSD, Eating Disorders, Bipolar Disorder, Psychosis): Recognizing signs and symptoms of various serious mental health issues and facilitating timely access to the appropriate level of specialist care and support.

Common Acute Conditions

• Headaches (Tension-type, Migraine - Acute Symptomatic Relief): Providing prompt care for sudden or severe headaches, offering effective relief, and establishing a plan for ongoing management if headaches are recurrent or chronic.
• Lower Respiratory Tract Infections (Acute Bronchitis, Community-Acquired Pneumonia): Assessment and treatment for acute chest infections like acute bronchitis or mild to moderate community-acquired pneumonia, including determining the need for antibiotics based on clinical assessment and guidelines, and monitoring recovery closely.
• Allergic Reactions (Mild to Moderate - e.g., Hay Fever, Hives, Minor Food Allergy Symptoms): Diagnosing and managing common allergic reactions such as seasonal/perennial allergic rhinitis (hay fever), mild to moderate hives (urticaria), minor localized reactions to insect stings, and initial assessment of suspected mild food allergy symptoms. Does not include anaphylaxis management which is an emergency.

Preventative Health Topics

• Weight Management & Obesity Prevention/Treatment: Collaboratively discussing healthy weight goals based on BMI, waist circumference, body composition, and overall health status. Providing guidance on evidence-based strategies for weight management including balanced nutrition (calorie awareness, portion control, whole foods), mindful eating, regular physical activity, behavioral strategies (e.g., goal setting, self-monitoring, addressing emotional eating, sleep optimization), and addressing underlying factors contributing to weight issues. Medical options (pharmacotherapy like GLP-1 agonists, orlistat; bariatric surgery referral) may be discussed if appropriate based on guidelines and individual clinical assessment.
• Occupational Health Screening & Advice (Basic Pre-placement, Return-to-Work): Performing basic pre-employment medicals or fitness-for-work assessments as required by some employers (typically non-WCB/WSIB related, fees may apply). Providing advice on general workplace health and safety, injury prevention, and initial assessment of health concerns potentially related to occupational exposures or ergonomics, with appropriate referrals if specialized occupational medicine input is needed.
• Driver's Medical Examinations (Routine, Age-Related, Commercial): Conducting routine medical examinations as required by provincial transportation authorities for driver's license issuance or renewal, particularly for commercial drivers (truck, bus, taxi) or as mandated by age (e.g., for seniors at specific intervals). Assessing medical fitness to drive based on established national and provincial medical standards, including vision, hearing, cognitive function, cardiovascular health, neurological status, and medication review.

Common Chronic Conditions

• Chronic Kidney Disease (CKD) - Early to Moderate Stages: Primary care strategies to protect and preserve kidney health, including tight blood pressure and glycemic control, and education on kidney-friendly habits.
• Anemia (Iron Deficiency, B12/Folate Deficiency - Chronic): Investigating causes of chronic or recurrent anemia (e.g., fatigue, pallor) through blood tests (CBC, iron studies, B12, folate, ferritin). Managing common types such as iron deficiency anemia (oral/IV iron supplementation, dietary advice) and vitamin B12 or folate deficiency anemia (supplementation), and identifying/addressing underlying causes (e.g., malabsorption, chronic blood loss, dietary insufficiency).
• Dyslipidemia (High Cholesterol, High Triglycerides): Working collaboratively with you to achieve optimal cholesterol and triglyceride levels to significantly reduce your risk of atherosclerosis, heart attack, stroke, and pancreatitis.
• Osteoarthritis & Other Chronic Musculoskeletal Pain (e.g., Chronic Back/Neck Pain, Fibromyalgia): Developing personalized strategies to reduce chronic joint and muscle pain, improve mobility and function, enhance coping mechanisms, and improve overall quality of life for those living with conditions like arthritis, persistent back pain or fibromyalgia.

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

• Ordering & Interpretation of Diagnostic Imaging & Laboratory Testing: Utilizing appropriate diagnostic investigations judiciously to ensure accurate medical assessment, informed decision-making, and efficient use of healthcare resources.
• Adolescent Health Care & Counseling (Incl. Sexual Health, Mental Health, Lifestyle): Providing confidential, respectful, and age-appropriate primary care for teenagers, addressing a range of issues including puberty, acne, body image, mental health (anxiety, depression, stress), sexual health education, contraception, STI screening, substance use counseling, and promoting healthy lifestyle choices (nutrition, exercise, sleep).
• Management of Common Adult Acute & Chronic Illnesses: Providing continuous medical care for adult health issues, from sudden illnesses to long-term conditions, ensuring appropriate treatment and follow-up.
• Cardiovascular & Metabolic Risk Assessment & Management: Evaluating risk factors for heart disease, stroke, and type 2 diabetes, including blood pressure measurement, cholesterol (lipid panel) screening, blood glucose testing, and assessing lifestyle factors (diet, exercise, smoking, family history). Includes initiation of preventative medications if indicated.
• Assessment & Management of Anxiety, Depression & Mood Disorders: Ongoing management and support for anxiety and mood disorders, helping patients develop coping strategies, achieve symptom remission or reduction, and improve overall well-being.

Note: This list highlights some of the key services offered by Dr. Wickens. 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 Family Doctors in ON and the ethical and professional standards set by The College of Physicians and Surgeons of Ontario (CPSO).

At Trillium Health Partners, 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. Wickens frequently works with patients towards goals such as:

• When chest pain or pressure, especially with exertion or other concerning symptoms – they know this could be urgent impacts daily life, Dr. Wickens helps patients strive for their child successfully overcoming challenges like picky eating habits, minor feeding issues, or common toileting problems with practical, patient, and evidence-informed strategies suggested and supported by Dr. Wickens, making activities such as adeptly managing daily life stressors, unexpected personal challenges, and demanding professional pressures in a healthy, resilient, constructive, and adaptive way, maintaining emotional equilibrium possible again.
• For patients where a new skin rash that's itchy, spreading quickly, or looks unusual and concerning is a concern, Dr. Wickens focuses on plans that lead to gaining a much clearer and personalized understanding of their individual health risks (e.g., cardiovascular disease based on Framingham score, inherited cancer predispositions, osteoporosis risk) and practical, actionable, evidence-based steps they can realistically take to mitigate these risks effectively, supporting their ability to actively and diligently engaging in their prescribed recovery process and rehabilitation program after an unexpected injury, a planned surgery, or a significant medical event by consistently following all professional advice and exercises.
• Dr. Wickens often sees patients whose a persistent metallic taste in their mouth or other unusual sensory changes limits their enjoyment of successfully pursuing further formal education, challenging vocational training programs, or self-directed learning initiatives to achieve important personal growth objectives or significant professional aspirations. The goal of care is to achieve having their complex chronic condition, such as advanced type 2 diabetes, congestive heart failure, difficult-to-control asthma, or multi-joint osteoarthritis, effectively managed and well-stabilized through a collaborative, evidence-based plan developed with Dr. Wickens and restore their active lifestyle.
• Patients often come to Dr. Wickens regarding their elderly parent needing a review of their multiple medications to check for interactions and ensure they're all still necessary. Working together, they aim for having common minor injuries (like uncomplicated sprains, strains, or cuts needing sutures), acute infections (such as UTIs or skin infections), or bothersome skin conditions (like warts or acne) treated effectively, efficiently, and conveniently within the familiar setting of Dr. Wickens's clinic, making a return to regularly going for long, challenging, and invigorating hikes in scenic natural environments, cycling picturesque country routes for hours, or swimming multiple laps at the local community pool for both physical fitness and mental relaxation feasible.

Your personalized healthcare plan, developed in discussion with Dr. Wickens, 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. Wickens practices at Trillium Health Partners, situated in a family medical practice in a central St Catharines neighborhood of St Catharines. The clinic is conveniently located near local community centers, schools, and shopping areas and is accessible via major local public transit routes. Street parking and nearby public or paid lots typically offer convenient options for visitors.

What should I bring with me to my appointment with Dr. Wickens?

To each appointment with Dr. Wickens at Trillium Health Partners, please ensure you have your provincial health card. A current, detailed list of all your medications (name, dose, frequency) is very important. If you're coming about a specific issue and have related reports (like X-rays, specialist letters, or recent lab results), please bring those along. It's also a good idea to jot down any questions or symptoms you want to discuss with Dr. Wickens beforehand so you don't forget anything important during your visit.

Can Dr. Wickens help with mental health concerns like anxiety or depression?

Family doctors like Dr. Wickens are integral to supporting patients' mental health. She can assess symptoms of common mental health conditions (e.g., anxiety, depression, ADHD - initial screen), offer initial treatment options including counseling and medication if suitable, and connect you with more specialized mental health professionals or resources within the community if your needs are more complex. Your overall well-being, both physical and mental, is important to Dr. Wickens.

Is seeing a family doctor (Family Doctor) covered by Ontario Health Insurance Plan (OHIP) in ON?

Medically necessary visits to a family doctor are typically covered by the Ontario Health Insurance Plan (OHIP) for eligible residents with a valid provincial health card. However, some services (e.g., cosmetic procedures, most travel medicine consultations, sick notes for work/school, insurance forms, driver's medicals) may not be covered and might have an associated fee. Please confirm with Trillium Health Partners if you have questions about specific non-insured services or potential fees.

Do I need a referral to see a family doctor (Family Doctor) in ON?

Generally, you do not need a referral to see a family doctor if they are accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Resources like Health Care Connect in Ontario may be helpful. A referral is usually required to see specialists.

How can I find a family doctor (Family Doctor) in ON who is accepting new patients?

Check the College of Physicians and Surgeons of Ontario website (they often have a 'Find a Doctor' tool), register with Health Care Connect in Ontario, ask for recommendations, or contact local community health centres.

What happens if Dr. Wickens determines I need to see a medical specialist?

Dr. Wickens will discuss the need for a specialist referral with you and make the referral. Our office will send the required information, and the specialist's office will contact you to arrange an appointment. Specialist wait times can be long, so Dr. Wickens will continue to manage your care in the interim.

What exactly is a family doctor (Family Doctor) and what is their role?

A family doctor (in Ontario) is a physician who provides continuous and comprehensive medical care, health maintenance, and preventive services to patients of all ages. This includes diagnosing and treating illnesses, managing long-term conditions, offering health education, and acting as your advocate within the healthcare system.

What does 'preventative care' involve with a family doctor like Dr. Wickens?

Preventative care aims to stop health issues from occurring or catch them early. This includes regular physical exams, vaccinations, screenings, and advice on maintaining a healthy lifestyle. It's about being proactive with your health.

Trillium Health Partners
1338 Fourth Ave, Credit Valley Hospital
St Catharines, ON, L2S 0G1

Phone: (905) 984-3335

Dr. Courtney Marie Wickens is regulated by the Regulated Health Professions Act, 1991 & Medicine Act, 1991 (Ontario) in ON and is a registered member in good standing with The College of Physicians and Surgeons of Ontario (CPSO).

Registration Number: 90632

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Wickens-Courtney-Marie/0257409-90632

Family doctors like Dr. Wickens 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.