Dr. Denis Cliche

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

Schizophrenia Spectrum & Other Psychotic Disorders

• Substance/Medication-Induced Psychotic Disorder: Psychotic symptoms (hallucinations or delusions) that develop during or soon after substance intoxication or withdrawal or after exposure to a medication.
• Schizophrenia: A serious mental disorder affecting how a person thinks, feels, and behaves, often involving delusions, hallucinations, disorganized speech, and impaired functioning.

Mood Disorders

• 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.
• 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.
• 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.

Personality Disorders

• Borderline Personality Disorder (BPD): Characterized by instability in interpersonal relationships, self-image, emotions, and marked impulsivity.
• Narcissistic Personality Disorder (NPD): A pattern of grandiosity, need for admiration, and lack of empathy.

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

• Second Opinion Consultations for Complex Psychiatric Cases: Providing expert second opinions on challenging diagnoses, treatment-resistant conditions, or complex psychopharmacological management plans.
• 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.
• Medication Management for ADHD in Adults & Children/Adolescents: Prescription and monitoring of stimulant and non-stimulant medications for Attention-Deficit/Hyperactivity Disorder across the lifespan.
• Psychopharmacological Management & Medication Optimization: Prescribing, monitoring, and adjusting psychotropic medications (e.g., antidepressants, antipsychotics, mood stabilizers, anxiolytics, stimulants) to treat various mental health disorders, focusing on efficacy, tolerability, and minimizing side effects.
• 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.
• 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.

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

Pavillon Marillac, situated in the vibrant areas near central Saint-Georges, offers a welcoming and discreet environment for mental health care. The practice is easily accessible via local public transit, making it convenient for patients traveling from various parts of the city and surrounding regions. The facility is wheelchair accessible and aims to provide a comfortable and private environment for all patients. Parking is available at or near the facility, with designated accessible spots to accommodate individuals with mobility challenges. The setting is designed to foster a sense of safety and confidentiality, ensuring patients feel at ease during their appointments.

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

Do I need a referral to see Cliche, 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 Cliche 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.

How is confidentiality handled in psychiatric care?

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

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

A referral to a Psychiatrist like Dr. Cliche 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 is the main difference between a Psychiatrist like Cliche and a Psychologist?

The main difference is that a Psychiatrist, like Cliche, 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.

Pavillon Marillac
1075 18e Rue
Saint-Georges, QC G5Y 4T8

Phone: (418) 228-2068 | Fax: (418) 227-1081

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

Dr. Cliche 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. Cliche 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=73089