Dr. Elisabeth Cournoyer

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

Geriatric Psychiatry (Mental Health in Older Adults)

• Behavioral & Psychological Symptoms of Dementia (BPSD): Non-cognitive symptoms common in dementia, such as agitation, aggression, psychosis (delusions, hallucinations), depression, anxiety, and apathy.
• Late-Onset Psychosis / Schizophrenia: Development of psychotic symptoms or schizophrenia for the first time in older adulthood.

Anxiety, OCD & Trauma-Related Disorders

• Specific Phobias (e.g., heights, animals, injections): Intense, irrational fear of a specific object or situation that poses little or no actual danger.
• Generalized Anxiety Disorder (GAD): Excessive, persistent worry and anxiety about various everyday life events or activities, often difficult to control.

Mood Disorders

• Seasonal Affective Disorder (SAD): A type of depression related to changes in seasons, most commonly beginning in the fall and continuing through the winter months.
• 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.

This list is not exhaustive. Effective mental health care is highly personalized. Please consult with Dr. Elisabeth Cournoyer 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.
• 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 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.
• Individual Psychotherapy (various modalities): Offering one-on-one talk therapy tailored to individual needs, potentially incorporating elements from different therapeutic approaches (e.g., psychodynamic, CBT, supportive).
• 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.
• Augmentation & Combination Strategies for Treatment-Resistant Conditions: Employing advanced psychopharmacological strategies, including combining medications or adding augmenting agents, for individuals who have not responded adequately to initial treatments.

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

CH de Lanaudière - CISSS Lanaudière is situated in Saint-Charles-Borromée, in the areas near the central part of the town. The practice is conveniently located within a vibrant community, close to local points of interest such as parks, shopping centers, and public transit routes. 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 spots offering direct building access, ensuring ease of access for patients with mobility concerns. The setting emphasizes discretion, tranquility, and a welcoming atmosphere to support older adults seeking mental health care.

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

Do I need a referral to see Cournoyer, a Geriatric 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 Geriatric Psychiatrist such as Cournoyer 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. Cournoyer 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. Cournoyer will typically discuss the limits of confidentiality with you at the beginning of your treatment.

Does Cournoyer offer psychotherapy (talk therapy)?

Many psychiatrists, including potentially Cournoyer, 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 Cournoyer'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.

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

A referral to a Psychiatrist like Dr. Cournoyer 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.

CH de Lanaudière - CISSS Lanaudière
1000 boul Sainte-Anne
Saint-Charles-Borromée, QC J6E 6J2

Phone: (450) 759-8222 | Fax: (450) 759-7736

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

Dr. Cournoyer is a licensed Geriatric 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. Cournoyer 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=15211