Dr. François Lespérance

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

Other Psychiatric Conditions & Focus Areas

• Eating Disorders (Anorexia Nervosa, Bulimia Nervosa, Binge Eating Disorder - psychiatric co-management): Serious conditions related to persistent eating behaviors that negatively impact health, emotions, and ability to function, often requiring multidisciplinary care including psychiatric management.
• Dissociative Disorders: Conditions involving disruptions or breakdowns of memory, consciousness, awareness, identity, and/or perception, often linked to trauma.

Personality Disorders

• Narcissistic Personality Disorder (NPD): A pattern of grandiosity, need for admiration, and lack of empathy.
• Antisocial Personality Disorder (ASPD): A pattern of disregarding or violating the rights of others, often involving deceitfulness, impulsivity, irritability, and lack of remorse.
• Obsessive-Compulsive Personality Disorder (OCPD): A preoccupation with orderliness, perfectionism, and mental and interpersonal control, at the expense of flexibility, openness, and efficiency (distinct from OCD).

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.
• 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.

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

• 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.
• 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.
• Crisis Intervention & Urgent Psychiatric Assessment (in appropriate settings): Providing rapid assessment and intervention for individuals experiencing acute psychiatric crises, such as suicidal ideation, acute psychosis, or severe agitation, typically in emergency departments or crisis clinics.
• Treatment of Anxiety Disorders (GAD, Panic, Social Anxiety, OCD, PTSD) with Medication: Use of anxiolytics, antidepressants (SSRIs, SNRIs), and other medications to manage symptoms of generalized anxiety disorder, panic disorder, social phobia, obsessive-compulsive disorder, and post-traumatic stress disorder.
• 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.
• 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.

Note: This list provides a general overview. Treatment approaches are highly individualized. Please discuss with Dr. Lespérance 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. Lespérance practices within the CIUSSS Centre-Sud de Montréal, CLSC des Faubourgs, Guichet d'accès en santé mentale, situated in Montréal's Ville-Marie East (Quartier Latin, Village) neighborhood. The facility is easily accessible via public transit, with options provided by the Société de transport de Montréal (STM), including Métro and bus services. The location is designed to be discreet and welcoming, ensuring patients feel comfortable and secure. The clinic is wheelchair accessible, and the environment aims to provide a private, calm setting for all visits. Paid parking options are conveniently located nearby, with some offering direct access to the building for added convenience. The practice prioritizes accessibility and confidentiality to foster a positive therapeutic experience.

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

Do I need a referral to see Lespérance, 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 Lespérance 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 does a Psychiatrist like Lespérance specialize in?

A Psychiatrist is a medical doctor (MD) who has completed specialized training in psychiatry, which is the branch of medicine focused on the diagnosis, treatment, and prevention of mental, emotional, and behavioral disorders. Unlike psychologists, psychiatrists can prescribe medication. He is a Psychiatrist who assesses, diagnoses, and treats mental, emotional, and behavioral disorders through medication, psychotherapy, or other interventions. Lespérance is trained to assess both the mental and physical aspects of psychological problems and can provide a range of treatments including psychotherapy, medications, and sometimes other interventions like ECT or rTMS.

How is confidentiality handled in psychiatric care?

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

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

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

What is the main difference between a Psychiatrist like Lespérance and a Psychologist?

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

CIUSSS Centre-Sud de Montréal, CLSC des Faubourgs, Guichet d'accès en santé mentale
66 rue Sainte-Catherine E, 4e étage
Montréal, QC H2X 1K6

Phone: (514) 527-9565 | Fax: (514) 847-9456

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

Dr. Lespérance 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. Lespérance 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=86197