Dr. François Noël

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

Personality Disorders

• 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).
• Borderline Personality Disorder (BPD): Characterized by instability in interpersonal relationships, self-image, emotions, and marked impulsivity.

Schizophrenia Spectrum & Other Psychotic Disorders

• Brief Psychotic Disorder: A sudden, short-term episode of psychotic behavior, often following a highly stressful event, lasting less than one month.
• 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.
• Delusional Disorder: Characterized by one or more firmly held false beliefs (delusions) that persist for at least one month, without other prominent symptoms of schizophrenia.

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.
• 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.

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

• 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.
• 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.
• 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. Noël 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. Noël practices at the Institut universitaire en santé mentale de Mtl, situated in Montréal's Mercier West (Tétreaultville) neighborhood. The facility is conveniently located near Decarie Square shopping center, easily accessible via Société de transport de Montréal (STM) options including Metro and Bus services. The clinic is wheelchair accessible and designed to offer a comfortable, discreet, and welcoming environment for all patients. Paid parking options are conveniently located nearby, with some providing direct building access to ensure ease of access. The practice emphasizes privacy, confidentiality, and a supportive atmosphere to foster effective mental health care.

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

Do I need a referral to see Noël, 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 Noël 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. Noël 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. Noël will typically discuss the limits of confidentiality with you at the beginning of your treatment.

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

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

When should someone consider a referral to a Psychiatrist like Dr. Noël?

A referral to a Psychiatrist like Dr. Noël 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 psychiatrist is indicated. Psychiatrists are also consulted for diagnostic clarification and comprehensive treatment planning, especially for co-occurring conditions.

Does Noël offer psychotherapy (talk therapy)?

Many psychiatrists, including potentially Noël, 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 Noël's office or discuss this during your initial consultation to understand his approach to therapy and if it's a service He provides or if He would refer you to another mental health professional like a psychologist or social worker for more intensive or specialized psychotherapy if needed. He may provide psychotherapy directly or coordinate with other mental health professionals for comprehensive care.

How can I prepare for my first appointment with Noël?

For your first psychiatric appointment with Noël, it's helpful to gather some information beforehand. Try to make a list of your main concerns, symptoms (including when they started, how often they occur, and their intensity), and any significant life events or stressors. Bring a list of all current medications (psychiatric and non-psychiatric), including dosages, as well as any past psychiatric medications you've tried and your experience with them. Information about your family history of mental health conditions can also be very useful. Be prepared to discuss your personal history, social situation, and coping strategies. Writing down any questions you have for Noël can also ensure you get the most out of your consultation.

Institut universitaire en santé mentale de Mtl
7401 rue Hochelaga
Montréal, QC H1N 3M5

Phone: (514) 251-4000

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

Dr. Noël 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. Noël 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=10648