Dr. François Primeau – Psychiatrist | Lévis, QC

Dr. François Primeau, a Geriatric Psychiatrist, specializes in the mental health needs of older adults, addressing conditions such as late-life depression, anxiety, and cognitive disorders. Practicing at Centre médical Lévis-Lauzon in Lévis, QC, he is a key member of the local mental healthcare community. His practice adheres to the high standards set by the Collège des médecins du Québec (CMQ), ensuring professional and confidential care. Dr. Primeau's role encompasses comprehensive assessment, diagnosis, and management of complex psychiatric conditions in the elderly, with a focus on preserving dignity and promoting well-being among his patients.

He holds a Medical Degree from a recognized institution and has accumulated over 8 years of dedicated experience as a Geriatric Psychiatrist since 2016. Throughout his career, he has completed extensive postgraduate training and obtained the necessary certifications to practice Geriatric Psychiatry in Quebec, ensuring his expertise aligns with provincial standards and best practices.

Dr. Primeau adopts a holistic approach to late-life mental health, considering both medical and social factors influencing his patients' well-being. He is committed to working collaboratively with families and caregivers of older adults, providing personalized care that respects each patient's autonomy. Fluent in French, he strives to create a discreet, welcoming, and supportive environment tailored to the unique needs of older adults in Lévis.

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

Geriatric Psychiatry (Mental Health in Older Adults)

• Late-Onset Psychosis / Schizophrenia: Development of psychotic symptoms or schizophrenia for the first time in older adulthood.
• Grief & Bereavement in Older Adults: Coping with loss in later life, which can sometimes lead to complicated grief or depression requiring psychiatric support.

Anxiety, OCD & Trauma-Related Disorders

• Generalized Anxiety Disorder (GAD): Excessive, persistent worry and anxiety about various everyday life events or activities, often difficult to control.
• Agoraphobia: Fear and avoidance of situations where escape might be difficult or help unavailable if panic-like symptoms occur, such as public transportation, open spaces, or crowds.
• Panic Disorder (with or without Agoraphobia): Recurrent, unexpected panic attacks (sudden periods of intense fear) and persistent concern about having additional attacks or their consequences.

Mood Disorders

• 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.
• Persistent Depressive Disorder (Dysthymia): A chronic form of depression with less severe but longer-lasting symptoms than major depression, present for at least two years.
• 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.

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

• 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.
• 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.
• 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).
• Polypharmacy Review & Medication Optimization in Geriatric Psychiatry: Careful review of medications to minimize side effects, drug interactions, and improve overall treatment outcomes in older adults 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.
• Geriatric Psychiatric Assessment & Management of Late-Life Mental Health Issues: Specialized evaluation and treatment of mental health disorders in older adults, considering the interplay of aging, medical comorbidities, and psychosocial factors.

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

Centre médical Lévis-Lauzon is situated in Lévis's Lévis Centre, Lauzon neighborhood, offering convenient access via public transit, including the Société de transport de Lévis (STLévis). The practice is located near the Parcours des Anses (Waterfront Walkway), providing a scenic and tranquil setting. The facility is wheelchair accessible and aims to provide a comfortable and private environment for all patients. Paid parking options are conveniently located, some with direct building access, ensuring ease of access for patients attending appointments. The practice emphasizes a discreet, welcoming atmosphere, fostering a sense of trust and confidentiality for older adults seeking mental health care.

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

Do I need a referral to see Primeau, 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 Primeau 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.

Does Primeau offer psychotherapy (talk therapy)?

Many psychiatrists, including potentially Primeau, 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 Primeau'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.

Does Primeau have experience with mental health issues in older adults (geriatric psychiatry)?

Yes, as a Geriatric Psychiatrist, Primeau has specialized training and experience in diagnosing and treating mental health conditions in older adults (typically 65+). This includes late-life depression, anxiety, psychosis, behavioral and psychological symptoms of dementia (BPSD), and managing psychiatric issues in the context of multiple medical comorbidities and polypharmacy. He understands the unique presentations and treatment considerations in this age group.

How can I prepare for my first appointment with Primeau?

For your first psychiatric appointment with Primeau, 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 Primeau can also ensure you get the most out of your consultation.

Centre médical Lévis-Lauzon
301-6750 Boul Guillaume-Couture
Lévis, QC G6V 9H4

Phone: (418) 833-5810 | Fax: (418) 833-2720

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

Dr. Primeau 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. Primeau 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=84496