Dr. François-Xavier Roucaut

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

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.
• 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.

Other Psychiatric Conditions & Focus Areas

• Somatic Symptom Disorder & Illness Anxiety Disorder: Characterized by significant focus on physical symptoms (Somatic Symptom Disorder) or preoccupation with having or acquiring a serious illness (Illness Anxiety Disorder), causing major distress or functional impairment.
• Dissociative Disorders: Conditions involving disruptions or breakdowns of memory, consciousness, awareness, identity, and/or perception, often linked to trauma.
• Sleep-Wake Disorders (Insomnia, Hypersomnolence, Parasomnias - when psychiatrically related): Persistent disturbances in sleep patterns or quality that are often comorbid with or exacerbated by psychiatric conditions.

Mood Disorders

• 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.
• 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.
• 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-Xavier Roucaut for an accurate diagnosis and tailored treatment plan.

• Group Therapy (various focuses, e.g., mood disorders, anxiety, trauma, DBT skills): Facilitating therapeutic groups where individuals with similar concerns can share experiences, learn coping strategies, and receive mutual support under the guidance of a therapist.
• 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.
• Neuropsychiatric Evaluation & Cognitive Assessment (Initial Screening/Referral): Initial assessment of cognitive function and neuropsychiatric symptoms, with referral for detailed neuropsychological testing if indicated, to differentiate psychiatric from neurological conditions.
• 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.
• 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.
• Second Opinion Consultations for Complex Psychiatric Cases: Providing expert second opinions on challenging diagnoses, treatment-resistant conditions, or complex psychopharmacological management plans.

Note: This list provides a general overview. Treatment approaches are highly individualized. Please discuss with Dr. Roucaut 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 Hospitalier Régional de Trois-Rivières is situated in the heart of Trois-Rivières's Downtown Trois-Rivières neighborhood, providing easy access to residents. The facility is conveniently located near the Amphithéâtre Cogeco, a major cultural landmark, and is accessible via the Société de transport de Trois-Rivières (STTR), with multiple bus routes serving the area. The hospital is designed to be wheelchair accessible and aims to provide a comfortable and private environment for all patients. Parking options include metered street parking and nearby public lots, ensuring ease of access for patients. The setting offers a discreet and welcoming atmosphere, dedicated to fostering a safe space for individuals seeking mental health care within a larger healthcare context or as a specialized psychiatric service.

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

Do I need a referral to see Roucaut, 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 Roucaut 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 can I prepare for my first appointment with Roucaut?

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

What does a Psychiatrist like Roucaut 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. Roucaut 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.

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

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

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

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

Centre Hospitalier Régional de Trois-Rivières
731 rue Sainte-Julie, Pavillon Saint-Joseph
Trois-Rivières, QC G9A 1Y1

Phone: (819) 697-3333

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

Dr. Roucaut 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. Roucaut 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=12766