Dr. Frédérique Nadeau-Marcotte

Dr. Frédérique Nadeau-Marcotte provides assessment and treatment for a wide spectrum of mental health conditions, including:

Schizophrenia Spectrum & Other Psychotic Disorders

• 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.
• Schizophrenia: A serious mental disorder affecting how a person thinks, feels, and behaves, often involving delusions, hallucinations, disorganized speech, and impaired functioning.
• Brief Psychotic Disorder: A sudden, short-term episode of psychotic behavior, often following a highly stressful event, lasting less than one month.

Mood Disorders

• 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.
• 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.

Other Psychiatric Conditions & Focus Areas

• Impulse Control Disorders (e.g., Intermittent Explosive Disorder, Kleptomania): Difficulties controlling impulses or urges, leading to behaviors that are harmful to oneself or others.
• 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.

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

• Second Opinion Consultations for Complex Psychiatric Cases: Providing expert second opinions on challenging diagnoses, treatment-resistant conditions, or complex psychopharmacological management plans.
• 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.
• Psychodynamic Psychotherapy / Psychoanalytic Psychotherapy: Exploratory therapy focused on understanding how past experiences and unconscious patterns influence current feelings, thoughts, and behaviors.
• 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.
• Interpersonal Therapy (IPT): A time-limited therapy that focuses on interpersonal relationships and social functioning as they relate to current psychiatric symptoms, particularly depression.

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

Located within the facilities of CISSS Bas-St-Laurent, Dr. Nadeau-Marcotte's practice is situated in the vibrant city of Rimouski, in the areas near central Rimouski. The practice is conveniently accessible via local public transit, with stops nearby. The facility is wheelchair accessible and aims to provide a comfortable and private environment for all patients. Parking is available at or near the facility, with designated accessible spots to accommodate patients with mobility challenges. The setting is designed to offer a discreet, welcoming atmosphere where patients can feel safe and respected while exploring their mental health concerns.

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

Do I need a referral to see Nadeau-Marcotte, 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 Nadeau-Marcotte 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 is the main difference between a Psychiatrist like Nadeau-Marcotte and a Psychologist?

The main difference is that a Psychiatrist, like Nadeau-Marcotte, 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 Nadeau-Marcotte?

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

How is confidentiality handled in psychiatric care?

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

How can I prepare for my first appointment with Nadeau-Marcotte?

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

CISSS Bas-St-Laurent
150 Av Rouleau
Rimouski, QC G5L 5T1

Phone: (418) 724-8315

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

Dr. Nadeau-Marcotte 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. Nadeau-Marcotte 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=13220