Dr. Gianina Rosca Stredie – Psychiatrist | Saint-Eustache, QC

Dr. Gianina Rosca Stredie is a dedicated Psychiatrist specializing in the diagnosis, treatment, and prevention of a wide range of mental, emotional, and behavioral disorders in adults, and may see older adolescents for certain conditions. Practicing at CISSS des Laurentides, Psychiatrie in Saint-Eustache, QC, she is a key member of the local mental healthcare community. Her practice adheres to the high standards of the Collège des médecins du Québec (CMQ), ensuring quality and ethical care. Dr. Rosca Stredie provides comprehensive psychiatric care, including diagnostic assessment, medication management, and psychotherapeutic interventions for conditions such as mood disorders, anxiety disorders, and psychotic disorders. Her approach emphasizes a personalized and compassionate treatment plan tailored to each patient's unique needs, fostering a safe and supportive environment for mental health recovery.

Holding a Medical Degree from a recognized institution, Dr. Gianina Rosca Stredie has accumulated over 14 years of experience as a Psychiatrist since 2010. She has completed extensive post-graduate training in psychiatry and holds the necessary certifications to practice Psychiatry (Comprehensive Mental Health Care) in Quebec. Her certifications and ongoing education reflect her commitment to staying current with the latest advances in mental health treatment and ensuring the best possible outcomes for her patients.

Dr. Rosca Stredie is committed to a collaborative approach to mental health care, emphasizing patient empowerment through education and understanding. She believes in evidence-based treatment approaches and fostering a therapeutic alliance built on trust and respect. Fluent in French, she strives to make her patients feel heard and understood, providing care that respects cultural and individual differences. Her dedication to the Saint-Eustache community is evident in her compassionate, respectful, and professional approach to mental health treatment.

Dr. Gianina Rosca Stredie provides assessment and treatment for a wide spectrum of mental health conditions, including:

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.
• Schizoaffective Disorder: A condition that includes symptoms of both schizophrenia (like hallucinations or delusions) and a mood disorder (like depression or mania).
• Schizophrenia: A serious mental disorder affecting how a person thinks, feels, and behaves, often involving delusions, hallucinations, disorganized speech, and impaired functioning.

Substance-Related & Addictive Disorders (Dual Diagnosis)

• Stimulant Use Disorder (e.g., Cocaine, Amphetamines): Problematic pattern of stimulant use leading to impairment or distress.
• Cannabis Use Disorder: Continued use of cannabis despite clinically significant impairment or distress.

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.
• 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.
• 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. Gianina Rosca Stredie for an accurate diagnosis and tailored treatment plan.

• 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.
• 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.
• Second Opinion Consultations for Complex Psychiatric Cases: Providing expert second opinions on challenging diagnoses, treatment-resistant conditions, or complex psychopharmacological management plans.
• Supportive Psychotherapy: A therapeutic approach aimed at reducing distress, reinforcing coping mechanisms, and improving adaptive functioning through a supportive therapeutic relationship.
• 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.
• 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.

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

CISSS des Laurentides, Psychiatrie in Saint-Eustache is situated in an accessible and welcoming environment in the areas near central Saint-Eustache. The practice is conveniently located close to local points of interest and well-served by local public transit options. The facility is wheelchair accessible and aims to provide a comfortable and private environment for all patients. Paid parking options are conveniently located nearby, some with direct access to the building, ensuring easy and discreet access for patients seeking mental health care. The practice emphasizes a discreet, welcoming atmosphere to foster trust and comfort for every individual seeking support.

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

Do I need a referral to see Rosca Stredie, 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 Rosca Stredie 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 Rosca Stredie?

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

What if I experience side effects from medication prescribed by Rosca Stredie?

It's common for psychotropic medications to have potential side effects, especially when starting a new medication or adjusting a dose. Rosca Stredie will discuss common side effects to watch for. If you experience side effects, it's very important to communicate this to Rosca Stredie or her office promptly. Do not stop taking your medication suddenly unless instructed to do so by Rosca Stredie, as this can sometimes cause withdrawal symptoms or a worsening of your condition. Rosca Stredie 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 Rosca Stredie and a Psychologist?

The main difference is that a Psychiatrist, like Rosca Stredie, 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.

Does Rosca Stredie offer psychotherapy (talk therapy)?

Many psychiatrists, including potentially Rosca Stredie, 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 Rosca Stredie's office or discuss this during your initial consultation to understand her approach to therapy and if it's a service She provides or if She would refer you to another mental health professional like a psychologist or social worker for more intensive or specialized psychotherapy if needed.

CISSS des Laurentides, Psychiatrie
520 boul Arthur-Sauvé
Saint-Eustache, QC J7R 5B1

Phone: (450) 473-6811 | Fax: (450) 473-6369

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

Dr. Rosca Stredie 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. Rosca Stredie 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=10355