Dr. Justin Riley Delwo

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

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.

Anxiety, OCD & Trauma-Related Disorders

• 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.
• 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.

Schizophrenia Spectrum & Other Psychotic Disorders

• Schizoaffective Disorder: A condition that includes symptoms of both schizophrenia (like hallucinations or delusions) and a mood disorder (like depression or mania).
• Brief Psychotic Disorder: A sudden, short-term episode of psychotic behavior, often following a highly stressful event, lasting less than one month.

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

• 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.
• 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.
• 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.
• 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.
• 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.
• 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.

Note: This list provides a general overview. Treatment approaches are highly individualized. Please discuss with Dr. Delwo for care relevant to your specific mental health needs.

All psychiatric services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of Ontario (CPSO) and relevant psychiatric care guidelines. Contact the clinic or your referring physician regarding new patient intake and referral processes.

Dr. Delwo practices within a well-established mental health clinic in Toronto's vibrant neighborhoods of Kensington Market, Chinatown, and Grange Park. The facility is conveniently situated near the Scotiabank Arena, making it accessible for patients attending appointments. Public transit options are plentiful, with easy access via TTC (Subway, Streetcar, Bus). The clinic is wheelchair accessible and strives to provide a comfortable and private environment for all patients. Paid parking options are conveniently located nearby, some with direct building access, ensuring ease of access for those driving. The atmosphere is discreet and welcoming, designed to foster comfort and confidentiality for every individual seeking mental health support.

Are psychiatric consultations and treatments with Delwo, a Psychiatrist, covered by Ontario Health Insurance Plan (OHIP) in ON?

Medically necessary consultations, diagnostic assessments, and medication management provided by a licensed Psychiatrist like Delwo are generally covered by Ontario Health Insurance Plan (OHIP) in ON 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 Delwo's office or Ontario Health Insurance Plan (OHIP).

Do I need a referral to see Delwo, 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 Delwo 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 Delwo?

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

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

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

When should someone consider a referral to a Psychiatrist like Delwo?

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

Does Delwo offer psychotherapy (talk therapy)?

Many psychiatrists, including potentially Delwo, 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 Delwo'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.

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

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

Suite 700, 399 Bathurst Street, Unit 9E467A
Toronto, ON M5T 2S8

Phone: (416) 603-5809 | Fax: (416) 603-6289

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

Dr. Delwo is a licensed Psychiatrist regulated by the College of Physicians and Surgeons of Ontario (CPSO) under the Regulated Health Professions Act, 1991 and Medicine Act, 1991 in ON. A referral from a family physician or another medical doctor is typically required for consultations with Dr. Delwo for services covered by the provincial health plan.

Verify registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Delwo-Justin-Riley/0250449-89003