Dr. Lana Rochelle Silbernagel

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

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

Anxiety, OCD & Trauma-Related Disorders

• Post-Traumatic Stress Disorder (PTSD): Develops after experiencing or witnessing a terrifying event, involving symptoms like flashbacks, nightmares, severe anxiety, and uncontrollable thoughts about the event.
• Social Anxiety Disorder (Social Phobia): Intense fear or anxiety of social situations where one might be scrutinized by others, leading to avoidance.
• 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.

Substance-Related & Addictive Disorders (Dual Diagnosis)

• Gambling Disorder (Behavioral Addiction): Persistent and recurrent problematic gambling behavior leading to clinically significant impairment or distress.
• Dual Diagnosis (Co-occurring Substance Use Disorder & Other Mental Illness): The simultaneous presence of a substance use disorder and one or more other psychiatric disorders (e.g., depression, anxiety, bipolar disorder, schizophrenia).
• Cannabis Use Disorder: Continued use of cannabis despite clinically significant impairment or distress.

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

• Cognitive Behavioral Therapy (CBT): A structured, goal-oriented psychotherapy that helps individuals identify and change negative thought patterns and behaviors contributing to mental health problems like depression, anxiety, and OCD.
• Dialectical Behavior Therapy (DBT) - Skills Training / Informed Therapy: Providing DBT-informed therapy or facilitating DBT skills groups to help individuals manage intense emotions, reduce self-harming behaviors, and improve relationships, particularly for borderline personality disorder.
• 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.
• 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.
• 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.
• Supportive Psychotherapy: A therapeutic approach aimed at reducing distress, reinforcing coping mechanisms, and improving adaptive functioning through a supportive therapeutic relationship.

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

Located in a welcoming healthcare facility in the areas near central Nepean, the practice is easily accessible via local public transit routes. The practice is situated close to local points of interest and is designed to be accessible for all patients. 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, ensuring convenience for those attending appointments. The environment is discreet, professional, and welcoming, fostering trust and comfort for every patient seeking mental health care.

Are psychiatric consultations and treatments with Silbernagel, 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 Silbernagel 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 Silbernagel's office or Ontario Health Insurance Plan (OHIP).

Do I need a referral to see Silbernagel, 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 Silbernagel 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 does a Psychiatrist like Silbernagel 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. She is a Psychiatrist who assesses, diagnoses, and treats mental, emotional, and behavioral disorders through medication, psychotherapy, or other interventions. Silbernagel 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 if I experience side effects from medication prescribed by Silbernagel?

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

Does Silbernagel offer psychotherapy (talk therapy)?

Many psychiatrists, including potentially Silbernagel, 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 Silbernagel'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.

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

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

How is confidentiality handled in psychiatric care?

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

8th floor, #711, 402-2039 Robertson Rd
Nepean, ON K2H 8R2

Phone: (613) 701-7970 | Fax: (613) 270-2767

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

Dr. Silbernagel 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. Silbernagel 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/Silbernagel-Lana-Rochelle/0281461-97757