Dr. Laurence Keable

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

Anxiety, OCD & Trauma-Related Disorders

• Obsessive-Compulsive Disorder (OCD): Characterized by unwanted, intrusive thoughts or images (obsessions) and repetitive, ritualistic behaviors (compulsions) performed to reduce anxiety.
• Generalized Anxiety Disorder (GAD): Excessive, persistent worry and anxiety about various everyday life events or activities, often difficult to control.

Other Psychiatric Conditions & Focus Areas

• Dissociative Disorders: Conditions involving disruptions or breakdowns of memory, consciousness, awareness, identity, and/or perception, often linked to trauma.
• Impulse Control Disorders (e.g., Intermittent Explosive Disorder, Kleptomania): Difficulties controlling impulses or urges, leading to behaviors that are harmful to oneself or others.
• 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.

Substance-Related & Addictive Disorders (Dual Diagnosis)

• Alcohol Use Disorder: A chronic relapsing brain disorder characterized by an impaired ability to stop or control alcohol use despite adverse social, occupational, or health consequences.
• Gambling Disorder (Behavioral Addiction): Persistent and recurrent problematic gambling behavior leading to clinically significant impairment or distress.
• Opioid Use Disorder: A problematic pattern of opioid use leading to clinically significant impairment or distress.

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

• 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.
• Couples & Family Therapy (psychiatric context): Providing therapy to couples or families to address relationship dynamics, communication problems, and the impact of mental illness on the family system.
• 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.
• 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.
• 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. Keable 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.

Clinique TSO is situated in Québec City's vibrant neighborhoods near central Québec City, offering a discreet and welcoming environment. The practice is conveniently accessible via public transit, with the Réseau de transport de la Capitale (RTC) providing easy connections. The facility is wheelchair accessible and aims to provide a comfortable and private environment for all patients. Paid parking options are conveniently located nearby, with some offering direct access to the building, ensuring ease of access for patients arriving by car. The surroundings include a variety of restaurants and nightlife options, allowing patients to enjoy the area's amenities in a safe and discreet setting. The practice’s location fosters a professional yet warm atmosphere, emphasizing confidentiality and respect for patient privacy.

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

Do I need a referral to see Keable, 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 Keable 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.

Does Keable offer psychotherapy (talk therapy)?

Many psychiatrists, including potentially Keable, 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 Keable'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.

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

A referral to a Psychiatrist like Dr. Keable 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.

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

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

What does a Psychiatrist like Keable 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. Keable 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.

How is confidentiality handled in psychiatric care?

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

Clinique TSO
6295 boul de L'Ormière
Québec City, QC G2C 1B9

Phone: (418) 657-3696 | Fax: (418) 657-3697

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

Dr. Keable 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. Keable 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=13786