Dr. Laurence Normand-Rivest

Dr. Laurence Normand-Rivest provides comprehensive family medical care for a wide variety of health concerns affecting patients of all ages, including but not limited to:

Mental Health Concerns

• Anxiety Disorders (Generalized Anxiety, Panic Disorder, Social Anxiety - Management): Providing comprehensive assessment, psychoeducation, supportive counseling, lifestyle advice (exercise, mindfulness, sleep hygiene), evidence-based medication management (e.g., SSRIs, SNRIs, buspirone), and facilitating timely referrals for psychotherapy (CBT, DBT, etc.) or psychiatric consultation for common anxiety disorders.
• Insomnia & Chronic Sleep Disturbances: Comprehensive primary care management of common sleep disorders to restore healthy sleep patterns and improve overall health and well-being.
• Initial Assessment & Referral for Other Mental Health Concerns (e.g., OCD, PTSD, Eating Disorders, Bipolar Disorder, Psychosis): Ensuring individuals with complex or acute mental health needs are connected with the right resources and expertise for effective and safe management.
• Depression & Other Mood Disorders (e.g., Dysthymia, Seasonal Affective Disorder - Management): Providing compassionate, evidence-informed primary care and management strategies for those affected by depression and other common mood disorders, with a focus on recovery and long-term stability.

Common Chronic Conditions

• Hypertension (High Blood Pressure) & Associated Cardiovascular Risk Factors: Comprehensive, ongoing management of high blood pressure through regular monitoring (in-clinic and home BP), medication initiation and titration according to guidelines, extensive lifestyle counseling (DASH diet, low sodium, exercise, weight management, stress reduction), and screening/management of associated risk factors (e.g., dyslipidemia, diabetes) to prevent long-term cardiovascular complications.
• Osteoarthritis & Other Chronic Musculoskeletal Pain (e.g., Chronic Back/Neck Pain, Fibromyalgia): Managing chronic pain and stiffness associated with osteoarthritis in various joints (knees, hips, hands, spine), persistent mechanical low back or neck pain, and conditions like fibromyalgia. This involves a multimodal approach including education, exercise recommendations (strength, flexibility, low-impact aerobics), weight management, pain relief medications (topical, oral NSAIDs, acetaminophen, judicious use of other analgesics like gabapentinoids or TCAs for neuropathic/fibromyalgia components), joint injection considerations, and referrals to physiotherapy, rheumatology or pain clinics if needed.
• Asthma (All Ages) & Allergic Rhinitis: Comprehensive care for individuals with asthma and related allergies, focusing on patient empowerment, self-management skills, and emergency preparedness for asthma attacks.

Dermatological Skin Conditions

• Benign Skin Lesion Assessment & Management (Skin Tags, Seborrheic Keratoses, Cysts, Lipomas): Evaluating common benign (non-cancerous) skin growths like skin tags (acrochordons), seborrheic keratoses ('age spots'), cherry angiomas, dermatofibromas, epidermal cysts, and lipomas. Providing reassurance regarding their benign nature and offering in-office removal (e.g., cryotherapy, snip excision, curettage, simple excision for cysts/lipomas if trained/equipped) for cosmetic reasons, if causing irritation, or for diagnostic certainty if there's any ambiguity.
• Eczema (Atopic Dermatitis), Contact Dermatitis & Seborrheic Dermatitis: Diagnosing and managing various forms of eczema/dermatitis, including atopic dermatitis (the most common type, often starting in childhood), irritant/allergic contact dermatitis (identifying and avoiding triggers), and seborrheic dermatitis (affecting scalp, face, chest). Management focuses on skincare education (frequent emollients, gentle cleansers, lukewarm baths), trigger identification and avoidance, topical corticosteroids (appropriate potency for site and severity), topical calcineurin inhibitors (TCIs like tacrolimus, pimecrolimus), and antihistamines for itch relief. Referral for patch testing or to dermatology for severe or refractory cases.
• Bacterial Skin Infections (Impetigo, Folliculitis, Cellulitis - uncomplicated): Effective antimicrobial therapy for common bacterial skin infections to resolve infection, prevent spread, and alleviate associated symptoms.
• Fungal Skin, Nail & Hair Infections (Tinea species, Candidiasis, Onychomycosis): Managing common mycotic infections to resolve symptoms (itching, scaling, discoloration, inflammation), prevent spread to others, and restore healthy skin and nails.

This list offers some examples of common conditions managed in family practice. A diagnosis is always based on an individual assessment by Dr Normand-Rivest. If your specific health concern isn't listed, please contact the clinic to discuss your needs.

• Well-Child & Well-Adolescent Visits (Growth & Development): Routine check-ups for infants, children, and adolescents to monitor physical growth, cognitive and social-emotional development, and provide anticipatory guidance to parents/guardians.
• Stress Management, Burnout & Adjustment Disorder Support: Offering guidance, psychoeducation, and practical coping strategies for managing acute and chronic life stressors, workplace burnout, or adjustment difficulties related to significant life changes.
• Assessment & Management of Common Joint Pain (Knee, Shoulder, Hip, Back): Offering initial treatment strategies including activity modification advice, pain relief options (oral/topical medications), exercise recommendations, and referrals to physiotherapy, chiropractic, or sports medicine specialists when indicated.
• Management of Common Adult Acute & Chronic Illnesses: Diagnosing and treating a wide spectrum of acute illnesses commonly affecting adults (e.g., respiratory infections, UTIs, skin conditions) and providing ongoing management for prevalent chronic diseases (e.g., hypertension, diabetes, asthma, arthritis).
• Skin Lesion Assessment, Biopsy & Minor Excisions (Benign Lesions): Management of common skin lesions, including simple diagnostic and removal procedures where appropriate within primary care.

Note: This list highlights some of the key services offered by Dr Normand-Rivest. For a comprehensive understanding of all services, or to discuss your specific health needs, please schedule a consultation.

All services are provided in accordance with the scope of practice for Médecin de familles in QC and the ethical and professional standards set by The Collège des médecins du Québec (CMQ).

At Centre Médical Métro Monk, family medicine is centered on a collaborative partnership to help individuals like you achieve significant improvements in your health, manage ongoing conditions effectively, and enhance your overall well-being. Dr Normand-Rivest frequently works with patients towards goals such as:

• Overcoming or managing needing a referral for allergy testing due to ongoing symptoms is a common patient journey at Dr Normand-Rivest's practice. The focus is on enabling feeling a profound sense of relief and gratitude after finally discussing a 'embarrassing' or stigmatized health concern with Dr Normand-Rivest in a completely safe, confidential, and entirely supportive clinical environment, so that engaging in feeling mentally clear, exceptionally sharp, highly focused, and consistently productive throughout their demanding workday, during important decision-making processes, or when engaged in complex cognitive tasks becomes a reality again.
• Many patients have successfully addressed experiencing sudden hearing loss or ringing in their ears (tinnitus) with Dr Normand-Rivest's support. This often leads to feeling substantially more hopeful and less overwhelmed about managing a difficult or life-altering health condition after comprehensive consultations and collaborative care planning with Dr Normand-Rivest and the ability to fully participate in proficiently and safely operating specialized tools, intricate machinery, or complex equipment required for their specific line of work, skilled trade, or demanding technical hobbies without risk of injury or error due to health limitations once more.

Your personalized healthcare plan, developed in discussion with Dr Normand-Rivest, will be thoughtfully designed to help you reach your specific functional, preventative, and wellness objectives. She believes in empowering patients with the knowledge and support needed to take an active role in their health journey.

Dr Normand-Rivest practices at Centre Médical Métro Monk, a family medical practice in a central Montréal neighborhood of Montréal. The clinic is conveniently located near local community centers, schools, and shopping areas and is accessible via major local public transit routes. Street parking and nearby public or paid lots typically offer convenient options for visitors.

Is seeing a family doctor (Médecin de famille) covered by Régie de l'assurance maladie du Québec (RAMQ) in QC?

Medically necessary visits to a family doctor are typically covered by the Régie de l'assurance maladie du Québec (RAMQ) for eligible residents with a valid provincial health card. However, some services (e.g., cosmetic procedures, most travel medicine consultations, sick notes, insurance forms, driver's medicals) may not be covered and might have an associated fee. Please confirm with Centre Médical Métro Monk if you have questions about specific non-insured services or potential fees.

Do I need a referral to see a family doctor (Médecin de famille) in QC?

Generally, you don't need a referral to see a family doctor if they are accepting new patients. However, finding a family doctor accepting new patients can be challenging. Provincial resources or the College of Physicians and Surgeons of Quebec may be helpful. A referral is usually required from a family doctor to see specialists.

How can I find a family doctor (Médecin de famille) in QC who is accepting new patients?

Check the College of Physicians and Surgeons of Quebec website. They often have a 'Find a Doctor' tool. Ask friends, family, or colleagues for recommendations. Contact local community health centres or clinics directly. It may take time to find a doctor.

What exactly is a family doctor (Médecin de famille) and what is their role?

Your family doctor (in Quebec) is your primary healthcare provider, expertly trained to care for a wide spectrum of health issues, from newborns to seniors. They manage acute illnesses and injuries, oversee the care of long-term chronic diseases, provide routine health screenings and lifestyle counseling, administer vaccinations, and ensure you get access to specialized medical services through referrals when needed. The continuity of care they provide, understanding your health history and individual needs, is fundamental to effective family medicine.

Centre Médical Métro Monk
2529 rue Allard
Montréal, QC, H4E 2L5

Phone: (514) 769-9999

Dr. Laurence Normand-Rivest is regulated by the Code des professions & Loi médicale (Québec) in QC and is a registered member in good standing with The Collège des médecins du Québec (CMQ).

Registration Number: 13481

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=13481

Family doctors like Dr Normand-Rivest are skilled in managing a wide range of health issues. For urgent or life-threatening emergencies, please call 911 or visit the nearest emergency department. It is always recommended to maintain open communication with your family doctor about all aspects of your health, including any treatments received from other practitioners.