Dr. Lescia Kryworuchko Tremblay – Psychiatrist | Oshawa, ON

Dr. Lescia Kryworuchko Tremblay 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 a mental health clinic or hospital department in Oshawa, ON, she is a key member of the local mental healthcare community. She provides comprehensive psychiatric care, including diagnostic assessment, medication management, and psychotherapeutic interventions for a variety of conditions such as mood disorders, anxiety disorders, and psychotic disorders. Her practice is committed to providing confidential and respectful mental health care, fostering a safe space for patients to explore their concerns and work towards recovery and well-being.

Dr. Tremblay graduated with a Medical Degree from the University of Ottawa in Canada. She has over 12 years of experience as a Psychiatrist since 2012. She is recognized as a RCPSC Specialist by the College of Physicians and Surgeons of Ontario (CPSO). Her medical training and ongoing professional development ensure she stays current with the latest evidence-based practices in mental health care, adhering to the high standards set by the CPSO and relevant psychiatric guidelines.

Her clinical philosophy emphasizes collaborative care, patient empowerment through education and understanding, and the use of evidence-based treatment approaches. Dr. Tremblay is dedicated to building a therapeutic alliance based on trust and respect, ensuring each patient feels heard and supported throughout their mental health journey. In addition to English, she speaks French and Ukrainian, which helps facilitate communication with a broader range of patients in the Oshawa community.

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

Mood Disorders

• Adjustment Disorder with Depressed Mood: Development of emotional or behavioral symptoms like sadness or hopelessness in response to an identifiable stressor occurring within 3 months of the onset of the stressor.
• 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.
• 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.

Schizophrenia Spectrum & Other Psychotic Disorders

• Delusional Disorder: Characterized by one or more firmly held false beliefs (delusions) that persist for at least one month, without other prominent symptoms of schizophrenia.
• Schizophrenia: A serious mental disorder affecting how a person thinks, feels, and behaves, often involving delusions, hallucinations, disorganized speech, and impaired functioning.

Personality Disorders

• Avoidant Personality Disorder: Characterized by social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation.
• Obsessive-Compulsive Personality Disorder (OCPD): A preoccupation with orderliness, perfectionism, and mental and interpersonal control, at the expense of flexibility, openness, and efficiency (distinct from OCD).

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

• 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.
• 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.
• Augmentation & Combination Strategies for Treatment-Resistant Conditions: Employing advanced psychopharmacological strategies, including combining medications or adding augmenting agents, for individuals who have not responded adequately to initial treatments.
• 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.
• 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.
• 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. Tremblay 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 within a dedicated mental health facility in the Vanier neighborhood of Oshawa, Dr. Tremblay's practice is conveniently situated near North Oshawa Shopping Centres. The clinic is accessible via Durham Region Transit (DRT), ensuring easy access for patients using public transportation. The facility is wheelchair accessible and aims to provide a comfortable and private environment for all patients. Parking options include metered street parking and nearby public lots, offering flexibility for those driving. The clinic's discreet and welcoming atmosphere aims to foster trust and comfort, making it an ideal setting for sensitive mental health consultations. Whether part of a larger healthcare facility or a specialized standalone psychiatric service within the hospital, the location is designed to meet the diverse needs of the Oshawa community.

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

Do I need a referral to see Tremblay, 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 Tremblay 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 Tremblay 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. Tremblay 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 can I prepare for my first appointment with Tremblay?

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

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

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

1 Hospital Court
Oshawa, ON L1G 2B9

Phone: (905) 433-4345

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

Dr. Tremblay 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. Tremblay 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/Tremblay-Lescia-Kryworuchko/0233236-84582