Dr. Lucille Necas – Psychiatrist | Toronto, ON

Dr. Lucille Necas 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 Toronto, 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. Necas graduated with a Medical Degree from the University of Toronto (Canada). With over 36 years of experience as a Psychiatrist since 1988, she is recognized as a RCPSC Specialist by the College of Physicians and Surgeons of Ontario (CPSO). Her extensive training and clinical experience underpin her ability to deliver high-quality mental health care tailored to each individual's needs.

Her clinical philosophy centers on a collaborative approach, emphasizing patient empowerment through education and understanding. Dr. Necas employs evidence-based treatment approaches and fosters a therapeutic alliance built on trust and respect. She is dedicated to providing compassionate, comprehensive care to patients in Toronto, offering services in English to ensure clear communication and effective treatment planning.

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

Other Psychiatric Conditions & Focus Areas

• Dissociative Disorders: Conditions involving disruptions or breakdowns of memory, consciousness, awareness, identity, and/or perception, often linked to trauma.
• 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.

Mood Disorders

• Bipolar Disorder (Type I, Type II, Cyclothymia): Characterized by extreme shifts in mood, energy, activity levels, and concentration, ranging from depressive lows to manic or hypomanic highs.
• 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.
• Seasonal Affective Disorder (SAD): A type of depression related to changes in seasons, most commonly beginning in the fall and continuing through the winter months.

Substance-Related & Addictive Disorders (Dual Diagnosis)

• 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).
• 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.

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

• Second Opinion Consultations for Complex Psychiatric Cases: Providing expert second opinions on challenging diagnoses, treatment-resistant conditions, or complex psychopharmacological management plans.
• 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.
• 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.
• 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.
• 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.
• Individual Psychotherapy (various modalities): Offering one-on-one talk therapy tailored to individual needs, potentially incorporating elements from different therapeutic approaches (e.g., psychodynamic, CBT, supportive).

Note: This list provides a general overview. Treatment approaches are highly individualized. Please discuss with Dr. Necas 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. Necas practices at a mental health clinic located in Toronto's India Bazaar, The Beaches West neighborhood. The facility is situated within a vibrant area close to Cabbagetown, easily accessible via TTC (Subway, Streetcar, Bus). The clinic offers a discreet, welcoming atmosphere, with the building being wheelchair accessible and designed to provide a comfortable and private environment for all patients. Paid parking options are conveniently located nearby, some with direct access to the building, ensuring ease of access for patients arriving by car. The practice emphasizes discretion and confidentiality, fostering a safe space for mental health care in a bustling urban setting.

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

Do I need a referral to see Necas, 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 Necas 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 is confidentiality handled in psychiatric care?

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

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

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

A referral to a Psychiatrist like Dr. Necas 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.

How can I prepare for my first appointment with Necas?

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

139 Boardwalk Drive
Toronto, ON M4L 3X9

Phone: (416) 690-1951

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

Dr. Necas 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. Necas 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/Necas-Lucille/0038717-52693