Dr. Madelene Sophia Kellerman

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

Mood Disorders

• Persistent Depressive Disorder (Dysthymia): A chronic form of depression with less severe but longer-lasting symptoms than major depression, present for at least two years.
• 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.

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).
• Gambling Disorder (Behavioral Addiction): Persistent and recurrent problematic gambling behavior leading to clinically significant impairment or distress.

Personality Disorders

• Narcissistic Personality Disorder (NPD): A pattern of grandiosity, need for admiration, and lack of empathy.
• Antisocial Personality Disorder (ASPD): A pattern of disregarding or violating the rights of others, often involving deceitfulness, impulsivity, irritability, and lack of remorse.

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

• 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.
• Psychopharmacological Management & Medication Optimization: Prescribing, monitoring, and adjusting psychotropic medications (e.g., antidepressants, antipsychotics, mood stabilizers, anxiolytics, stimulants) to treat various mental health disorders, focusing on efficacy, tolerability, and minimizing side effects.
• 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.
• 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.
• Psychodynamic Psychotherapy / Psychoanalytic Psychotherapy: Exploratory therapy focused on understanding how past experiences and unconscious patterns influence current feelings, thoughts, and behaviors.

Note: This list provides a general overview. Treatment approaches are highly individualized. Please discuss with Dr. Kellerman 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 Alberta (CPSA) and relevant psychiatric care guidelines. Contact the clinic or your referring physician regarding new patient intake and referral processes.

Madelaine Kellerman Clinic Lethbridge is situated in the vibrant Downtown Lethbridge neighborhood, within close proximity to Exhibition Park and Commercial Corridor South. The clinic is easily accessible via Lethbridge Transit bus routes, making it convenient for patients from various parts of the city. The facility is wheelchair accessible and aims to provide a comfortable and private environment for all patients. Paid parking options are conveniently located nearby, some with direct building access, ensuring ease of access for those attending appointments. The practice’s discreet and welcoming atmosphere is designed to foster trust and openness, supporting patients in their mental health journey.

Are psychiatric consultations and treatments with Kellerman, a Psychiatrist, covered by Alberta Health Care Insurance Plan (AHCIP) in AB?

Medically necessary consultations, diagnostic assessments, and medication management provided by a licensed Psychiatrist like Kellerman are generally covered by Alberta Health Care Insurance Plan (AHCIP) in AB 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 Kellerman's office or Alberta Health Care Insurance Plan (AHCIP).

Do I need a referral to see Kellerman, 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 Kellerman 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 is the main difference between a Psychiatrist like Kellerman and a Psychologist?

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

When should someone consider a referral to a Psychiatrist like Dr. Kellerman?

A referral to a Psychiatrist like Dr. Kellerman 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.

Does Kellerman offer psychotherapy (talk therapy)?

Many psychiatrists, including potentially Kellerman, 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 Kellerman'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 if I experience side effects from medication prescribed by Kellerman?

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

How is confidentiality handled in psychiatric care?

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

Madelaine Kellerman Clinic Lethbridge
200 5 AVE S
Lethbridge, AB T1J 4L1

Phone: (403) 381-5260 | Fax: (403) 382-4518

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

Dr. Kellerman is a licensed Psychiatrist regulated by the College of Physicians and Surgeons of Alberta (CPSA) under the Health Professions Act in AB. A referral from a family physician or another medical doctor is typically required for consultations with Dr. Kellerman for services covered by the provincial health plan.

Verify registration with the College of Physicians and Surgeons of Alberta (CPSA): https://search.cpsa.ca/PhysicianProfile?e=82d535dc-7b60-4185-ba50-8b5109eeb3c7&i=735