Dr. Marc-André Roy – Psychiatrist | Québec, QC

Dr. Marc-André Roy 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 the Institut universitaire en santé mentale de Québec in Québec City, QC, he is a key member of the local mental healthcare community. His practice adheres to the standards and ethical guidelines established by the Collège des médecins du Québec (CMQ). Dr. Roy provides comprehensive psychiatric care, including diagnostic assessment, medication management, and psychotherapeutic interventions for various mental health conditions. His approach is centered on understanding each patient's unique needs to foster recovery and well-being. The practice is committed to providing confidential and respectful mental health care, fostering a safe space for patients to explore their concerns and work towards positive outcomes.

He holds a Medical Degree from a recognized institution and has accumulated over 38 years of experience as a Psychiatrist since 1986. Dr. Roy has completed extensive post-graduate training in psychiatry and holds all necessary certifications to practice Psychiatry (Comprehensive Mental Health Care) in Québec. His longstanding dedication ensures that his patients receive the highest standard of care, grounded in current clinical practice and evidence-based approaches.

Dr. Roy’s clinical philosophy emphasizes collaborative care, patient empowerment through education and understanding, and the importance of a strong therapeutic alliance built on trust and respect. He is committed to providing personalized treatment plans that incorporate the latest evidence-based techniques. Fluent in French, he strives to make his patients feel understood and supported throughout their mental health journey in Québec City.

Dr. Marc-André Roy provides assessment and treatment for a wide spectrum of mental health conditions, including:

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.
• 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.

Personality Disorders

• Antisocial Personality Disorder (ASPD): A pattern of disregarding or violating the rights of others, often involving deceitfulness, impulsivity, irritability, and lack of remorse.
• Avoidant Personality Disorder: Characterized by social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation.

Schizophrenia Spectrum & Other Psychotic Disorders

• Schizophrenia: A serious mental disorder affecting how a person thinks, feels, and behaves, often involving delusions, hallucinations, disorganized speech, and impaired functioning.
• 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.
• Brief Psychotic Disorder: A sudden, short-term episode of psychotic behavior, often following a highly stressful event, lasting less than one month.

This list is not exhaustive. Effective mental health care is highly personalized. Please consult with Dr. Marc-André Roy 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.
• Psychodynamic Psychotherapy / Psychoanalytic Psychotherapy: Exploratory therapy focused on understanding how past experiences and unconscious patterns influence current feelings, thoughts, and behaviors.
• Second Opinion Consultations for Complex Psychiatric Cases: Providing expert second opinions on challenging diagnoses, treatment-resistant conditions, or complex psychopharmacological management plans.
• 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).
• Crisis Intervention & Urgent Psychiatric Assessment (in appropriate settings): Providing rapid assessment and intervention for individuals experiencing acute psychiatric crises, such as suicidal ideation, acute psychosis, or severe agitation, typically in emergency departments or crisis clinics.
• Supportive Psychotherapy: A therapeutic approach aimed at reducing distress, reinforcing coping mechanisms, and improving adaptive functioning through a supportive therapeutic relationship.

Note: This list provides a general overview. Treatment approaches are highly individualized. Please discuss with Dr. Roy 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.

Institut universitaire en santé mentale de Québec is situated in the vibrant area near central Québec City, offering convenient access for patients. The facility is located within the ExpoCité district, easily reachable via public transit through the Réseau de transport de la Capitale (RTC). The environment is designed to be welcoming and discreet, with the facility being wheelchair accessible and committed to providing a comfortable and private environment for all patients. Metered street parking and nearby public lots are available to accommodate visitors, ensuring ease of access for those coming for appointments. The practice aims to maintain a calm, confidential atmosphere where patients feel valued and supported throughout their mental health care journey.

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

Do I need a referral to see Roy, 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 Roy 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. Roy and his 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. Roy will typically discuss the limits of confidentiality with you at the beginning of your treatment.

What does a Psychiatrist like Roy 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. He is a Psychiatrist who assesses, diagnoses, and treats mental, emotional, and behavioral disorders through medication, psychotherapy, or other interventions. Roy 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.

What is the main difference between a Psychiatrist like Roy and a Psychologist?

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

Institut universitaire en santé mentale de Québec
2525 ch de la Canardière
Québec City, QC G1J 2G3

Phone: (418) 694-2223 | Fax: (418) 694-2003

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

Dr. Roy 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. Roy 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=86454