Dr. Marcia Helena Shapir Kahan

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

Substance-Related & Addictive Disorders (Dual Diagnosis)

• Cannabis Use Disorder: Continued use of cannabis despite clinically significant impairment or distress.
• 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.

Personality Disorders

• Narcissistic Personality Disorder (NPD): A pattern of grandiosity, need for admiration, and lack of empathy.
• Avoidant Personality Disorder: Characterized by social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation.

Anxiety, OCD & Trauma-Related Disorders

• Panic Disorder (with or without Agoraphobia): Recurrent, unexpected panic attacks (sudden periods of intense fear) and persistent concern about having additional attacks or their consequences.
• Obsessive-Compulsive Disorder (OCD): Characterized by unwanted, intrusive thoughts or images (obsessions) and repetitive, ritualistic behaviors (compulsions) performed to reduce anxiety.
• Post-Traumatic Stress Disorder (PTSD): Develops after experiencing or witnessing a terrifying event, involving symptoms like flashbacks, nightmares, severe anxiety, and uncontrollable thoughts about the event.

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

• Management of Sleep Disorders (Insomnia, Parasomnias - psychiatric aspects): Pharmacological and behavioral approaches to treating sleep difficulties that are secondary to or co-occurring with psychiatric conditions.
• 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.
• 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.
• Second Opinion Consultations for Complex Psychiatric Cases: Providing expert second opinions on challenging diagnoses, treatment-resistant conditions, or complex psychopharmacological management plans.
• Medication Management for ADHD in Adults & Children/Adolescents: Prescription and monitoring of stimulant and non-stimulant medications for Attention-Deficit/Hyperactivity Disorder across the lifespan.
• 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.

Note: This list provides a general overview. Treatment approaches are highly individualized. Please discuss with Dr. Kahan 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. Kahan's practice is situated within a reputable mental health clinic in Toronto's vibrant St. James Town, Cabbagetown neighborhood. The facility is conveniently accessible via public transit, including the TTC subway, streetcar, and bus services. The area is well-served with paid parking options, some offering direct access to the building. The clinic is wheelchair accessible and designed to provide a comfortable and private environment for all patients. The location's discreet and welcoming atmosphere ensures patients feel safe and at ease when seeking mental health support. The practice is surrounded by the scenic Cabbagetown and Distillery District, adding to the inviting ambiance of the area.

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

Do I need a referral to see Kahan, 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 Kahan 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.

Does Kahan offer psychotherapy (talk therapy)?

Many psychiatrists, including potentially Kahan, 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 Kahan'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.

How can I prepare for my first appointment with Kahan?

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

When should someone consider a referral to a Psychiatrist like Kahan?

A referral to a Psychiatrist like Dr. Kahan 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.

Unit 2, 600 Sherbourne Street
Toronto, ON M4X 1W4

Phone: (416) 929-7389 | Fax: (416) 929-7390

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

Dr. Kahan 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. Kahan 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/Shapir-Kahan-Marcia-Helena/0208387-80362