Dr. Marcia Sirota

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

Mood Disorders

• 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.
• 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.

Schizophrenia Spectrum & Other Psychotic Disorders

• Schizoaffective Disorder: A condition that includes symptoms of both schizophrenia (like hallucinations or delusions) and a mood disorder (like depression or mania).
• Schizophrenia: A serious mental disorder affecting how a person thinks, feels, and behaves, often involving delusions, hallucinations, disorganized speech, and impaired functioning.

Anxiety, OCD & Trauma-Related Disorders

• Social Anxiety Disorder (Social Phobia): Intense fear or anxiety of social situations where one might be scrutinized by others, leading to avoidance.
• 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.
• 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 Sirota for an accurate diagnosis and tailored treatment plan.

• Group Therapy (various focuses, e.g., mood disorders, anxiety, trauma, DBT skills): Facilitating therapeutic groups where individuals with similar concerns can share experiences, learn coping strategies, and receive mutual support under the guidance of a therapist.
• 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.
• 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.
• 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.
• 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.
• 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. Sirota 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. Sirota practices within a well-established mental health clinic in North York, situated in an accessible area near central North York. The facility is conveniently located close to local points of interest, with easy access via local public transit options. The environment is designed to be discreet, welcoming, and comfortable, with the building being wheelchair accessible. Parking is available at or near the facility, with designated accessible spots to accommodate all patients. The clinic aims to provide a calm and private atmosphere, ensuring a positive experience for individuals seeking mental health support in the community.

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

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

How can I prepare for my first appointment with Sirota?

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

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

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

A referral to a Psychiatrist like Dr. Sirota 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.

What does a Psychiatrist like Sirota 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. Sirota 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. She specializes in psychiatry-specific roles such as medication management, diagnostic assessment, and crisis intervention, ensuring comprehensive mental health care for her patients.

89 Glen Rush Boulevard LL
North York, ON M5N 2V2

Phone: (416) 782-5452

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

Dr. Sirota 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. Sirota 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/Sirota-Marcia/0043337-57315