Dr. Michael Neil Stefanelli – Psychiatrist | Lake Country, BC

Dr. Michael Neil Stefanelli 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 Lake Country, BC, he is a key member of the local mental healthcare community. He 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. His practice is committed to offering confidential and respectful mental health care, fostering a safe space for patients to explore their concerns and work towards recovery and well-being.

He graduated with a Doctor of Medicine (MD) from the University of British Columbia in Canada. Dr. Stefanelli holds specialty certification as a Psychiatrist from the Royal College of Physicians and Surgeons of Canada, ensuring adherence to the high standards set by the College of Physicians and Surgeons of British Columbia (CPSBC). His training and certifications reflect a deep commitment to clinical excellence and evidence-based practice in mental health care.

Dr. Stefanelli's clinical philosophy centers on collaborative care, empowering patients through education and understanding, and applying evidence-based treatment approaches. He strives to foster a therapeutic alliance built on trust and respect, providing care in English to residents of Lake Country. His dedication is rooted in serving the community with compassion, professionalism, and a focus on personalized mental health treatment.

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

Schizophrenia Spectrum & Other Psychotic Disorders

• Substance/Medication-Induced Psychotic Disorder: Psychotic symptoms (hallucinations or delusions) that develop during or soon after substance intoxication or withdrawal or after exposure to a medication.
• Brief Psychotic Disorder: A sudden, short-term episode of psychotic behavior, often following a highly stressful event, lasting less than one month.
• Schizophrenia: A serious mental disorder affecting how a person thinks, feels, and behaves, often involving delusions, hallucinations, disorganized speech, and impaired functioning.

Substance-Related & Addictive Disorders (Dual Diagnosis)

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

Mood Disorders

• 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.
• 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.
• 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.

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

• 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.
• Second Opinion Consultations for Complex Psychiatric Cases: Providing expert second opinions on challenging diagnoses, treatment-resistant conditions, or complex psychopharmacological management plans.
• 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.
• 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.
• Interpersonal Therapy (IPT): A time-limited therapy that focuses on interpersonal relationships and social functioning as they relate to current psychiatric symptoms, particularly depression.

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

Located in the areas near central Lake Country, the practice is situated within a local mental health clinic or hospital department accessible via local public transit. The facility is wheelchair accessible and aims to provide a comfortable and private environment for all patients. Paid parking options are conveniently located, some with direct building access, ensuring ease of access for patients visiting from surrounding neighborhoods and points of interest in Lake Country. The practice maintains a discreet and welcoming atmosphere, emphasizing patient comfort and confidentiality.

Are psychiatric consultations and treatments with Stefanelli, a Psychiatrist, covered by Medical Services Plan (MSP) in BC?

Medically necessary consultations, diagnostic assessments, and medication management provided by a licensed Psychiatrist like Stefanelli are generally covered by Medical Services Plan (MSP) in BC 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 Stefanelli's office or Medical Services Plan (MSP).

Do I need a referral to see Stefanelli, 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 Stefanelli 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. Stefanelli 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. Stefanelli 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 Stefanelli?

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

How can I prepare for my first appointment with Stefanelli?

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

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

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

11390 Mimac Crt
Lake Country, BC V4V 1H7

Phone: (250) 766-7997

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

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

Verify registration with the College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/307574/Stefanelli%2CMichael