Dr. Michel Paradis

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

Mood Disorders

• 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.
• 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.
• 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.

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).
• 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

• Borderline Personality Disorder (BPD): Characterized by instability in interpersonal relationships, self-image, emotions, and marked impulsivity.
• 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.

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

• 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.
• Second Opinion Consultations for Complex Psychiatric Cases: Providing expert second opinions on challenging diagnoses, treatment-resistant conditions, or complex psychopharmacological management plans.
• 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.
• 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.
• 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. Paradis 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.

Hôpital du Haut-Richelieu, Services externes de psychiatrie is situated in the Saint-Jean Sector North neighborhood of Saint-Jean-sur-Richelieu, QC. The facility is conveniently accessible via public transit, including Transport Urbain / Taxibus du Haut-Richelieu, and is integrated within a larger healthcare environment dedicated to mental health services. The site is wheelchair accessible and designed to provide a comfortable, private setting for all patients. Parking is available nearby, with designated accessible spots to accommodate individuals with mobility needs. The practice offers a discreet, welcoming atmosphere, fostering ease of access and confidentiality for those seeking mental health care in the region.

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

Do I need a referral to see Paradis, 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 Paradis 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 if I experience side effects from medication prescribed by Paradis?

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

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

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

What does a Psychiatrist like Paradis 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. Paradis 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.

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

A referral to a Psychiatrist like Dr. Paradis 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 psychiatrist is indicated. Psychiatrists are also consulted for diagnostic clarification and comprehensive treatment planning, especially for co-occurring conditions.

How can I prepare for my first appointment with Paradis?

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

Hôpital du Haut-Richelieu, Services externes de psychiatrie
230-920 Boul du Séminaire N
Saint-Jean-sur-Richelieu, QC J3A 1B7

Phone: (450) 346-2222 | Fax: (450) 346-2311

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

Dr. Paradis 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. Paradis 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=86020