Dr. Millie Mary Margaret Paupst – Psychiatrist | Toronto, ON

Dr. Millie Mary Margaret Paupst 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 Toronto, ON, she is a key member of the local mental healthcare community. She 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. Dr. Paupst adheres to the standards and ethical guidelines established by the College of Physicians and Surgeons of Ontario (CPSO), ensuring high-quality, professional, and confidential care. Her practice is committed to fostering a safe and respectful environment where patients can openly explore their concerns and work towards recovery and well-being.

Dr. Paupst graduated with a Medical Degree from McMaster University in Canada. With over 19 years of experience as a Psychiatrist since 2005, she has developed a comprehensive expertise in mental health care. She is recognized as a RCPSC Specialist by the College of Physicians and Surgeons of Ontario (CPSO), which attests to her specialized training and adherence to rigorous professional standards. Her extensive clinical background enables her to address a wide spectrum of psychiatric conditions with a focus on evidence-based practices.

Dr. Paupst's clinical philosophy emphasizes collaborative care, patient empowerment through education and understanding, and the application of evidence-based treatment approaches. She is dedicated to building a therapeutic alliance based on trust and respect, ensuring each patient receives personalized and effective mental health care. Providing services primarily in English, she is committed to supporting her patients in Toronto with compassion and professionalism, helping them achieve improved mental health and quality of life.

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

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.
• Obsessive-Compulsive Personality Disorder (OCPD): A preoccupation with orderliness, perfectionism, and mental and interpersonal control, at the expense of flexibility, openness, and efficiency (distinct from OCD).

Other Psychiatric Conditions & Focus Areas

• Somatic Symptom Disorder & Illness Anxiety Disorder: Characterized by significant focus on physical symptoms (Somatic Symptom Disorder) or preoccupation with having or acquiring a serious illness (Illness Anxiety Disorder), causing major distress or functional impairment.
• Impulse Control Disorders (e.g., Intermittent Explosive Disorder, Kleptomania): Difficulties controlling impulses or urges, leading to behaviors that are harmful to oneself or others.
• Sleep-Wake Disorders (Insomnia, Hypersomnolence, Parasomnias - when psychiatrically related): Persistent disturbances in sleep patterns or quality that are often comorbid with or exacerbated by psychiatric conditions.

Anxiety, OCD & Trauma-Related Disorders

• Agoraphobia: Fear and avoidance of situations where escape might be difficult or help unavailable if panic-like symptoms occur, such as public transportation, open spaces, or crowds.
• Obsessive-Compulsive Disorder (OCD): Characterized by unwanted, intrusive thoughts or images (obsessions) and repetitive, ritualistic behaviors (compulsions) performed to reduce anxiety.

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

• 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.
• 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.
• Treatment of Psychotic Disorders (Schizophrenia, Schizoaffective Disorder) with Antipsychotics: Management of schizophrenia spectrum and other psychotic disorders using first and second-generation antipsychotic medications, including long-acting injectables where appropriate.
• Treatment of Mood Disorders (Depression, Bipolar Disorder) with Medication: Pharmacological management of major depressive disorder, dysthymia, bipolar I & II disorder, and cyclothymia, utilizing evidence-based medication strategies.
• 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.
• Treatment of Anxiety Disorders (GAD, Panic, Social Anxiety, OCD, PTSD) with Medication: Use of anxiolytics, antidepressants (SSRIs, SNRIs), and other medications to manage symptoms of generalized anxiety disorder, panic disorder, social phobia, obsessive-compulsive disorder, and post-traumatic stress disorder.

Note: This list provides a general overview. Treatment approaches are highly individualized. Please discuss with Dr. Paupst 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. Paupst practices at a discreet and welcoming mental health facility located in Toronto's Bayview Village neighborhood. The clinic is conveniently situated near the Royal Ontario Museum and Lee's Palace, easily accessible via TTC (Subway, Streetcar, Bus). The facility is wheelchair accessible and aims to provide a comfortable and private environment for all patients. Parking is available at or near the facility, with designated accessible spots, ensuring ease of access for everyone. The location offers a calm and confidential setting, designed to promote a sense of safety and trust for those seeking mental health care in Toronto.

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

Do I need a referral to see Paupst, 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 Paupst 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.

When should someone consider a referral to a Psychiatrist like Dr. Paupst?

A referral to a Psychiatrist like Dr. Paupst 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 is the main difference between a Psychiatrist like Paupst and a Psychologist?

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

How is confidentiality handled in psychiatric care?

Confidentiality is a cornerstone of psychiatric care. Information you share with Dr. Paupst 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. Paupst will typically discuss the limits of confidentiality with you at the beginning of your treatment.

Does Paupst offer psychotherapy (talk therapy)?

Many psychiatrists, including potentially Paupst, 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 Paupst'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 Paupst?

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

4001 Leslie Street
Toronto, ON M2K 1E1

Phone: (416) 756-6633 | Fax: (416) 756-6424

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

Dr. Paupst 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. Paupst 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/Paupst-Millie-Mary-Margaret/0048719-62697