Dr. Nadine Janice Nyhus

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

Schizophrenia Spectrum & Other Psychotic Disorders

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

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.
• 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.

Substance-Related & Addictive Disorders (Dual Diagnosis)

• Opioid Use Disorder: A problematic pattern of opioid use leading to clinically significant impairment or distress.
• 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).

This list is not exhaustive. Effective mental health care is highly personalized. Please consult with Dr. Nadine Nyhus 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.
• 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.
• 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.
• 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.
• Cognitive Behavioral Therapy (CBT): A structured, goal-oriented psychotherapy that helps individuals identify and change negative thought patterns and behaviors contributing to mental health problems like depression, anxiety, and OCD.
• 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.

Note: This list provides a general overview. Treatment approaches are highly individualized. Please discuss with Dr. Nyhus 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.

Collingwood General and Marine Hospital is situated in the vibrant Blair, Lang's Farm neighborhood of Cambridge. The hospital is conveniently located near Downtown Galt, with easy access via public transit, including Grand River Transit (GRT). 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 those attending appointments. The hospital offers a discreet, welcoming atmosphere, integrated within a larger healthcare setting, dedicated to specialized psychiatric services within the hospital environment.

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

Do I need a referral to see Nyhus, 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 Nyhus 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 Nyhus?

A referral to a Psychiatrist like Dr. Nyhus 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 Nyhus?

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

How is confidentiality handled in psychiatric care?

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

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

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

Does Nyhus offer psychotherapy (talk therapy)?

Many psychiatrists, including potentially Nyhus, 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 Nyhus'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.

Collingwood General and Marine Hospital
195 Abraham St
Cambridge, ON N3H 1H4

Phone: (519) 717-6716 | Fax: (519) 653-7423

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

Dr. Nyhus 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. Nyhus 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/Nyhus-Nadine-Janice/0051515-65494