Dr. Nazim Nekrouf

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

Mood Disorders

• 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.
• 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.

Other Psychiatric Conditions & Focus Areas

• 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.
• Eating Disorders (Anorexia Nervosa, Bulimia Nervosa, Binge Eating Disorder - psychiatric co-management): Serious conditions related to persistent eating behaviors that negatively impact health, emotions, and ability to function, often requiring multidisciplinary care including psychiatric management.

Substance-Related & Addictive Disorders (Dual Diagnosis)

• Cannabis Use Disorder: Continued use of cannabis despite clinically significant impairment or distress.
• Stimulant Use Disorder (e.g., Cocaine, Amphetamines): Problematic pattern of stimulant use leading to impairment or distress.
• Opioid Use Disorder: A problematic pattern of opioid use leading to clinically significant impairment or distress.

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

• 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.
• 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.
• 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).
• 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.
• 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. Nekrouf 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.

Dr. Nekrouf practices within the CIUSSS de l’Estrie - CHUS, Département de psychiatrie, located in Sherbrooke's Fleurimont East neighborhood. The facility is conveniently situated near the Université de Sherbrooke Main Campus, accessible via public transit provided by the Société de transport de Sherbrooke (STS). The practice is designed to be accessible, with wheelchair access and a welcoming environment that prioritizes patient comfort and privacy. Parking is available at or near the facility, with designated accessible parking spots to accommodate all patients. The setting offers a discreet and professional atmosphere, fostering trust and confidentiality for individuals seeking mental health support.

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

Do I need a referral to see Nekrouf, 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 Nekrouf 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 does a Psychiatrist like Nekrouf 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. Nekrouf 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 Nekrouf?

A referral to a Psychiatrist like Dr. Nekrouf 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.

How is confidentiality handled in psychiatric care?

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

Does Nekrouf offer psychotherapy (talk therapy)?

Many psychiatrists, including potentially Nekrouf, 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 Nekrouf's office or discuss this during your initial consultation to understand his approach to therapy and if it's a service He provides or if He would refer you to another mental health professional like a psychologist or social worker for more intensive or specialized psychotherapy if needed.

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

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

CIUSSS de l’Estrie - CHUS, Département de psychiatrie
580 rue Bowen
Sherbrooke, QC J1G 2K6

Phone: (819) 346-1110

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

Dr. Nekrouf 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. Nekrouf 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=18810