Dr. Nestor Ariel Zielinsky

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

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).

Other Psychiatric Conditions & Focus Areas

• Impulse Control Disorders (e.g., Intermittent Explosive Disorder, Kleptomania): Difficulties controlling impulses or urges, leading to behaviors that are harmful to oneself or others.
• 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.

Mood Disorders

• 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.
• 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.

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

• 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.
• 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.
• Psychopharmacological Management & Medication Optimization: Prescribing, monitoring, and adjusting psychotropic medications (e.g., antidepressants, antipsychotics, mood stabilizers, anxiolytics, stimulants) to treat various mental health disorders, focusing on efficacy, tolerability, and minimizing side effects.
• 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.
• Interpersonal Therapy (IPT): A time-limited therapy that focuses on interpersonal relationships and social functioning as they relate to current psychiatric symptoms, particularly depression.
• 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. Zielinsky 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.

Trillium Summerville Family is situated in Vaughan's Woodbridge East neighborhood, offering convenient access within a welcoming and discreet environment. Patients can enjoy the proximity to Boyd Conservation Park and the McMichael Canadian Art Collection in Kleinburg, making the location both culturally enriching and serene. The practice is accessible via York Region Transit (YRT) / Viva, providing reliable public transportation options. The facility is wheelchair accessible and aims to provide a comfortable and private environment for all patients. Metered street parking and nearby public lots are available, ensuring ease of access for visitors seeking discreet mental health care in Vaughan.

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

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

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

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

A referral to a Psychiatrist like Dr. Zielinsky 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 can I prepare for my first appointment with Zielinsky?

For your first psychiatric appointment with Zielinsky, 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 Zielinsky 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. Zielinsky 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. Zielinsky will typically discuss the limits of confidentiality with you at the beginning of your treatment.

Does Zielinsky offer psychotherapy (talk therapy)?

Many psychiatrists, including potentially Zielinsky, 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 Zielinsky'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.

Trillium Summerville Family
7th Floor, 4 Director Court, Medicine Teaching Unit
Vaughan, ON L4L 3Z5

Phone: (416) 633-8124 | Fax: (416) 633-1570

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

Dr. Zielinsky 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. Zielinsky 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/Zielinsky-Nestor-Ariel/0037909-51885