Dr. Pierre-Marc Tremblay

Dr. Pierre-Marc Tremblay 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.
• 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.

Other Psychiatric Conditions & Focus Areas

• Dissociative Disorders: Conditions involving disruptions or breakdowns of memory, consciousness, awareness, identity, and/or perception, often linked to trauma.
• 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.

Personality Disorders

• Avoidant Personality Disorder: Characterized by social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation.
• Antisocial Personality Disorder (ASPD): A pattern of disregarding or violating the rights of others, often involving deceitfulness, impulsivity, irritability, and lack of remorse.
• Borderline Personality Disorder (BPD): Characterized by instability in interpersonal relationships, self-image, emotions, and marked impulsivity.

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

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

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

CISSS de Montérégie-Centre, Consultations externes in Saint-Jean-sur-Richelieu's Saint-Jean Sector South/Central neighborhood offers a welcoming and discreet environment for mental health care. The facility is situated near the Site of International Balloon Festival, easily accessible via public transit including Transport Urbain / Taxibus du Haut-Richelieu. The building is wheelchair accessible and designed to ensure a comfortable and private experience for all patients. Paid parking options are conveniently located nearby, some with direct access to the building, providing ease of access for those arriving by car. The practice emphasizes confidentiality, accessibility, and a reassuring atmosphere to support patients on their mental health journey.

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

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

A referral to a Psychiatrist like Dr. Tremblay 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.

Does Tremblay offer psychotherapy (talk therapy)?

Many psychiatrists, including potentially Tremblay, 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 Tremblay'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 is the main difference between a Psychiatrist like Tremblay and a Psychologist?

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

CISSS de Montérégie-Centre, Consultations externes
230-383 Boul Du Séminaire N
Saint-Jean-sur-Richelieu, QC J3B 8C5

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. Tremblay 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. Tremblay 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=19480