Dr. Rachel Girard

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

Schizophrenia Spectrum & Other Psychotic Disorders

• Schizoaffective Disorder: A condition that includes symptoms of both schizophrenia (like hallucinations or delusions) and a mood disorder (like depression or mania).
• Brief Psychotic Disorder: A sudden, short-term episode of psychotic behavior, often following a highly stressful event, lasting less than one month.
• Substance/Medication-Induced Psychotic Disorder: Psychotic symptoms (hallucinations or delusions) that develop during or soon after substance intoxication or withdrawal or after exposure to a medication.

Other Psychiatric Conditions & Focus Areas

• 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.
• 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

• Antisocial Personality Disorder (ASPD): A pattern of disregarding or violating the rights of others, often involving deceitfulness, impulsivity, irritability, and lack of remorse.
• 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).
• Narcissistic Personality Disorder (NPD): A pattern of grandiosity, need for admiration, and lack of empathy.

This list is not exhaustive. Effective mental health care is highly personalized. Please consult with Dr. Rachel Girard 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.
• 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.
• Dialectical Behavior Therapy (DBT) - Skills Training / Informed Therapy: Providing DBT-informed therapy or facilitating DBT skills groups to help individuals manage intense emotions, reduce self-harming behaviors, and improve relationships, particularly for borderline personality disorder.
• Second Opinion Consultations for Complex Psychiatric Cases: Providing expert second opinions on challenging diagnoses, treatment-resistant conditions, or complex psychopharmacological management plans.
• Management of Sleep Disorders (Insomnia, Parasomnias - psychiatric aspects): Pharmacological and behavioral approaches to treating sleep difficulties that are secondary to or co-occurring with psychiatric conditions.

Note: This list provides a general overview. Treatment approaches are highly individualized. Please discuss with Dr. Girard 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. Girard practices within the Centre hospitalier universitaire de Sherbrooke, situated in the vibrant neighborhood of Fleurimont East in Sherbrooke, QC. The facility is conveniently located near notable landmarks such as the Théâtre Granada and Musée de la nature et des sciences de Sherbrooke, making it easy for patients to access cultural and educational resources. Public transit options are available through the Société de transport de Sherbrooke (STS), ensuring accessible travel for many. The practice environment is designed to be discreet, welcoming, and accessible, with the facility being wheelchair accessible and aiming to provide a comfortable and private environment for all patients. Parking is available at or near the facility, with designated accessible spots to accommodate patients with mobility needs. The setting offers a peaceful and confidential atmosphere, dedicated to supporting mental health and well-being in a professional and compassionate manner.

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

Do I need a referral to see Girard, 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 Girard 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 is the main difference between a Psychiatrist like Girard and a Psychologist?

The main difference is that a Psychiatrist, like Girard, 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 Girard offer psychotherapy (talk therapy)?

Many psychiatrists, including potentially Girard, 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 Girard'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.

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

A referral to a Psychiatrist like Dr. Girard 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 if I experience side effects from medication prescribed by Girard?

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

How is confidentiality handled in psychiatric care?

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

Centre hospitalier universitaire de Sherbrooke
580 rue Bowen S
Sherbrooke, QC J1G 2E8

Phone: (819) 346-1110

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

Dr. Girard 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. Girard 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=16510