Dr. Rachel Sara Erstling – Psychiatrist | Grimsby, ON

Dr. Rachel Sara Erstling is a dedicated Psychiatrist specializing in the diagnosis, treatment, and prevention of a wide range of mental, emotional, and behavioral disorders in adults, and may see older adolescents for certain conditions. Practicing at a mental health clinic or hospital department in Grimsby, ON, she is a key member of the local mental healthcare community. Her practice adheres to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring that patients receive safe, ethical, and effective psychiatric care. Dr. Erstling provides comprehensive psychiatric care, including diagnostic assessment, medication management, and psychotherapeutic interventions for a variety of conditions such as mood disorders, anxiety disorders, and psychotic disorders. Her approach emphasizes understanding each patient's unique circumstances and tailoring treatments accordingly, fostering a supportive environment for recovery and well-being.

She graduated with a Medical Degree from the University of British Columbia Faculty of Medicine in Canada. With over 14 years of experience as a Psychiatrist since 2010, Dr. Erstling has developed a deep expertise in her field. She is recognized as a RCPSC Specialist by the College of Physicians and Surgeons of Ontario (CPSO), which underscores her commitment to maintaining the highest professional standards. Her extensive training and ongoing professional development enable her to stay current with the latest advances in psychiatric research and treatment modalities, ensuring her patients benefit from evidence-based care.

Dr. Erstling is committed to a collaborative approach to mental health care, believing that patient empowerment through education and understanding is essential for effective treatment. She fosters a therapeutic alliance built on trust, respect, and open communication. Fluent in both English and French, she can facilitate communication with a broader range of patients, ensuring that language barriers do not impede access to quality mental health services. Her dedication to her patients in Grimsby reflects her philosophy of compassionate, personalized, and evidence-informed psychiatric care.

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

Personality Disorders

• Borderline Personality Disorder (BPD): Characterized by instability in interpersonal relationships, self-image, emotions, and marked impulsivity.
• Narcissistic Personality Disorder (NPD): A pattern of grandiosity, need for admiration, and lack of empathy.

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.
• Delusional Disorder: Characterized by one or more firmly held false beliefs (delusions) that persist for at least one month, without other prominent symptoms of 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.

This list is not exhaustive. Effective mental health care is highly personalized. Please consult with Dr. Rachel Erstling 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.
• Medication Management for ADHD in Adults & Children/Adolescents: Prescription and monitoring of stimulant and non-stimulant medications for Attention-Deficit/Hyperactivity Disorder across the lifespan.
• Treatment of Mood Disorders (Depression, Bipolar Disorder) with Medication: Pharmacological management of major depressive disorder, dysthymia, bipolar I & II disorder, and cyclothymia, utilizing evidence-based medication strategies.
• 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.
• 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.
• 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.

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

Dr. Erstling practices at a discreet and welcoming mental health facility located in areas near central Grimsby. The clinic is situated close to local points of interest, making it easily accessible for patients. Patients can reach the facility via local public transit, with bus stops conveniently nearby. The practice location is fully wheelchair accessible and designed to provide a comfortable and private environment for all patients. Metered street parking and nearby public lots are available for those driving to appointments. The setting emphasizes confidentiality and a calming atmosphere, encouraging patients to feel at ease during their visits.

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

Do I need a referral to see Erstling, 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 Erstling 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.

How can I prepare for my first appointment with Erstling?

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

When should someone consider a referral to a Psychiatrist like Dr. Erstling?

A referral to a Psychiatrist like Dr. Erstling 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 Erstling?

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

What does a Psychiatrist like Erstling 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. She is a Psychiatrist who assesses, diagnoses, and treats mental, emotional, and behavioral disorders through medication, psychotherapy, or other interventions. Erstling 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.

Does Erstling offer psychotherapy (talk therapy)?

Many psychiatrists, including potentially Erstling, 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 Erstling'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.

Unit 304, 167 Main St E
Grimsby, ON L3M 1P2

Phone: (905) 309-3336 | Fax: (905) 309-4446

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

Dr. Erstling 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. Erstling 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/Erstling-Rachel-Sara/0214462-81271