Dr. Rama Sanyasi Rao Prayaga

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

Schizophrenia Spectrum & Other Psychotic Disorders

• 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.
• Brief Psychotic Disorder: A sudden, short-term episode of psychotic behavior, often following a highly stressful event, lasting less than one month.

Personality Disorders

• Borderline Personality Disorder (BPD): Characterized by instability in interpersonal relationships, self-image, emotions, and marked impulsivity.
• 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).

Other Psychiatric Conditions & Focus Areas

• Somatic Symptom Disorder & Illness Anxiety Disorder: Characterized by significant focus on physical symptoms (Somatic Symptom Disorder) or preoccupation with having or acquiring a serious illness (Illness Anxiety Disorder), causing major distress or functional impairment.
• 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. Rama Prayaga for an accurate diagnosis and tailored treatment plan.

• 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.
• Psychodynamic Psychotherapy / Psychoanalytic Psychotherapy: Exploratory therapy focused on understanding how past experiences and unconscious patterns influence current feelings, thoughts, and behaviors.
• 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.
• 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.
• Second Opinion Consultations for Complex Psychiatric Cases: Providing expert second opinions on challenging diagnoses, treatment-resistant conditions, or complex psychopharmacological management plans.
• 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.

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

Limestone Dermatology is situated in the vibrant Holmedale neighborhood within North Ward in Brantford. The practice is conveniently located along a busy Commercial Corridor, easily accessible by public transit, including Brantford Transit. The facility is wheelchair accessible and aims to provide a comfortable and private environment for all patients. Paid parking options are conveniently located nearby, with some offering direct access to the building, ensuring ease of arrival for visitors seeking discreet mental health care. The setting is designed to be welcoming and discreet, fostering a sense of safety and confidentiality for every patient.

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

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

A referral to a Psychiatrist like Dr. Prayaga 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 Prayaga?

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

Does Prayaga offer psychotherapy (talk therapy)?

Many psychiatrists, including potentially Prayaga, 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 Prayaga'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.

How can I prepare for my first appointment with Prayaga?

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

Limestone Dermatology
225 St. Paul Avenue
Brantford, ON N3R 5Z3

Phone: (519) 770-4062 | Fax: (519) 770-4063

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

Dr. Prayaga 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. Prayaga 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/Prayaga-Rama-Sanyasi-Rao/0161462-74590