Dr. Richard Case Millson – Psychiatrist | Kingston, ON

Dr. Richard Case Millson 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 Kingston, ON, he is a key member of the local mental healthcare community. His practice adheres to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO). Dr. Millson 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. The goal is to support patients in achieving better mental health and overall well-being. His approach emphasizes a compassionate, patient-centered model that fosters trust and collaboration, ensuring each individual receives personalized and effective care.

He graduated with a Medical Degree from Queen's University in Canada and has been practicing as a psychiatrist since 1981, bringing over 43 years of clinical experience to his patients. Recognized as a RCPSC Specialist by the College of Physicians and Surgeons of Ontario (CPSO), Dr. Millson maintains a commitment to ongoing professional development and adherence to best practice standards in mental health care. His long-standing dedication reflects a deep understanding of the complexities of mental health conditions and a commitment to providing evidence-based, ethical, and compassionate care.

Dr. Millson’s clinical philosophy is rooted in collaborative care, empowering patients through education and understanding of their conditions. He believes in fostering a therapeutic alliance built on trust, respect, and open communication. Utilizing evidence-based treatment approaches, he strives to tailor interventions to each patient's unique needs, promoting recovery and resilience. Fluent in English, Dr. Millson is dedicated to serving the Kingston community with a focus on respectful, accessible, and comprehensive mental health services.

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

Mood Disorders

• 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.
• 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.
• Persistent Depressive Disorder (Dysthymia): A chronic form of depression with less severe but longer-lasting symptoms than major depression, present for at least two years.

Anxiety, OCD & Trauma-Related Disorders

• Generalized Anxiety Disorder (GAD): Excessive, persistent worry and anxiety about various everyday life events or activities, often difficult to control.
• Agoraphobia: Fear and avoidance of situations where escape might be difficult or help unavailable if panic-like symptoms occur, such as public transportation, open spaces, or crowds.

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).
• Avoidant Personality Disorder: Characterized by social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation.

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

• 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.
• 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.
• 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).
• 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.
• 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.

Note: This list provides a general overview. Treatment approaches are highly individualized. Please discuss with Dr. Millson 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. Millson practices within a mental health clinic located in Kingston’s Downtown Kingston, Queen's University Area, Sydenham Ward neighborhood. The facility is conveniently situated near Providence Care Hospital and is easily accessible via Kingston Transit. The practice environment is designed to be discreet, welcoming, and supportive, ensuring patient privacy and comfort. 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, making access straightforward for patients attending appointments. The location fosters a calm, professional atmosphere where individuals can feel safe and respected as they undertake their mental health journey.

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

Do I need a referral to see Millson, 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 Millson 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 Millson and a Psychologist?

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

When should someone consider a referral to a Psychiatrist like Richard Millson?

A referral to a Psychiatrist like Dr. Millson 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.

suite 203, 752 King Street West
Kingston, ON K7L 4X3

Phone: (613) 217-7058 | Fax: (613) 540-6174

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

Dr. Millson 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. Millson 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/Millson-Richard-Case/0025989-30812