Dr. Robyn Shaughnessy Fallen

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

Substance-Related & Addictive Disorders (Dual Diagnosis)

• Stimulant Use Disorder (e.g., Cocaine, Amphetamines): Problematic pattern of stimulant use leading to impairment or distress.
• Dual Diagnosis (Co-occurring Substance Use Disorder & Other Mental Illness): The simultaneous presence of a substance use disorder and one or more other psychiatric disorders (e.g., depression, anxiety, bipolar disorder, schizophrenia).
• Alcohol Use Disorder: A chronic relapsing brain disorder characterized by an impaired ability to stop or control alcohol use despite adverse social, occupational, or health consequences.

Mood Disorders

• Major Depressive Disorder (MDD) / Clinical Depression: Persistent feelings of sadness, loss of interest or pleasure, fatigue, changes in appetite or sleep, and difficulty concentrating, significantly impairing daily functioning.
• Adjustment Disorder with Depressed Mood: Development of emotional or behavioral symptoms like sadness or hopelessness in response to an identifiable stressor occurring within 3 months of the onset of the stressor.
• Bipolar Disorder (Type I, Type II, Cyclothymia): Characterized by extreme shifts in mood, energy, activity levels, and concentration, ranging from depressive lows to manic or hypomanic highs.

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.
• 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.

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

• Group Therapy (various focuses, e.g., mood disorders, anxiety, trauma, DBT skills): Facilitating therapeutic groups where individuals with similar concerns can share experiences, learn coping strategies, and receive mutual support under the guidance of a therapist.
• 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.
• 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.
• 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.
• 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. Fallen 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.

William Osler Health System is situated in the Waterloo East (Glenridge, Lincoln Heights) neighbourhood of Waterloo, ON. The practice is conveniently located within a modern healthcare facility that is easily accessible by public transit, including Grand River Transit (GRT) buses and the ION Light Rail. The surrounding area features landmarks such as the Perimeter Institute for Theoretical Physics and Waterloo Town Square, making it a well-known destination in the community. The facility is wheelchair accessible and aims to provide a comfortable and private environment for all patients. Parking is available at or near the facility, with designated accessible spots. The practice offers a discreet, welcoming atmosphere designed to foster trust and ease for those seeking mental health care.

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

Do I need a referral to see Fallen, 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 Fallen 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 is confidentiality handled in psychiatric care?

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

How can I prepare for my first appointment with Fallen?

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

What if I experience side effects from medication prescribed by Fallen?

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

William Osler Health System
29 Young St E, Brampton Civic Hospital
Waterloo, ON N2J 2L4

Phone: (519) 603-0223 | Fax: (519) 888-6422

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

Dr. Fallen 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. Fallen 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/Fallen-Robyn-Shaughnessy/0280729-97581