About
Dr. Ruth Ann Stewart 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 Victoria, BC, she is a key member of the local mental healthcare community. She 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 practice adheres to the high standards set by the College of Physicians and Surgeons of British Columbia (CPSBC), ensuring safe, ethical, and patient-centered care. She is committed to offering a compassionate and understanding approach in a respectful environment, fostering trust and collaboration with her patients.
Dr. Stewart graduated with an MD from the University of Calgary in Canada and holds specialty certification as a Psychiatrist. She maintains key certifications including those from the Royal College of Physicians and Surgeons of Canada, as well as the College of Family Physicians of Canada. Her ongoing commitment to professional development ensures she remains current with the latest advancements and guidelines in mental health care.
Her clinical philosophy is rooted in collaborative care, emphasizing patient empowerment through education and understanding. Dr. Stewart believes in evidence-based treatment approaches and strives to build a therapeutic alliance founded on trust and respect. She dedicates herself to providing personalized care tailored to each patient's unique needs, in English, within the welcoming community of Victoria. Her goal is to support patients in achieving improved mental health and overall well-being through compassionate, respectful, and effective treatment.
Dr. Ruth Stewart provides assessment and treatment for a wide spectrum of mental health conditions, including:
Substance-Related & Addictive Disorders (Dual Diagnosis)
- Opioid Use Disorder: A problematic pattern of opioid use leading to clinically significant impairment or distress.
- Gambling Disorder (Behavioral Addiction): Persistent and recurrent problematic gambling behavior leading to clinically significant impairment or distress.
- 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.
Schizophrenia Spectrum & Other Psychotic Disorders
- 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.
- Schizoaffective Disorder: A condition that includes symptoms of both schizophrenia (like hallucinations or delusions) and a mood disorder (like depression or mania).
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.
- Dissociative Disorders: Conditions involving disruptions or breakdowns of memory, consciousness, awareness, identity, and/or perception, often linked to trauma.
This list is not exhaustive. Effective mental health care is highly personalized. Please consult with Dr. Ruth Stewart for an accurate diagnosis and tailored treatment plan.
- 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.
- 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 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.
- Interpersonal Therapy (IPT): A time-limited therapy that focuses on interpersonal relationships and social functioning as they relate to current psychiatric symptoms, particularly depression.
- 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.
Note: This list provides a general overview. Treatment approaches are highly individualized. Please discuss with Dr. Stewart 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 British Columbia (CPSBC) and relevant psychiatric care guidelines. Contact the clinic or your referring physician regarding new patient intake and referral processes.
Located in the vibrant Downtown Victoria, within the Inner Harbour neighborhood, Dr. Stewart’s practice is situated in a well-equipped mental health clinic accessible to residents and visitors alike. The facility is conveniently near the Coho and Clipper Ferry Terminals, making it easy for patients arriving by water. Public transit options are abundant, with the Victoria Regional Transit System (BC Transit) providing accessible routes to the location. The clinic is wheelchair accessible and designed to offer a comfortable and private environment for all patients, ensuring confidentiality and ease of access. Metered street parking and nearby public lots are available for those arriving by car. The practice aims to create a discreet and welcoming atmosphere for patients seeking mental health support in Victoria.
- Are psychiatric consultations and treatments with Stewart, a Psychiatrist, covered by Medical Services Plan (MSP) in BC?
- Medically necessary consultations, diagnostic assessments, and medication management provided by a licensed Psychiatrist like Stewart are generally covered by Medical Services Plan (MSP) in BC 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 Stewart's office or Medical Services Plan (MSP).
- Do I need a referral to see Stewart, 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 Stewart 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 does a Psychiatrist like Stewart 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. Stewart 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.
- What is the main difference between a Psychiatrist like Stewart and a Psychologist?
- The main difference is that a Psychiatrist, like Stewart, 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.
- When should someone consider a referral to a Psychiatrist like Stewart?
- A referral to a Psychiatrist like Dr. Stewart 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.
- How is confidentiality handled in psychiatric care?
- Confidentiality is a cornerstone of psychiatric care. Information you share with Dr. Stewart 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. Stewart will typically discuss the limits of confidentiality with you at the beginning of your treatment.
700-747 Fort St
Victoria, BC V8W 3E9
Phone: (236) 478-0700 | Fax: (250) 380-2075
The facility is wheelchair accessible and aims to provide a comfortable and private environment for all patients.
Dr. Stewart is a licensed Psychiatrist regulated by the College of Physicians and Surgeons of British Columbia (CPSBC) under the Health Professions Act in BC. A referral from a family physician or another medical doctor is typically required for consultations with Dr. Stewart for services covered by the provincial health plan.
Verify registration with the College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/310953/Stewart%2CRuth