Dr. Sophie Bertrand

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

Personality Disorders

• 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.

Substance-Related & Addictive Disorders (Dual Diagnosis)

• Gambling Disorder (Behavioral Addiction): Persistent and recurrent problematic gambling behavior leading to clinically significant impairment or distress.
• Opioid Use Disorder: A problematic pattern of opioid use leading to clinically significant impairment or distress.
• Stimulant Use Disorder (e.g., Cocaine, Amphetamines): Problematic pattern of stimulant use leading to impairment or distress.

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.
• Schizophrenia: A serious mental disorder affecting how a person thinks, feels, and behaves, often involving delusions, hallucinations, disorganized speech, and impaired functioning.
• Brief Psychotic Disorder: A sudden, short-term episode of psychotic behavior, often following a highly stressful event, lasting less than one month.

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

• 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.
• 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.
• 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.
• 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.
• 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.

Note: This list provides a general overview. Treatment approaches are highly individualized. Please discuss with Dr. Bertrand for care relevant to your specific mental health needs.

All psychiatric services are provided in accordance with the standards of practice set by the Collège des médecins du Québec (CMQ) and relevant psychiatric care guidelines. Contact the clinic or your referring physician regarding new patient intake and referral processes.

Hôpital régional de Saint-Jérôme is situated in the heart of Saint-Jérôme's Downtown Saint-Jérôme and Gare Saint-Jérôme (Train/Bus) neighborhood. The facility is easily accessible via public transit, including exo (Secteur Laurentides - Bus), and offers convenient parking options, some with direct access to the building. The hospital is wheelchair accessible and strives to provide a welcoming, discreet environment that ensures patient comfort and privacy. Its central location within the larger healthcare complex allows for integrated care, while the dedicated psychiatric unit offers specialized mental health services in a calm, private setting. The surrounding area is known for its friendly atmosphere, with ample parking and easy access, making it a discreet and welcoming environment for all patients seeking mental health care.

Are psychiatric consultations and treatments with Bertrand, a Psychiatrist, covered by Régie de l'assurance maladie du Québec (RAMQ) in QC?

Medically necessary consultations, diagnostic assessments, and medication management provided by a licensed Psychiatrist like Bertrand are generally covered by Régie de l'assurance maladie du Québec (RAMQ) in QC 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 Bertrand's office or Régie de l'assurance maladie du Québec (RAMQ).

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

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

What is the main difference between a Psychiatrist like Bertrand and a Psychologist?

The main difference is that a Psychiatrist, like Bertrand, 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 if I experience side effects from medication prescribed by Bertrand?

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

When should someone consider a referral to a Psychiatrist like Bertrand?

A referral to a Psychiatrist like Dr. Bertrand 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 does a Psychiatrist like Bertrand 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. Bertrand 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. Her subspecialty includes Psychiatry (Comprehensive Mental Health Care), allowing her to address complex cases with a comprehensive, multidisciplinary approach.

Hôpital régional de Saint-Jérôme
290 rue de Montigny
Saint-Jérôme, QC J7Z 5T3

Phone: (450) 432-2777

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

Dr. Bertrand is a licensed Psychiatrist regulated by the Collège des médecins du Québec (CMQ) under the Medical Act in QC. A referral from a family physician or another medical doctor is typically required for consultations with Dr. Bertrand for services covered by the provincial health plan.

Verify registration with the Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=20436