Dr. Tomas Fogl

Dr. Tomas Fogl 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.
• 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).

Schizophrenia Spectrum & Other Psychotic Disorders

• 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.

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.
• Obsessive-Compulsive Disorder (OCD): Characterized by unwanted, intrusive thoughts or images (obsessions) and repetitive, ritualistic behaviors (compulsions) performed to reduce anxiety.

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

• Medication Management for ADHD in Adults & Children/Adolescents: Prescription and monitoring of stimulant and non-stimulant medications for Attention-Deficit/Hyperactivity Disorder across the lifespan.
• 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.
• 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.
• 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.
• Psychodynamic Psychotherapy / Psychoanalytic Psychotherapy: Exploratory therapy focused on understanding how past experiences and unconscious patterns influence current feelings, thoughts, and behaviors.
• Interpersonal Therapy (IPT): A time-limited therapy that focuses on interpersonal relationships and social functioning as they relate to current psychiatric symptoms, particularly depression.

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

Cleveland Clinic Canada is situated in Ottawa's Westboro neighborhood, specifically within the Westboro Beach and Ottawa River Pathway area, offering a tranquil and accessible setting for mental health care. The practice is conveniently accessible via OC Transpo (O-Train LRT and Bus), with multiple routes serving the area. The facility is wheelchair accessible and aims to provide a comfortable and private environment for all patients. Patients can find metered street parking and nearby public lots, ensuring ease of access. The setting is designed to be discreet and welcoming, respecting patient confidentiality and comfort at all times.

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

Do I need a referral to see Fogl, 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 Fogl 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. Fogl and his 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. Fogl will typically discuss the limits of confidentiality with you at the beginning of your treatment.

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

A referral to a Psychiatrist like Dr. Fogl 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 Fogl?

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

What does a Psychiatrist like Fogl 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. Fogl 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.

How can I prepare for my first appointment with Fogl?

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

Cleveland Clinic Canada
Suite 3000, 209-1300 Carling Ave
Ottawa, ON K1Z 7L2

Phone: (613) 421-4100 | Fax: (844) 921-1018

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

Dr. Fogl 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. Fogl 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/Fogl-Tomas/0227223-83840