Cabinet CSMQ

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Whether you are in a professional or romantic impasse, have difficulty managing stress or simply have old wounds to deal with, psychosocial follow-up can help you overcome these obstacles in a healthy way. Don’t worry, our psychosocial counsellors will accompany you and let you evolve at YOUR pace.

Psychologist

Psychologist

The psychologist is an expert in behavior, emotions and mental health. It intervenes with people who are experiencing distress or psychological difficulties.

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Sexologist

Sexologist

Sexology is the study of human sexuality. Thus, the helping relationship in sexology can help find solutions and support the person in their daily life in relation to relational, sexual or personal difficulties. The sexologist sexologist seeks to identify the psychological or physiological mechanisms that may contribute to the difficulty. The sexologist first suggests one or two meetings needs assessment and goal setting. The following meetings begin the process in a helping relationship which will be mainly through reflections, advice and exercises to be practiced at home.

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Helping relationship therapist

Helping relationship therapist

The therapist offers psychological support to promote personal development and fulfillment. Whether it’s overcoming fears, managing stress, managing a career change, or improving confidence and self-esteem, the therapist will guide you on your journey.

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Social worker

Social worker

The Social Worker provides counselling services to promote personal development and achievement. Whether it’s overcoming phobias, managing stress, dealing with a divorce, or improving confidence and self-esteem, the social worker will guide you on your journey. Her interventions allow her to support the client in his or her journey towards wellness. They allow a better knowledge of oneself, an understanding of one’s functioning in relation to oneself and one’s surroundings.

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We are also a participant in the IVAC program to assist victims of crime

Types of consultations
Corporate consulting
The CSMQ Cabinet offers businesses the opportunity to provide mental health care services that are covered by their insurance. Our professionals are trained to cover both work and family related issues.
Consultation at home
Our consultations can be done in the comfort of your home. Our professionals take health measures seriously in order to offer consultations to patients who want a face-to-face meeting but cannot travel.
Clinic consultation
The CSMQ offers, of course, on-site therapy services at our Chambly branch.
Telephone consultation
The CSMQ can also offer telephone consultations for our patients who are unable to travel and do not wish to make a video call or have their therapist come to their home.
Video consultation
We offer video conferencing consultations for our patients who wish to have eye contact with the therapist without having to travel.
Consultation to seniors
Our consultations can be offered remotely in order to limit the travel of our patients and to be able to offer our services to our senior and/or reduced mobility clientele. As mentioned above, we can offer consultations either by phone or video conference depending on the patient’s wishes. We also accept remote payment methods in a secure and fast way. If you have any questions, please contact us.

Relation d'aide primaire

  • Déprime générale
  • Choc post-traumatique
  • Anxiété
  • Dépression et/ou "burn out"

Relation d'aide primaire

  • Déprime générale
  • Choc post-traumatique
  • Anxiété
  • Dépression et/ou "burn out"

Consultation conjuguale

  • Outil de l'approche systémique
  • Outil de l'approche psychanalytique
  • Consultation cognitivo-comportementale et interpersonnelle

Consultation conjuguale

  • Outil de l'approche systémique
  • Outil de l'approche psychanalytique
  • Consultation cognitivo-comportementale et interpersonnelle

>

Entrevue motivationnelle

  • Confiance personnelle
  • Confiance professionnelle
  • Gestion des pensées
  • Gestion des émotions

>

Entrevue motivationnelle

  • Confiance personnelle
  • Confiance professionnelle
  • Gestion des pensées
  • Gestion des émotions

Here are some definitions of different pathologies 

Panic disorder
Panic attacks can occur in all anxiety disorders. They are usually related to a primary disorder (for example, a person with a phobia of grasshoppers may have a panic attack at the sight of grasshoppers). These panic attacks are called expected. Unexpected panic attacks are those that occur spontaneously, with no apparent trigger.

 

Symptoms of a panic attack:

-Fear of death.

-Fear of going crazy or losing control of oneself.

-Chest pain or discomfort.

-Feeling dizzy, unsteady or faint.

-Impression of suffocation.

-Hot flashes or chills.

-Nausea or abdominal pain.

-Paresthesias or tingling sensations.

-Palpitations or accelerated heart rate.

-Feeling of shortness of breath or choking.

-Sweats.

-Trembling.

Gambling, alcohol and drug addiction
Addiction is an irrepressible and uncontrollable need to use a substance or perform certain actions. When this need is satisfied, it provides a certain pleasure. On the contrary, when it is not, it creates a feeling of craving, the consequences of which can be more or less important depending on the level of dependence the person is facing.

The DSM-5 (Diagnostic and Statistical Manual of Mental Disorders), the reference work, no longer speaks of dependence or abuse but of “use disorder”. The disorder ranges from “mild” to “moderate” to “severe” depending on the number of symptoms experienced by the person.

While addiction is often associated with the use of psychoactive substances (alcohol, drugs, medication, tobacco and others), other forms of addiction can also be observed.

behavioral dependency:

-Gambling
-Sports activity
-Gender
-Technologies (cellular, social networks…)
-Consumption (compulsive purchases, accumulation of objects…)
-Power supply
-Emotional dependence

Personality disorders
The person with a personality disorder has unstable behaviors that are often associated with significant distress. Individuals diagnosed with personality disorders have great difficulty in social relationships and in managing their emotions.

 

Personality disorders are categorized into 3 groups :

 

Group A distant (psychotic disorders)

 

Paranoid personality disorder:

This personality disorder is characterized by paranoia and long-term distrust. Individuals with this disorder may be hypersensitive and look for the smallest thing as a potential threat.

 

Schizoid personality disorder:

This personality disorder is characterized by a lack of interest in social relationships. The individual has difficulty making contact with others and forming social bonds. For leisure and professional activities, the individual is rather independent and solitary; he shows no emotion and has a cold image towards others.

 

Schizotypal personality disorder:

This personality disorder is characterized by significant social anxiety. The individual has a need for social isolation. People with this disorder may feel uncomfortable in a relationship; they may even act strangely during a conversation, not respond or talk to themselves.

 

Group B impulsive (dramatic, emotional or erratic)

 

Antisocial personality disorder:

This personality disorder is characterized by an inability to conform to social norms. The individual tends to deceive for profit or pleasure. The affected person is really impulsive, irritable, and can even be aggressive; he or she has no regard for his or her own safety or that of others. Lack of remorse or empathy is predominant.

 

Borderline personality disorder (BPD):

This personality disorder is characterized by instability in interpersonal relationships. Relationships are particularly unstable and intense, easily leading to idealization or devaluation of the other. The individual has impulsive and aggressive reactions, eating and behavioral disorders, risky sexuality and addictive behaviors. Temporary psychotic episodes are possible, especially when the person is going through a personal crisis.

 

Histrionic person disorder:

This personality disorder is characterized by a general pattern of excessive emotional responses and attention seeking. The person with this disorder feels uncomfortable when he or she is not the center of attention. Seduction is her priority using her charm and inappropriate behaviors. If he fails to attract attention through seduction, he will pose as a victim and will not refrain from denigrating others in order to achieve his goal.

 

Narcissistic personality disorder:

This personality disorder is characterized by an excessive need to be admired, having a constant feeling of superiority. A lack of empathy may also be present. The belief of superiority makes the narcissist a person who needs to be admired unconditionally; he/she has a feeling that everything is due to him/her.

 

Group C delete (anxiety and fear disorders)

 

Avoidant Person Disorder:

This personality disorder is characterized by a feeling of maladjustment and a very strong sensitivity to negative situations. They are afraid of being rejected, criticized or embarrassed. People with this disorder feel inadequate. They manage these feelings by avoiding any contact or situation in which they might be viewed negatively.

 

Disorder of the dependent person:

This personality disorder is characterized by an increased dependence on other individuals. People with this disorder will have difficulty trusting themselves and feel that they are unable to take care of themselves; they use submission to try to get the other person to take care of them.

 

Obsessive-compulsive disorder:

This personality disorder is characterized by an uncommon preoccupation with order, perfectionism, mental and interpersonal control. People with this disorder need to be in control and do things in a specific way to satisfy their perfectionism.

Social anxiety
 People who suffer from social anxiety often have fears that become excessive, persistent and intrusive. The affected person may panic and try to avoid situations and conditions that remind them of the object of their fear. 

Social anxiety is a fear associated with certain activities or performance situations where the person may feel watched, embarrassed, humiliated, rejected, or concerned about the judgment of others.

Symptoms of social anxiety:

This anxiety  is often accompanied by one or more symptoms.

-Heart palpitations or rapid heartbeat.
-Tremors or muscle twitches sometimes generalized to the whole body.
-Excessive sweating and muscle pain.
-Stomach ache and diarrhea or abdominal discomfort.
-Sensation of high pressure and blushing.
-Confusion
Generalized Anxiety

Everyone experiences anxiety at one time or another. Feeling a little anxious is perfectly normal; it protects us and can help us deal with a worrying or potentially dangerous situation. Anxiety is felt as a fear whose cause is difficult to specify. This feeling is accompanied by symptoms. It is natural to feel a certain level of anxiety on certain occasions, such as when you are going through a major life change like a wedding or a move. It’s also normal to feel anxious the night before an exam, when you’re going to a job interview, or during a sporting event. The anxiety is then linked to specific events and usually disappears as soon as life returns to normal. When anxiety becomes recurrent, it is important to consult a professional in order to avoid a possible worsening of the symptoms.

 

Here are some situations in which anxiety can be considered a problem:

-It does not go away even when the situation of concern returns to normal.

-It causes a significant level of distress.

-It is not related to any life event; it appears without any reason.

-It is a constant preoccupation of the person.

-It prevents one from functioning and acting properly at work, in society or in other areas of normal life.

Anxiety disorders
Anxiety disorders are a group of psychological disorders representing several forms of abnormal or pathological fear and anxiety. The psychiatric diagnostic criteria recognize a wide variety of anxiety disorders. Individuals suffering from these disorders can be cured completely. Anxiety itself is not pathological, but it can become an anxiety disorder when this emotion becomes pervasive and causes significant suffering to the individual on a permanent or discontinuous basis. No one is immune to these problems. Intense anxiety may be present for those with severe psychiatric disorders, including depression, and may be associated with other conditions.
Bipolar disorder
The person with bipolar disorder experiences emotions such as anger, sadness or joy with exceptional intensity. Emotions can vary from one person to another and affect oneself and those around one. The affected person may experience a life event with deep sadness or a feeling of supreme happiness.

The frequency and duration depend on each individual and affect the way they think and act. The person with bipolar disorder goes through periods of mood swings. There are 2 types of episodes:
-The episode of great excitement or energy.
-The episode of distress or depression.

Signs and symptoms:

 

An episode of great excitement or energy:

-Feeling of happiness and pleasure very intense or, on the contrary, of excessive irritability.
-Hyperactivity, restlessness and overflowing energy.
-Ideas of grandeur.
-Accelerated speech rate.
-Increase in the number of professional, academic, social and family activities.
-Decreased need for sleep.
-Acceleration of thought.
-Lack of judgment.
-Risky behavior that provides extreme pleasure, such as impulse buying, financial and even sexual investments.

Episode of depression:

-Fatigue.

-Lack of energy and great agitation.
-Sleep problems.
-Decreased or increased appetite.
-Decreased or loss of sexual appetite.
-Appearance of various aches and pains such as head and back pain.
-Very important loss of general interest.
-Feelings of guilt or failure.
Decreased self-esteem.
-Difficulty concentrating on a task.
-Difficulty in making decisions.
-Suicidal thoughts.
Psychotic disorders
If you have a psychotic disorder, your brain will be affected in a major way by changing thoughts, beliefs or perceptions. The person with a psychotic disorder may hear voices or feel that others are manipulating his or her thoughts. She has a poor perception of what is really real.

 

Main forms of psychotic disorders:

 

– Schizophrenia: Schizophrenia affects thoughts, emotions, feelings and behaviors. The person affected has great difficulty living his or her life in a normal way . People with the disorder are no longer in reality and suffer from acute psychotic episodes. The symptoms of this chronic illness are severe and variable; the most common are delusions and hallucinations.

 

– Schizoaffective disorder: The person with schizophrenia has symptoms of schizophrenia and associated symptoms such as mood disorder and bipolar disorder.

 

Delusional disorder: Delusional disorder affects thoughts and ideas, such as having difficulty concentrating or following a conversation or believing that a celebrity or other person has fallen in love. Can go as far as feeling chased or having the sensation of giving off a bad smell.

 

-Brief psychotic episode: Brief psychotic episodes are the same as those of schizophrenia. On the other hand, they appear in a rapid way and are triggered after a great stress such as a death, violence, illness, natural disaster, etc. These episodes do not last more than a month. Afterwards, the person returns to normal activities; most of the time, there is no relapse.

 

-Substance Use Disorder: This disorder is caused directly by the use of a psychotic substance. It lasts only a short time and often causes delusions and hallucinations.

 

Signs and symptoms:

 

Family members may notice warning signs such as :

-Disturbed sleep and appetite.

-Neglected hygiene and appearance.

-Lack of energy and motivation.

-Abruptly changing mood.

-Difficulty concentrating.

-Lack of interest in friends, work and studies.

-Modified emotions.

-Indifference towards the environment.

-Delusional ideas, i.e. strange or false ideas, worrisome ideas or false beliefs.

-Incoherent and confused thoughts.

-Unusual behavior.

-Total isolation.

-Increased alcohol or drug use.

 

Symptoms may vary from person to person:

-Having hallucinations

-Hearing voices.

-Smell odors that no one else smells.

-To feel physical sensations.

-Have delusions of grandeur.

When a psychotic disorder appears, it is important to contact the CSMQ; we can help you!

 

Depression
Everyone goes through ups and downs. However, normal life experiences should not be confused with the serious illnesses known as mood disorders. There are various types of depressive disorders, including bipolar disorder (manic depression) and perinatal depression; however, clinical depression (or major depression) is the most common mood disorder.

 

Mood disorders are very real illnesses that can have serious and even fatal consequences. They affect not only the body, but also the mind. Physical symptoms can range from fatigue to stomach problems to muscle and joint pain. Many people do not realize that they are suffering from depression.

 

Mood disorders are one of the most common mental illnesses in the general population. According to Statistics Canada’s 2012 Canadian Community Mental Health Survey (CCHS), 5.4% of the Canadian population aged 15 years and older reported symptoms that met the criteria for a mood disorder in the previous 12 months, including 4.7% for major depression and 1.5% for bipolar disorder.

Agoraphobia disorder
Agoraphobia
 
Agoraphobia is an anxiety disorder characterized by anxiety (or avoidance) about places or situations from which it might be difficult (or embarrassing) to escape or where help would not be available in case ofpanic attack (or panic attack) or panic-like symptoms. It is characterized by fear or anxiety about the following situations
 
 
  1. Use public transport                (e.g. cars, buses, trains, ships, planes).
  2. Be in open spaces (e.g. parking lots, markets, bridges).
  3. Being in closed places (ex: Stores, theaters, movie theaters).
  4. Queuing or being in a crowd.
  5. Being away from home alone.
 
Symptoms:
 
  1. Palpitations, heartbeat or rapid heart rate.
  2. Sweating.
  3. Trembling or shaking.
  4. Feelings of shortness of breath or choking.
  5. Sensation of strangulation.
  6. Chest pain or discomfort.
  7. Nausea or abdominal discomfort.
  8. Feeling dizzy, unsteady, lightheaded, or faint.
  9. Shivering or hot sensations.
  10. Paresthesia (numbness or tingling).

 

Eating disorder
If you have a psychotic disorder, your brain will be affected in a major way by changing thoughts, beliefs or perceptions. The person with a psychotic disorder may hear voices or feel that others are manipulating his or her thoughts. She has a poor perception of what is really real.

 

Main forms of psychotic disorders:

 

– Schizophrenia: Schizophrenia affects thoughts, emotions, feelings and behaviors. The person affected has great difficulty living his or her life in a normal way . People with the disorder are no longer in reality and suffer from acute psychotic episodes. The symptoms of this chronic illness are severe and variable; the most common are delusions and hallucinations.

 

– Schizoaffective disorder: The person with schizophrenia has symptoms of schizophrenia and associated symptoms such as mood disorder and bipolar disorder.

 

Delusional disorder: Delusional disorder affects thoughts and ideas, such as having difficulty concentrating or following a conversation or believing that a celebrity or other person has fallen in love. Can go as far as feeling chased or having the sensation of giving off a bad smell.

 

-Brief psychotic episode: Brief psychotic episodes are the same as those of schizophrenia. On the other hand, they appear in a rapid way and are triggered after a great stress such as a death, violence, illness, natural disaster, etc. These episodes do not last more than a month. Afterwards, the person returns to normal activities; most of the time, there is no relapse.

 

-Substance Use Disorder: This disorder is caused directly by the use of a psychotic substance. It lasts only a short time and often causes delusions and hallucinations.

 

Signs and symptoms:

 

Family members may notice warning signs such as :

-Disturbed sleep and appetite.

-Neglected hygiene and appearance.

-Lack of energy and motivation.

-Abruptly changing mood.

-Difficulty concentrating.

-Lack of interest in friends, work and studies.

-Modified emotions.

-Indifference towards the environment.

-Delusional ideas, i.e. strange or false ideas, worrisome ideas or false beliefs.

-Incoherent and confused thoughts.

-Unusual behavior.

-Total isolation.

-Increased alcohol or drug use.

 

Symptoms may vary from person to person:

-Having hallucinations

-Hearing voices.

-Smell odors that no one else smells.

-To feel physical sensations.

-Have delusions of grandeur.

When a psychotic disorder appears, it is important to contact the CSMQ; we can help you!

 

Phobia
It is normal to have fears about certain things. Fear is a defense mechanism to ensure the survival of the species; for example, the fact that a hare is afraid of a coyote allows it, in the presence of the coyote, to try to save itself quickly enough to stay alive.

 

These fears are often situational and considered to be low intensity. They do not prevent the person from functioning. In people with excessive phobia, these fears sometimes become persistent and pervasive, which can result in panic. The person eventually chooses to avoid situations or conditions that remind him or her of the object of fear. Phobia affects about 10% of the population.

 

Signs and symptoms :

People who suffer from phobias feel anxious whenever they are in the presence of something they fear. This anxiety can be caused by the specific thing they are afraid of, but also by the anticipation that they will have to face it. This anxiety is often accompanied by one or more symptoms.

 

  1. Heart palpitations or rapid heartbeat.
  2. Tremors or muscle twitches (sometimes generalized to the whole body).
  3. Excessive sweating.
  4. Muscle pain.
  5. Stomach ache, diarrhea or abdominal discomfort.
  6. Confusion.

 

How do I know which professional is right for me?

It is often difficult to know how we feel, especially in a crisis situation. That is why we use a triage system by our nurse clinician to refer our patients to the appropriate health care professional.

To do so, please fill out the attached form and we will contact you as soon as possible.

Note: If you need immediate assistance, please call 911 and/or refer to our emergency resources.