Dr. K Psychiatry

Dr. K Psychiatry Dr. Jamie Karagianis, Psychiatrist. I do CBT & prescribe psychiatric meds if needed. Here, I put adv John's, where I grew up.

James Karagianis MD FRCPC

MD from Memorial University of Newfoundland, 1985

Specialty training in psychiatry at Memorial University of Newfoundland completed in 1989. Fellow of the Royal College of Physicians and Surgeons of Canada since 1990. I was born in British Columbia, and lived in Toronto and Halifax before my family settled in St. I practiced general adult psychiatry in St.John's from 1

989 until 2004. This included academic teaching positions at Memorial University, Clinical Director at the Waterford Hospital, inpatient and outpatient work at the Healthcare Corporation of St. John's (now Eastern Health), research, and independent private clinic work. In 2004 I moved to Toronto to work with Eli Lilly Canada as a Clinical Research Physician. Most of my work was with olanzapine (Zyprexa), and a little with atomoxetine (Strattera). I want to disclose this in case anyone thinks I am biased in my choices of medications to use. Eventually my responsibilities became global except for the US and Europe. In addition to designing and running clinical trials I was responsible for ensuring that results got published and presented. I gave over 350 talks in over 35 countries. I maintained a small clinical practice in cognitive therapy during this time, at the Toronto Centre for Cognitive Therapy. In 2010 I moved to Lilly's head office in Indianapolis, to work on Zyprexa and Zyprexa Relprevv. I ended my time with Lilly at the end of December 2011 and I opened my practice in Port Severn, Ontario, on January 9, 2012. In July 2012 I became Psychiatrist-in-Chief, Waypoint Centre for Mental Health Care, in Penetanguishene, Ontario. 4 years later I resumed working in full time private practice.

08/04/2025

Here are a couple of ideas that came in an email from "Stoic Wisdoms", that bear repeating.

What if the very idea that you need to be "fixed" is the problem?"

The premise that we need constant improvement creates many of the problems we're trying to solve.

The ancient Stoics took a different approach entirely. Rather than asking "How do I fix this?" they asked "What can this teach me?" Rather than demanding that life conform to their preferences, they explored how to live skillfully within whatever conditions they encountered."

Back to my 2 cents: This doesn't mean we should abandon treatment of mental illness. But maybe in addition to trying to find ways to reduce symptoms it's worth asking "What is my brain trying to tell me in making me aware of these symptoms?". Anxiety for example, can often arise out of situations that can improve after you make some kind of change. The most common one I see is unhappiness at work. It's pretty rare to see work conditions improve as a result of expressing your discontent there, or simply taking time off. You may either need to change your thoughts about work, or find new work.

- Dr. K

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Here's a really inexpensive place to buy this book that I highly recommend for anyone interested in CBT.
07/10/2025

Here's a really inexpensive place to buy this book that I highly recommend for anyone interested in CBT.

Get your copy of Feeling Good: The New Mood Therapy by Burns, David D. at Book Outlet! Enjoy amazing savings on this captivating read.

06/25/2025

One of my patients has had a bunch of unwritten rules for life (around her at least) that she expects her partner to follow. Not following them has led to conflict. She has now written them down and is going to present the list, about 10 things, for discussion. It seems like this is a good idea, now everyone will clearly know and hopefully agree upon the expectations, and perhaps her partner has rules of his own that they can discuss and work out.
- Dr. K

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Worth thinking about!
06/25/2025

Worth thinking about!

06/19/2025

Here are some ideas to ponder:

When you can't see someone else's perspective it's because a particular series of synapses (circuits) does not exist in your brain and that's because of absence of certain previous experiences that probably are not your fault, that would have created those circuits.

When people don't "let sleeping dogs lie" it might be because they are trying to figure something out, or to influence an important change in their circumstances.

- Dr. K

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06/18/2025

When you're in a depressed state of mind, your brain is biased to selectively remember more negative information. If you rely on the info in your head, you'll notice more negativity. This is another reason why it is critical to WRITE DOWN your rational thoughts for posterity, to leave a trail that you can find again and follow more easily the next time. It's easier to challenge negativity if you can re-read something you already wrote that provides an alternative and less negative viewpoint.
- Dr. K

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06/17/2025

If dopamine is the neurotransmitter most related to salience and attention, then a microphone can be considered a source of dopamine. I wonder how many musicians, speakers and politicians might have ADHD? Just musing...
- Dr. K

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There is a twelve step group available called Codependents Anonymous. The only qualification to participate is a desire ...
06/17/2025

There is a twelve step group available called Codependents Anonymous. The only qualification to participate is a desire to have better relationships. https://coda.org/
-Dr. K

Recovery program for codependence. Find a local or online meeting. If you desire healthy & loving relationships CoDA can help.

Attached is a link to Sam Harris's recent podcast about stoicism and a philosophy for life. Not everybody agrees with hi...
06/03/2025

Attached is a link to Sam Harris's recent podcast about stoicism and a philosophy for life. Not everybody agrees with his political views, but this is unconnected with politics. His ideas about stoicism and free will and meditation have been immensely helpful to me and have informed my practice in CBT.
- Dr. K
https://www.facebook.com/share/p/1YpzBAXnVz/

Sam Harris speaks with Donald Robertson about Stoicism and the good life.

06/01/2025

When I ask you what medications you’re taking, it doesn’t mean I am clueless. I have close to 400 active patients. I can’t possibly remember all of their meds, and I don’t always write it in the most recent note if it hasn’t changed and a prescription was not needed last visit. I always have what I last recorded and can look it up, but asking you saves some time. Very often in fact patients have made their own changes between visits. Also, if you’re able to remember your own meds it’s an indication of your cognitive function.
- Dr. K

05/30/2025

One more: Don't know what to do next?
Do what improves your quality of life or somebody else's quality of life.
- Dr. K

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05/30/2025

A few more rational thoughts from sessions with clients:
Uncomfortable moments mean there's something to learn.
How will you learn if you don't take a chance?
Re: "criticism" at work: Is this personal criticism or constructive feedback about a work related process or outcome?
You have intrinsic self-worth that doesn't depend on external validation.
On your deathbed, none of this will matter to you.
200 years from now all of these problems will be completely irrelevant, so why worry now?
Even in this mess, what are three things I can be grateful for?
Accept a 70% solution - good enough.
HOPE - Hold On Pain Ends... but...
Wishing does not get you anywhere. ACT.
- Dr. K

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