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 1989 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.

09/15/2025

I think we may be in one of two mindsets:
A. thinking of our own feelings, or
B. thinking of someone else's.
It's hard to think of both at the same time. Maybe even harder to switch from one to the other, or to contemplate the wisdom of continuing to think about one versus the other.

It maybe another even harder switch to think about how someone will involuntarily react to our own involuntary reactions (e.g. facial contortions). How much control does anyone have over that? And if we do have control, do we have the same amount of control at all times? It's worth pondering...
Dr. K

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09/10/2025

When should you do this thing that you've been putting off? Now, or later? How do you feel while you're putting it off? Anxious? Do you want to feel anxious for more time or less time? How will you feel after it's done? Accomplished and satisfied? Would you rather feel that way sooner, or later? Consider if it was a pill that could make you better today or with a delayed effect that started in a week? Wouldn't you prefer the fast acting pill? It's that easy. Do it now. Feel better sooner.
- Dr. K

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Life can be like a puzzle sometimes. If you don't put the effort in, nothing is going to end up happening. It doesn't co...
09/10/2025

Life can be like a puzzle sometimes. If you don't put the effort in, nothing is going to end up happening. It doesn't complete itself. But bit by bit, with your effort, it comes together. And that missing piece? Well, it often turns out that it was staring you in the face the whole time, and as you install the other pieces, suddenly you notice the missing one. Maybe its like the advice you get that you don't always think about. But it's still true and valid.
- Dr. K

08/14/2025

One of my clients talked about the idea of doing a "to feel" list before starting on her daily "to do" list. How did she want to feel that day, and then what would she need to do to start feeling like that? Seems like a very good approach.
- Dr. K

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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.

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Midland, ON
L0K2A0

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