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.

04/22/2026

A knot in your stomach could be a signal that it would be a good idea to do a thought record.
- Dr. K

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04/22/2026

Recently I did a post, about the collapse of my gazebo, and a couple of my patients mentioned that it took them to the message page when they clicked on the picture. I apologize for that, and I don't know what change facebook has made to cause that to happen, it was never my intent. I'll have to try to figure out how not to do that with a photo. We have enough ways of contacting our office, with Robin being available by phone, email and text, and I'm not looking to open up another channel to keep track of! I do welcome comments on this page, about things I post here, but if you're looking for personal help and you're already a patient of mine, please connect by the usual means you already have. For people who are not my patients, everybody still would need a referral from an Ontario based physician or nurse practitioner to be seen for assessment.
- Dr. K

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Some of you might be familiar with my snowmobile story, where it was stolen and I didn't get angry - a big epiphany for ...
04/20/2026

Some of you might be familiar with my snowmobile story, where it was stolen and I didn't get angry - a big epiphany for me. A few weeks ago I had a similar experience. My gazebo collapsed in the back yard, under the weight of the snow. I didn't get upset, and I credit CBT for that. I knew that sooner or later I would have another one. If I was lucky, insurance would help, and if not, I would have more control over what I put in it's place. Fortunately, insurance will help replace it. The worst of it is that I've been unable to barbecue for the past few weeks, because mine was crushed by the roof. Oh well. If that's the worst I have to endure, people have to endure a lot worse. I know I have. This is a rule of tens thing. In ten weeks, this will be a thing of the past.
- Dr. K

04/18/2026
Don't we all wish it was this easy!
04/13/2026

Don't we all wish it was this easy!

newhart stop it

04/12/2026

What do people think of the advice here? I don’t think this is necessarily about physical attractiveness but perhaps what draws people to you. There are one or two I don’t agree with. I don’t agree with #8, and I think that validation should be given when it’s fair and reasonable, not just sparingly. - Dr. K

04/07/2026

Below is a link to an article that discusses MAID on the sole basis of mental illness, and why it should not be permitted. The points are too numerous to summarize here, but please read the article if you're interested. The one point I would add that wasn't in the article is that it would let the government off the hook instead of providing resources to make psychiatric care more widely accessible.
- Dr. K

04/06/2026

Are you spending time, or money that you think is a waste? Such ideas commonly lead to guilt and regret, maybe even mental paralysis. However, you just might be helping someone else with the time or money you spend, and contributing to the local economy. Buying that coffee at the local shop might not be your optimal use of that money, but that money is still contributing to someone else’s employment, and maybe helps them afford to pay their rent. What about reading or watching TV? That book you bought made money for someone else who needed it. The show you watched also required people to do their jobs, and they got money for that and fed their families. It’s possible to feel good about that. However, all things need to be in the right dose. Too much time doing any one thing, can prevent you from having a nicely balanced life. Maybe the better question to ask is “Am I spending the amount of time I want to spend doing this, or is it more than I had planned/budgeted?” - Dr. K

04/01/2026

Another of my patients who was a daily cannabis user has gone cannabis free for a month. He reports better mental clarity, less anxiety, less anger, easier to get started in the morning, and is more able to regulate his emotions, to make decisions, and to start and complete tasks. It's not perfect, but it's clearly much better overall than how he felt while using.
- Dr. K

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03/26/2026

My patient has been increasing her activities out of the house lately, but feeling guilty that she is not home as much for her dog. Her dog is always happy to see her when she arrives. I reminded her that the more she goes out, the more often her dog will be happy to see her! So the back and forth can be a good thing!
- Dr. K

03/17/2026

One of my patients with ADHD told me today that meditation helps her with motivation. Try it!
- Dr. K

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Address

PO Box 471
Victoria Harbour, ON
L0K2A0

Opening Hours

Monday 8am - 5pm
Tuesday 8am - 5pm
Wednesday 8am - 5pm
Thursday 8am - 5pm
Friday 8am - 4pm

Telephone

+17056442226

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