Dr. Pauline Lysak

Her office is Suite #321 in the Sayward Building (1207 Douglas Street), at the corner of Douglas and View, kitty-corner from the Bay Centre in beautiful downtown Victoria. Check out the map above. See the city's website for information on available parking. The View Street Parkade is half a block away, and the first hour is free. Many transit routes stop in the immediate vicinity, and street-side bicycle racks are readily available.

Yes, you will need a referral from a physician or nurse practitioner. If you don't have a regular family doctor, you can see one at a walk-in clinic, UPCC, or telehealth service. Note that Dr. Lysak cannot provide longer-term followup to patients without a regular family doctor or a walk-in clinic they regularly attend which serves as their "medical home".

After receiving your referral, it is reviewed and prioritized. If for some reason Dr. Lysak cannot accept your referral, the doctor who sent it will be notified; they should then contact you to sort something else out.

This can vary a lot. Referrals are prioritized based on urgency, with the sickest people being seen first.

While very urgent referrals may be booked soon after they are received, generally you will be placed on a waiting list, and your doctor notified. When you get close to the top of the list, her office will call you to book an appointment.

Hint: If you'd like to get in faster, call or email her office after your doctor says they'll send in a referral, and ask to be put on a cancellation list. Make sure to provide e.g. your cell number or email to contact you. And if you're not sure where your referral is in this process, you can always ask.

The short answer is there aren't nearly enough psychiatrists available to see the people who need to be seen.

Some patients who Dr. Lysak has been referred may be seen once or twice, and then discharged back to their family physician with recommendations. Others may continue to be seen for much longer. Because of that, there's only a limited number of new patients that Dr. Lysak can take on at a time, while still being able to help her existing patients.

If her waiting list becomes too long, patients can wait for a year or more to be seen. Dr. Lysak feels that an overly lengthy and indeterminate waiting time contravenes the first principle of the CMA Code of Ethics: Consider first the well-being of the patient.

Anyone requiring mental health care should, with help from their care team, try to find alternative means of treatment. Sitting on a waiting list for years is not treatment.

When her waiting list returns to a manageble size (and an acceptable wait), she will again start accepting new referrals.

A psychiatrist is a medical doctor, who on top of the standard training for any doctor (undergrad and med school), does a five year residency focusing on mental health, typically covering a range of different areas. Their practice can include a wide range of treatment options, including medications and psychotherapy, laboratory or imaging investigations, etc.

Psychologists typically have a masters degree or doctorate in Psychology or a related field, and their practice generally involves psychotherapy of some form. Many psychiatrists and psychologists have specialized practices, either involving particular illnesses (e.g. anxiety) and/or particular treatments (couples, family therapy, etc.). Many have superb training in particular areas and provide excellent care to patients.

In general, no. Because psychiatrists are physicians, like a family doctor or neurologist, your visit is covered by the Medical Services Plan (MSP) of B.C. Also like seeing other doctors, there are some things that are not covered, e.g. filling out insurance forms, which you would need to pay for yourself.

No. Another big (practical) difference between psychiatrists and psychologists is that while both can provide psychotherapy, MSP only pays for psychotherapy provided by psychiatrists. Psychologists are typically paid for out-of-pocket or via third party insurance.

Given that many psychiatrists choose to focus their practice on medication management instead of psychotherapy, this unfortunately makes valuable psychotherapy treatment inaccessible to many people. (Dr. Lysak does both psychotherapy and medication management as part of her practice).

Absolutely not.

In Canadian healthcare, private practice simply means that the clinic is owned and operated by the physician, and not a government organization like a health authority. It does not mean you have to pay to see the doctor. Services are covered under MSP.

Dr. Lysak has a number of patients who also regularly see a psychologist, counsellor, or other therapist. In these cases, she mostly focuses on the medication and other medical components of patient care, while the other professional provides most of the therapy. Dr. Lysak does coordinate care with such other care providers, sending them updates, emailing or calling as needed, to ensure the treatment the patient receives is consistent and coordinated.

There is no such thing as a standard psychiatry practice, or a standard psychiatrist. They can vary greatly depending on the type of patients they see, what range of treatments they provide, how often they see patients, and for how long.

For example, some tend to see patients for shorter appointments that will only deal with medications; they may be able to see a very large number of patients. Others may see patients for longer, provide therapy in addition to medications, but therefore can see far fewer patients (Dr. Lysak's practice tends to be more of the latter).

Also, more than in many areas of medicine, in psychiatry it is important to have a good rapport between doctor and patient, so a good "fit" can make a big difference.

Your first appointment may last up to one hour or more, as Dr. Lysak may need to collect a detailed individual and family health history (mental, physical, social). She will review your current and past symptoms, previous treatments, any medications you are currently taking, as well as recent laboratory results. She may order additional investigations, such as blood work or an ECG (heart tracing).

She may discuss with you some possible diagnoses, as well as different treatment options you may want to consider. She may provide you more information that will increase your knowledge about your illness. Most of all, she will expect you to participate fully in your own care, with her helping you make educated choices that are best for you.

Afterwards, you may have one or more followup appointments booked, or a medical report outlining the session and various recommendations may be sent back to the physician who referred you.

Yes. The front door of the building has a ground-level entrance, with a swing-door operator, and two elevators are available. There is a (non-assisted) door between the elevator and our hallway, and another for our office itself. If you have any concerns with these doors, please call when you arrive at the building and someone will be happy to help.

If you need to cancel a booked appointment, please call as soon as possible, at least 48 hours beforehand. Barring exceptional circumstances, if you miss two appointments without providing 48 hours notice, you may be discharged back to your referring physician. We also charge a $50 fee for missed appointments or late cancels/reschedules.

Due to very severe allergies, please refrain from wearing fragrances or other scented products in our office.

Unfortunately, this also means we are unable to accommodate service animals, emotional support animals, pets, etc.

Many appointments are conducted via telehealth (Zoom). For in-person appointments, medical-grade masks are required (we can provide one). We also have several air purifiers in the office. If you are feeling ill or have recently tested positive, please contact the office before attending an appointment.