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.

08/18/2026

Empathy can sometimes be a remedy for anxiety and also for anger.
- Dr. K

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08/18/2026

Continuing to do what is easy and comfortable pretty much guarantees the status quo. If you want to change you have to do the harder things.
- Dr. K

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Not every case of poor concentration and forgetfulness is ADHD. Below are some other conditions that have similar sympto...
08/02/2026

Not every case of poor concentration and forgetfulness is ADHD. Below are some other conditions that have similar symptoms but different treatments. This comes from a book I often recommend: Taking Charge of Adult ADHD by Russell Barkley.

07/21/2026

One of my patients recently had an epiphany. She said, "s**t doesn't matter as much as I think it does in the moment." I think this is true for a lot of things that happen. This is the basis for CBT's rule of tens. How am I going to feel about this thing in ten seconds, ten minutes, ten hours, ten days, ten weeks, ten months, ten years? In one of those tens, it won't matter any more, so why stay upset in the meanwhile?
- Dr. K

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07/20/2026

I have often talked about learning and practicing being nonjudging of what you notice. Anxiety may also be one of those judgments we are automatically making and holding onto. We judge that danger is coming and we try to prepare ourselves. The problem is, it seldom works out. Most of the time, the mental preparation makes no difference. Most of the time, the feared danger never arrives. We are suffering when it's not necessary. When we suffer before it's necessary, we suffer more than necessary. It's a process that is leftover from prehistoric times when it was helpful for a tribe to have such people on watch for actual dangers that realistically did exist. Those times are now long past, but the genes that made you that way are still within you. You can notice those feelings but you don't have to act on them or change your plans because of them.
- Dr. K

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PO Box 471
Victoria Harbour, ON
L0K2A0

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

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