Dr. K Psychiatry

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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.

10/12/2026

That scary spiral can start with something so small.

A headache. A flutter in your chest. A strange ache. Then comes the thought: “What if it’s something serious?”

You check your body. You Google symptoms. You ask someone to reassure you. For a little while, the fear settles.

Then another sensation appears, or the same worry comes back.

Health anxiety is not “making it up”. The physical feelings can be very real. Anxiety can cause racing heart, dizziness, nausea, tight muscles, tingling, headaches and changes in breathing. The trouble is that repeated checking and reassurance can keep your mind on high alert for the next sign of danger.

It is always okay to get medical advice for symptoms that are new, severe, persistent or worrying. But after you have had appropriate advice, it can help to gently notice the urge to check again, pause, and bring yourself back to what is happening around you.

You deserve support with the fear, not just another few minutes of reassurance.

FREE HEALTH ANXIETY CYCLE: SYMPTOMS, CHECKING AND REASSURANCE

LIKE the photo and comment "HEALTH" and we will send you a message with a link to a free PDF of this resource.

10/12/2026

Sometimes “I can’t make it” really means “I want to come, but I can’t face it today.”

Anxiety, low mood, chronic pain, exhaustion, money worries and feeling overwhelmed can make even a simple coffee feel like too much. Then comes the guilt. The unanswered messages. The fear that people will stop asking. And slowly, isolation can grow.

You don’t have to choose between forcing yourself through a big plan and disappearing completely.

Try making the plan smaller. A ten-minute phone call. A short walk. Seeing one person instead of a whole group. Ask for a quiet place, somewhere nearby, or something free.

It can also help to say it plainly: “I keep backing out, but I don’t want to lose touch.” The people who care about you may understand more than you think.

Rest is important. But if cancelling plans is becoming a pattern that is making your world smaller, you deserve support with that too.

FREE HELP WHEN YOU KEEP CANCELLING PLANS AND FEELING ISOLATED

LIKE the photo and comment "PLAN" and we will send you a message with a link to a free PDF of this resource.

10/10/2026

Expecting others to always be fair to you is like expecting a grizzly bear not to eat you because you don’t eat grizzlies. You still need to be aware that people don’t all think the same way. People have different histories, experiences, priorities, values and biases. Equal rights means equal treatment under the law, but this doesn’t guarantee equal treatment from person A towards person B every day. People behave according to their nature. If you see patterns of behaviour in an individual, be wary and adjust your expectations accordingly. Most people are fair but not everyone.

This is a principle of stoicism and of CBT.
- Dr. K

Here is something that often comes up in CBT.
10/09/2026

Here is something that often comes up in CBT.

Things you can control vs. things you can’t control…

Your peace begins when you stop trying to control what was never in your hands.

Stop wasting your energy on what you cannot change.
Focus on what you can..✨

09/29/2026

One of my patients told me today that she has begun meditating daily and after only a couple of weeks is generally feeling calmer overall.
:)
Dr. K

Send a message to learn more

09/23/2026
09/23/2026

This is an example of what suspending self-judgment can accomplish. I'm not the best musician in the world, and I'm ok with that. I don't expect myself to be top tier or to have a record deal. The ability to do this came from someone with zero skills initially, and a lot of practice over a lot of years. I built up brain circuits that didn't exist and practice reinforced them.

The Neil Young tribute I recently did went well. I was happy, despite being acutely aware at the same time of all of the flaws in my playing. I had to restart a song a couple times, and my fingers didn't always go where I wanted them to, and I had some trembling at the time despite not feeling anxious. Nevertheless, the feedback was surprisingly positive. It occurred to me that people who create stuff tend to be more critical than their audiences. The maker knows where every single flaw is, but most others don't notice. If they did, nobody would ever sell anything they created. Either way, I had fun and that's the main thing!
- Dr. K

09/23/2026

I did a thought record with one of my patients, about boredom. He also has a drinking problem. He realized that drinking interferes with motivation. The same could be said for any kind of substance use problem. He knows various ways of feeling better, so does he want to feel better sooner, or later? Boredom is remedied by action. He also plays a lot of games, like many people do to pass the time. He realized also that the pleasure and satisfaction he gets from a puzzle or game lasts minutes, whereas the pleasure and satisfaction he gets from completing a task like cleaning up lasts for hours.
- Dr. K

This is what DBT can do for you.
09/22/2026

This is what DBT can do for you.

DBTSKills. General Overview. Core DBT Skills.

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PO Box 471
Victoria Harbour, ON
L0K2A0

Opening Hours

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

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+17056442226

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