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.

10/30/2025

Try sitting with the discomfort. Maybe there is something you can learn from it.
- Dr. K

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Couldn’t have said it better myself! In fact many of you have heard me say this already 😉
10/22/2025

Couldn’t have said it better myself! In fact many of you have heard me say this already 😉

We’ve all waited around for motivation, hoping it’ll magically show up before we get started. But neuroscience says we’ve got it backward. Motivation doesn’t spark action. Action sparks motivation.

Here’s how it works: when you put in effort, even a small one like making your bed or writing one sentence, your brain rewards you with a hit of dopamine, the “feel good” chemical. That little boost tells your brain, “Hey, this feels good. Let’s keep going.”

That’s right — your brain is wired to reward effort, not intention. So when you act, even when you don’t feel like it, your brain kicks in and builds momentum. Motivation isn’t the fuel — it’s the result.

This flips everything. It means you don’t need to feel inspired to start. You just need to start, and your brain will catch up. Whether it’s studying, working out, cleaning, or creating — doing the thing creates the desire to keep doing the thing.

So next time you feel stuck, don’t wait for a spark. Create one. Do one small action, then let your biology handle the rest.

Your brain isn’t waiting for motivation. It’s waiting for movement.

10/02/2025

Negative thinking is like a barb on a hook, because it keeps you hooked. Instead, work on filing down the barb by using CBT. Like fishing with a barbless hook, you as a fish will be caught less often and will get off the hook more easily.
- Dr. K

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10/02/2025

Never mind doing better. That requires the kind of judgment we are trying to get past. Instead, just DO.
Dr. K

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10/02/2025

These are some realizations passed on from one of my patients:

Perhaps we should stop looking for validation externally. It leaves us helpless, at the mercy of external forces.

Action is the best antidote to feelings of helplessness.

Life is not a game to win but a series of problems to accept and work around.

Learn to live with it rather than trying to eliminate it.

- Dr. K

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09/29/2025

Our office will be closed from October 4-10 so that I can attend a continuing medical education event. If you need a visit or Rx before then we still have a few openings.
Dr. K

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09/26/2025

Lots of mental illnesses have a genetic component, for example OCD, mood disorders and ADHD. Some parents feel guilty if their child ends up with one of these. Remember, bad genetics do not constitute a failure on your part.
- Dr. K

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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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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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Address

PO Box 471
Midland, 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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