Referral Criteria

Areas of Clinical Interest

  • Dr. Lazier is a child and adolescent psychiatrist.  Her main areas of interest are:
  • Attention Deficit Hyperactivity Disorder
  • Anxiety Disorders
  • Obsessive Compulsive Disorder
  • Tourette Disorder

Dr. Lazier has a keen interest in understanding the effects early trauma and neglect have on the developing brain and she is actively pursuing further training in this area.  In particular, she is interested in how the developmental stage of the child at the time of trauma may inform treatment decisions, both pharmaceutical and non-pharmaceutical.  She has Level 2 training in HANDLE (Holistic Approach to Neurodevelopment and Learning Efficiency).

Dr. Lazier is also interested in understanding how seemingly minor neurodevelopmental differences can impact a person’s functioning – socially, academically and emotionally.  One such difference is Scotopic Sensitivity Syndrome (also known as Irlen Syndrome).

Referral Criteria

To bill for psychiatry services through Nova Scotia Medical Service Insurance (MSI), the patient must be referred by a physician.  The assessment process is most efficient if all relevant information is forwarded for review and entry into your chart before your first appointment.  This could include past assessments by other mental health clinicians (private and public), laboratory investigations, and clinical notes from the referring physician.  A consultation appointment will not be scheduled until the requested information is received.

Dr. Lazier uses a collaborative, holistic approach and prefers to work with other professionals to optimize treatment outcomes.  She therefore is seeking to provide consultation for children who are already working with a private therapist and/or have already had a psychological assessment.  This allows for a more efficient and effective consultation for the purpose of diagnostic clarification and/or medication review.

Dr. Lazier is accepting referrals for children from 5-15 yrs. of age.  She will review each referral to determine whether her expertise match the referral request.  If the individual’s age or the reason for referral is deemed to be beyond the scope of her practice and clinical abilities, she will notify the referring physician that an alternate consultant should be sought.

Dr. Lazier works part-time hours.  It is possible that the demand for her services may exceed her availability.  In this case, the referring physician will be notified that an appointment cannot be offered in a reasonable time period, and an alternative consultant should be sought.

There are certain clinical scenarios which require more intensive services than can be safely provided in an outpatient setting.  For this reason, individuals with the following diagnoses should be referred to the district health authority mental health system:

  • Severe Disruptive, Impulse-Control and Conduct Disorders
  • Eating Disorders
  • Autism Spectrum Disorder (Level 2 and Level 3 Severity)
  • Psychosis
  • Primary Personality Disorder
  • Primary Substance Use Disorder