What We Do

We are a specialized service providing mental health support to patients experiencing health concerns that complicate a concurrent physical health illness.

We work with patients who require:

  • Follow-up after receiving mental health care from UHN's inpatient medical psychiatry consult service during an inpatient medical or surgical admission; or
  • Mental health care to optimize their physical health as they receive outpatient care from UHN's medical or surgical services.

We are an interdisciplinary team of psychiatrists, nurse practitioners and social workers that provide up to 6 months of treatment to eligible patients referred to the clinic by a UHN physician or nurse practitioner. Treatment options may include:

  • Psychiatric assessment
  • Pharmacotherapy
  • Psychotherapy
  • System navigation
  • Connecting to social assistance programs, such as income support, housing and food security
  • Case management in collaboration with other providers

Patients referred to the clinic are matched to the appropriate level of care depending upon their level of need. Lower-need patients get the least intensive interventions, like help navigating the health care system or self-directed resources. Those with high needs receive more intensive care, which could include talk therapy and pharmacological management. Care is regularly reviewed and stepped up or stepped down based on patient need and level of distress.

How to Prepare

Learn more about what you can expect when you have a clinic appointment.

 Materials and Resources to Help You

Resources from the Patient & Family Education Program PDF Icon

* These material(s) are also available in other languages.

Visit our Health Information section to find dedicated resources to help you understand your condition. Find the information you're looking for.

Helpful Websites

Service Navigation

Family Support Services

Crisis Resources

Interpretation and Multilingual Services

  • Canadian Hearing Services
    Sign language interpretation available on-site or via video and in cases of unforeseen emergency.
  • Interpreter Services Toronto
    Free for women who need to talk about violence.
  • Have an appointment at a hospital, clinic or community agency? Ask if they can book an interpreter for your preferred language.
  • Ask ConnexOntario for services in your preferred language.

Substance Use Resources

  • The Access Point
    Provides coordinated access to mental health, addiction and housing support services through one application and assessment process.

Self-Guided Mental Health Resources

  • BounceBack Ontario
    Receive free workbooks on specific mental health issues (e.g., anxiety, depression) and receive telephone coaching.
  • Togetherall
    Free guided skill-building courses and online anonymous peer support.
  • Anxiety Canada
    Provides self-help resources, programs and services for children, youth, adults and educators on anxiety.
  • Book: Mind Over Mood: Change How You Feel by Changing the Way You Think by Greenberger & Padesky
    Cognitive Behavioural Therapy (CBT) workbook.
  • Book: Full Catastrophe Living: How to Cope With Stress, Pain and Illness Using Mindfulness Meditation by Kabat-Zinn & Nhat Hanh
  • Smartphone Applications (may have costs associated)
    Headspace; Simple Habit; Calm; What’s Up; Self-Help Anxiety Management; Mindshift; PTSD Coach Canada.

Ongoing OHIP-covered or Free Individual or Group Psychotherapy

Free Walk-in Counselling

Private Therapy

  • Have private insurance or workplace benefits? Check to see if you have coverage for psychotherapy (coverage to meet with a social worker, psychotherapist, psychologist, or mental health counsellor).
  • Check if your workplace has an Employment Assistance Program (EAP)
  • Some ways to find private practitioners:
    Psychology Today
    Psychotherapy Matters​​

 Meet Our Team

Mental Health in Medicine is staffed by psychiatrists, a nurse practitioner, a social worker as well as administrative assistants.

Medical Lead: Dr. Sarah Bush

Quality, Innovation and Safety Lead: Dr. Kathleen Sheehan


  • Dr. Noha Abdel-Gawad
  • Dr. Sarah Bush
  • Dr. Dilip Koshy
  • Dr. Lauren Thomson
  • Dr. Alan Wai

Senior Clinical Manager: Marla Kaye​

Operations Lead: Annie Fernandes

Nurse Practitioner: Shannon Wright

Social Worker: Nicole Bangloy

Administrative Assistants:

  • Geraldine Connolly
  • Natasha Bent (physician admin)
  • Elizabeth Mitri (physician admin)
  • Odette Young (physician admin)
  • Laila Nazir (physician admin)​
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