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Mood and Anxiety Services Centre for Addiction
and Mental Health

Mood and Anxiety Ambulatory Services (MAAS)

The Mood and Anxiety Ambulatory Services provide ambulatory services to clients with mood and anxiety disorders.  Psychiatrists, social workers, occupational therapist, psychologist, nurses, psychometrist and researchers staff the program. MAAS is also a training clinic for psychiatry, psychology, social work and occupational therapy graduate students. MAAS is a specialty service providing evidence-based clinical care, education and research. The MAAS inter-professional team offers consultations, time-limited treatment and follow-up, education and services for families. All clients receive a psychiatric consultation. Following this, group therapy may or may not be recommended. The groups are two-hour sessions once a week, in a group of up to 12 individuals sharing similar concerns. The groups range from 8-15 weeks in length.

Most of our groups are based on cognitivebehaviour therapy (CBT). CBT is a structured, goal-oriented treatment that emphasizes the “here and now” rather than the past. In CBT sessions, clients learn effective skills and strategies to better manage current symptoms of anxiety and/or depression, and prevent future relapse. Clients are expected to complete weekly homework in order to apply the skills that are learned in therapy in their everyday life. CBT is used in this clinic for disorder specific group treatment of social anxiety disorder, generalized anxiety disorder, obsessive compulsive disorder, panic disorder, and major depressive disorder/dysthymia. We also offer a transdiagnostic anxiety disorders group for clients with multiple anxiety disorders, as well as a group for clients with primary depression/dysthymia, and secondary anxiety disorder(s).

The group for bipolar disorder focuses on CBT and Interpersonal Treatment (IPT) interventions and psychoeducation. This program includes mood monitoring and stabilization, symptom identification & management, challenging negative thoughts processes, increasing adaptive coping, interpersonal communication, and relapse prevention. Clients are expected to complete homework to practice and reinforce skills learned in group and apply them to their everyday life.

For patients with bipolar depression, MAAS has an integrated care pathway where time limited care composed of both psychopharmacological and psychosocial intervention is provided. Bipolar patients, currently depressed and interested to participate in a comprehensive treatment plan can be referred via usual referral routes to the service for assessment and suitability. Patients to the integrated care pathway can be referred both internally and from community sources, via Access CAMH.

Interpersonal therapy (IPT) is also used for some clients with major depressive disorder. This group is designed to reduce depressive symptoms triggered and exacerbated by interpersonal difficulties, promote effective communication and generate solutions to interpersonal problems. Clients discuss and improve the quality of personal, family, and workplace relationships as affected by depression and other stressors. Clients are expected to complete homework and selected exercises to practice and reinforce skills and apply them to their everyday life.

If suitable, clients may be offered an opportunity to participate in research spanning basic science to direct patient care. Particular research interests include early intervention and exploring the gene/environment interaction.

Clients can access the Mood and Anxiety Ambulatory Services as follows:

  • A referral (PDF) should be completed by a Family Physician, Nurse Practitioner, or Psychiatrist. If the referral is completed by a Family Physician or Nurse Practitioner, the Psychiatrist needs to be aware, when applicable.
  • The completed referral should be faxed along with any pertinent information, i.e., psychiatric reports, lab work to the ACCESS CAMH fax line: 416-979-6815.
  • The referral will be reviewed by Access CAMH Intake Coordinators and this may also include a brief telephone screening, or request for more information from the referring physicians.


Note: The pages that formerly contained the Anxiety Disorders Clinic, Mood Disorders Clinic, and CBT clinic now redirect here.

CAMH Switchboard 416-535-8501
CAMH General Information Toronto: 416-595-6111 Toll Free: 1-800-463-6273
Connex Ontario Help Lines
Queen St.
1001 Queen St. W
Toronto, ON
M6J 1H4
Russell St.
33 Russell St.
Toronto, ON
M5S 2S1
College St.
250 College St.
Toronto, ON
M5T 1R8
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