Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Taper plans when a medication's risk exceeds its benefit
You should be able to name the drug, the target symptom, the main risks, and the next lab date.
What Medication Management actually includes
Mood-stabilizer adjustment uses levels, kidney/thyroid labs, and teratogenicity counseling when relevant.
Refill-only care is not offered. If you need only a refill, you still need a monitoring interval.
How Medication Management is structured
Document why a requested stimulant or benzo was declined.
Decide: continue, adjust, switch, or taper — one primary change when possible.
Reconcile the current list, including OTC, cannabis, and hormones.
Counsel on onset, alcohol, driving, pregnancy, and overdose risk.
Parking, hours, and video visits
Neighborhoods we hear from most in Aventura include The Waterways, Williams Island, and the Biscayne Boulevard corridor. ZIP codes 33160, 33180 map to this service-area page.
South Florida heat, hurricane disruption, shift work, and multigenerational households show up in Aventura presentations. Medication Management intake asks about those stressors explicitly.
Confirm the target symptom and the diagnosis it belongs to.
If prior authorization is required, start it the same day.
Monitoring and safety in Medication Management
Alcohol withdrawal is not managed as an anxiety refill.
Formulary alternatives offered without pretending they are identical.
Informed consent stored in the chart.
Benzodiazepines: indication, duration limit, taper language.
Aventura FAQs for Medication Management
Do you prescribe stimulants?
When the evaluation supports ADHD and PDMP/safety checks pass. Not from a questionnaire alone.
How often are visits?
Tighter after a start or change; wider when stable and labs are current.
Do you monitor antipsychotics?
Weight, A1c, lipids, and neurologic side effects are part of the protocol.
Can medication management be telehealth?
Yes if you are in Florida and the case is appropriate. Controlled-substance rules still apply.
Are leftover 'affordable refill' URLs a discount?
No. They are retained slugs. Billing follows insurance contracts.
Will you take over my current list?
After a diagnostic review. We do not rubber-stamp unsafe combinations.
Is your practice discreet for Aventura patients?
Absolutely. We maintain strict HIPAA compliance, and our telehealth option ensures complete privacy. Many Aventura patients prefer virtual appointments from their residence or office.
Do you address image-related anxiety and mood disorders?
Yes. We treat the full spectrum of anxiety and mood disorders, including those related to social pressure, perfectionism, and performance expectations common in high-achieving communities.
20-minute path to the Hollywood office
Commute noise on I-95 and the Turnpike changes whether an in-office Medication Management visit is realistic this week. Telehealth is used when the clinical exam does not require the office.
Parking at 7603 Davie Road Extension is on site. Aventura patients who drive 20 minutes should plan for weekday 9:00–17:00 hours; Saturday is by appointment only.
Aventura (Miami-Dade County) has about 40,000 residents. The nearest Peace & Heart Wellness exam room is the Hollywood office, about 20 minutes from Aventura Mall and the Intracoastal waterfront.
You were started on two changes at once, so nobody knows which drug caused the rash.
Schedule with Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC
If Medication Management is the right next step, schedule a 60–90 minute intake with Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC. Same-week telehealth follow-ups are used after the diagnostic visit when clinically appropriate.
Request a Medication Management visit by calling (888) 307-2199 or using the booking form. Bring current medications, prior labs, and a list of what has already been tried.
Related care
Clinician: Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC, Psychiatric Mental Health Nurse Practitioner. Last medical review: 2026-09-21.
Florida telehealth psychiatry is available to established and new patients located in Florida at the time of the visit, subject to licensure and clinical appropriateness. An in-person evaluation at the Hollywood office may be recommended when a physical exam, vital signs, or a more complete diagnostic interview is needed.
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. It does not establish a provider-patient relationship. Always seek care from a qualified clinician for questions about a medical or psychiatric condition. If you are in crisis, call 988 or go to the nearest emergency department.