Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Antidepressant and mood-stabilizer management in Miami-Dade County
Tapering is a procedure. Stopping paroxetine or a benzodiazepine 'cold' is not a plan.
Medication Management for Aventura patients
Tapering is scheduled. Paroxetine, venlafaxine, benzodiazepines, and stimulants each have different withdrawal physics.
Antipsychotic monitoring is metabolic and neurologic, not just 'mood better / worse.'
Access from Aventura
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.
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.
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.
Akathisia was labeled 'worsening anxiety' and the dose was increased.
DSM-5-TR framing for anxiety med follow-up
Hypnotics only after sleep differential, not as a standing nightcap.
Polypharmacy review when the list exceeds what the diagnosis can justify.
Need for metabolic or neurologic monitoring on an existing antipsychotic or mood stabilizer.
Intolerable side effects that might respond to dose change, switch, or adjunct.
From intake to follow-up: Medication Management
Send the prescription to a named pharmacy; document the pharmacy.
Reconcile the current list, including OTC, cannabis, and hormones.
Revisit the original diagnosis if two classes have failed.
Document why a requested stimulant or benzo was declined.
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.
ZIP 33160 is the lead postal code listed for Aventura. Mail-order labs and pharmacy routing still use the patient's actual address, not this page's city token.
Check labs due for the current class.
Counsel on onset, alcohol, driving, pregnancy, and overdose risk.
Questions we hear about Medication Management
What labs do I need?
Depends on the drug: TSH, lithium level, A1c, etc. We will list them in the plan.
Do you treat insomnia with medication only?
No. We look for apnea, circadian issues, alcohol, and psychiatric drivers.
Can I refuse a medication?
Always. Informed consent includes the option of no medication.
What is GeneSight?
A pharmacogenetic panel that may adjust probabilities for certain antidepressants. It does not diagnose ADHD or depression.
Do you prescribe benzodiazepines long-term?
Rarely, with a documented indication and a taper orientation. They are not a standing plan for GAD.
What about pregnancy?
Tell us before a prescription is sent. Some agents need specialist coordination.
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.
Book Medication Management
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.
Start with one thorough Medication Management evaluation rather than a series of 15-minute check-ins. Book at (888) 307-2199 or online.
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.