Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Med checks with a problem list, not a clipboard
Missed monitoring labs pause titration. That is safety, not punishment.
Medication Management for Aventura patients
Mood-stabilizer adjustment uses levels, kidney/thyroid labs, and teratogenicity counseling when relevant.
Genetic testing (pharmacogenomics) may change CYP2D6/2C19 probabilities. It is not a personality test.
Protocol elements we do not skip
Valproate: level, LFTs, CBC, pregnancy counseling.
Stimulants: BP/HR, sleep, appetite, PDMP, diversion discussion.
QTc risk: ECG when combining high-risk agents.
Alcohol withdrawal is not managed as an anxiety refill.
How Medication Management is structured
Set the next visit before the bottle runs out.
If side effects appear, do not wait for the next quarterly slot — tighten follow-up.
Confirm the target symptom and the diagnosis it belongs to.
Revisit the original diagnosis if two classes have failed.
Neighborhoods and ZIPs: 33160, 33180
South Florida heat, hurricane disruption, shift work, and multigenerational households show up in Aventura presentations. Medication Management intake asks about those stressors explicitly.
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.
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.
Cannabis and alcohol were left off the medication list as if they were not psychoactive.
Indications and differentials
Polypharmacy review when the list exceeds what the diagnosis can justify.
A DSM-5-TR diagnosis that has an evidence-based pharmacologic option the patient wants to consider.
ADHD medication only after the evaluation supports ADHD over mimics.
Taper request that requires a medical schedule.
Questions we hear about Medication Management
What is PDMP?
Florida's prescription drug monitoring program. We check it before controlled substances.
Do you monitor antipsychotics?
Weight, A1c, lipids, and neurologic side effects are part of the protocol.
Do you prescribe benzodiazepines long-term?
Rarely, with a documented indication and a taper orientation. They are not a standing plan for GAD.
What labs do I need?
Depends on the drug: TSH, lithium level, A1c, etc. We will list them in the plan.
Will you take over my current list?
After a diagnostic review. We do not rubber-stamp unsafe combinations.
Can I refuse a medication?
Always. Informed consent includes the option of no medication.
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.
Next step
Start with one thorough Medication Management evaluation rather than a series of 15-minute check-ins. Book at (888) 307-2199 or online.
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.