Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Med checks with a problem list, not a clipboard
Insurance coverage of a medication is not the same as a clinical indication.
What Medication Management actually includes
Antipsychotic monitoring is metabolic and neurologic, not just 'mood better / worse.'
Telehealth medication management still requires Florida presence, identity check, and a visit note.
How Medication Management is structured
Check labs due for the current class.
If prior authorization is required, start it the same day.
Send the prescription to a named pharmacy; document the pharmacy.
No-show after a high-risk start triggers outreach.
DSM-5-TR framing for med side effects help
Hypnotics only after sleep differential, not as a standing nightcap.
Need for metabolic or neurologic monitoring on an existing antipsychotic or mood stabilizer.
ADHD medication only after the evaluation supports ADHD over mimics.
Not indicated as a replacement for inpatient care when risk is high.
Monitoring and safety in Medication Management
Hyponatremia: BMP in older adults on SSRIs when symptoms fit.
MAOI diet and washout rules if that class is ever used.
Clozapine: ANC monitoring — we refer if we cannot meet the REMS cadence.
Missed labs = delayed titration.
Parking, hours, and video visits
Aventura sits in Miami-Dade County. County-level resources (crisis lines, hospital ERs, IOP programs) are discussed during Medication Management when a higher level of care is safer than outpatient titration.
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.
Document why a requested stimulant or benzo was declined.
Revisit the original diagnosis if two classes have failed.
Aventura FAQs for Medication Management
Do you work with my therapist?
With consent, yes. Medication does not replace psychotherapy when both are indicated.
How often are visits?
Tighter after a start or change; wider when stable and labs are current.
Do you treat insomnia with medication only?
No. We look for apnea, circadian issues, alcohol, and psychiatric drivers.
Can you help me taper?
Yes. Tapers are scheduled by drug class. Do not stop MAOIs, benzos, or paroxetine abruptly on your own.
Do you prescribe benzodiazepines long-term?
Rarely, with a documented indication and a taper orientation. They are not a standing plan for GAD.
What if side effects start this week?
Call the office. Do not wait for a distant follow-up if symptoms are severe. ER for emergency symptoms.
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.
Schedule with Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC
Start with one thorough Medication Management evaluation rather than a series of 15-minute check-ins. Book at (888) 307-2199 or online.
Crisis now is 988 or the ER — not the booking form. For non-urgent Medication Management, use (888) 307-2199 during weekday hours.
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.