Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Side-effect management that names the actual syndrome
Refills are tied to clinical follow-up. Portal messages do not restart stimulants or benzodiazepines.
What Medication Management actually includes
Genetic testing (pharmacogenomics) may change CYP2D6/2C19 probabilities. It is not a personality test.
Functional psychiatry does not mean 'no medication.' It means medication plus the labs that could change the choice.
What we rule in — and rule out
ADHD medication only after the evaluation supports ADHD over mimics.
Perinatal prescribing only with risk-benefit counseling.
Antidepressants only after bipolar-spectrum screening.
Failed or partial response to a current agent after an adequate trial.
How Medication Management is structured
Confirm the target symptom and the diagnosis it belongs to.
No-show after a high-risk start triggers outreach.
Decide: continue, adjust, switch, or taper — one primary change when possible.
Set the next visit before the bottle runs out.
Neighborhoods and ZIPs: 33160, 33180
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.
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 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.
Lithium or valproate was never given a level, TSH, or pregnancy counseling.
Aventura FAQs for Medication Management
Can you prescribe if I am traveling?
Only if you are physically in a state where we are licensed — currently Florida telehealth.
Can I refuse a medication?
Always. Informed consent includes the option of no medication.
Can you help me taper?
Yes. Tapers are scheduled by drug class. Do not stop MAOIs, benzos, or paroxetine abruptly on your own.
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.
What is GeneSight?
A pharmacogenetic panel that may adjust probabilities for certain antidepressants. It does not diagnose ADHD or depression.
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.
Labs, scales, and follow-up cadence
Informed consent stored in the chart.
Formulary alternatives offered without pretending they are identical.
SGAs: weight, A1c, lipids; AIMS on a schedule.
QTc risk: ECG when combining high-risk agents.
Schedule with Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC
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.
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.