Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
ADHD medication titration after a real differential
We measure what the drug can harm: sodium, TSH, lipids, A1c, weight, AIMS, pregnancy — class by class.
What Medication Management actually includes
Genetic testing (pharmacogenomics) may change CYP2D6/2C19 probabilities. It is not a personality test.
Mood-stabilizer adjustment uses levels, kidney/thyroid labs, and teratogenicity counseling when relevant.
Visit flow for Medication Management
Revisit the original diagnosis if two classes have failed.
No-show after a high-risk start triggers outreach.
Counsel on onset, alcohol, driving, pregnancy, and overdose risk.
Document why a requested stimulant or benzo was declined.
20-minute path to the Hollywood 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.
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.
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.
Hyponatremia on an SSRI in an older Aventura patient was never checked.
Clinical FAQ
Are leftover 'affordable refill' URLs a discount?
No. They are retained slugs. Billing follows insurance contracts.
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.
What is PDMP?
Florida's prescription drug monitoring program. We check it before controlled substances.
Do you prescribe stimulants?
When the evaluation supports ADHD and PDMP/safety checks pass. Not from a questionnaire alone.
Where is the office for in-person med checks?
7603 Davie Road Extension, Hollywood, FL 33024 — about 20 minutes from Aventura.
Do you monitor antipsychotics?
Weight, A1c, lipids, and neurologic side effects are part of the protocol.
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.
Indications and differentials
psych med management still has to map to a problem on the list.
Not indicated for out-of-state telehealth prescribing.
Taper request that requires a medical schedule.
A DSM-5-TR diagnosis that has an evidence-based pharmacologic option the patient wants to consider.
Labs, scales, and follow-up cadence
MAOI diet and washout rules if that class is ever used.
Benzodiazepines: indication, duration limit, taper language.
Opioid + benzo overlap is treated as a safety event.
QTc risk: ECG when combining high-risk agents.
Book Medication Management
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.