Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
bioidentical HRT women with psychiatric overlap, not a spa menu
Bone health claims stay inside what DEXA and endocrine guidelines actually support.
What Women's Hormone Therapy actually includes
Hormone therapy for women with psychiatric symptoms needs both skill sets in one formulation.
Booking an HRT consult is booking a medical visit with psychiatric overlap.
From intake to follow-up: Women's Hormone Therapy
Refer to emergency care for postpartum psychosis or severe SI.
Coordinate with GYN/PCP.
Complete psychiatric evaluation standards (safety, bipolar screen, substances).
Do not start estrogen and a new antidepressant on the same day without a reason.
Parking, hours, and video visits
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.
Aventura sits in Miami-Dade County. County-level resources (crisis lines, hospital ERs, IOP programs) are discussed during Women's Hormone Therapy when a higher level of care is safer than outpatient titration.
Do not start estrogen and a new antidepressant on the same day without a reason.
Refer to emergency care for postpartum psychosis or severe SI.
Clinical FAQ
What about breast cancer risk?
We discuss it. Personal history may require oncology/GYN before estrogen.
Do you treat postpartum depression?
We evaluate and treat. Postpartum psychosis is an emergency.
Do you do pellets?
We do not run a pellet-first model. If a GYN uses them, we still require a psychiatric formulation.
Do leftover affordable URLs mean cheap estrogen?
No.
Do you work with my OB/GYN?
With consent.
Can progesterone worsen mood?
Yes in some patients. Tell us; we change the plan.
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.
Protocol elements we do not skip
VTE/migraine/cancer history every start.
Refer DEXA when premature estrogen loss.
Postpartum: screen for psychosis.
Mood scales at baseline and follow-up.
What we rule in — and rule out
Not indicated as anti-aging retail.
Thyroid disease as a co-indication for labs, not a DIY HRT start.
Not indicated when VTE or estrogen-sensitive cancer history blocks estrogen without oncology input.
bioidentical HRT women still requires a visit.
Schedule with Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC
Crisis now is 988 or the ER — not the booking form. For non-urgent Women's Hormone Therapy, use (888) 307-2199 during weekday hours.
Request a Women's Hormone Therapy 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.