Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Estradiol, progesterone, and the psychiatric differential
Libido is a medical symptom with vascular, psychiatric, relational, and endocrine inputs.
What Women's Hormone Therapy actually includes
Affordable estrogen URLs are retained; not a discount promise.
Women's HRT in this clinic is hormone-informed psychiatry, not a med-spa catalog.
How Women's Hormone Therapy is structured
Order labs that could change the plan.
Set monitoring: bleeding, mood scales, BP, labs.
Coordinate with GYN/PCP.
Write the plan so the patient can repeat the risks.
Aventura FAQs for Women's Hormone Therapy
Do you do pellets?
We do not run a pellet-first model. If a GYN uses them, we still require a psychiatric formulation.
Will you check thyroid?
Yes when the history fits. Fatigue and mood are not 'just estrogen' by default.
Do you work with my OB/GYN?
With consent.
Can I refuse HRT?
Yes.
What is PMDD?
A DSM-5-TR diagnosis with symptoms in the luteal phase that remit after menses. Timing matters.
Is brain fog always menopause?
No. Sleep, ADHD, depression, B12, and thyroid are on the list.
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.
What we rule in — and rule out
PMDD meeting diagnostic timing.
SSRI sexual dysfunction plus a hormone question.
Not indicated as sole treatment of bipolar I mania.
low estrogen treatment still requires a visit.
Protocol elements we do not skip
Mood scales at baseline and follow-up.
Do not exceed physiologic replacement as a mood experiment.
Pregnancy test when relevant before hormones.
TSH with free T4.
Parking, hours, and video visits
Commute noise on I-95 and the Turnpike changes whether an in-office Women's Hormone Therapy visit is realistic this week. Telehealth is used when the clinical exam does not require the 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.
Document lactation plans.
Coordinate with GYN/PCP.
Schedule with Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC
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.
Start with one thorough Women's Hormone Therapy evaluation rather than a series of 15-minute check-ins. Book at (888) 307-2199 or online.
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.