Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Estradiol, progesterone, and the psychiatric differential
PMDD is a DSM-5-TR diagnosis with luteal-phase timing. It is not 'bad PMS' as a vibe.
Women's Hormone Therapy for Aventura patients
Libido workup is medical, not moral.
Bioidentical means molecular structure; it does not mean unregulated or safer by default.
Questions we hear about Women's Hormone Therapy
Will you check thyroid?
Yes when the history fits. Fatigue and mood are not 'just estrogen' by default.
What is PMDD?
A DSM-5-TR diagnosis with symptoms in the luteal phase that remit after menses. Timing matters.
Do you do pellets?
We do not run a pellet-first model. If a GYN uses them, we still require a psychiatric formulation.
Can progesterone worsen mood?
Yes in some patients. Tell us; we change the plan.
Do you help with libido?
We evaluate causes, including SSRI effects and endocrine factors. No guaranteed outcome.
Do you prescribe HRT?
When indicated after history, labs, and risk counseling, and often in coordination with GYN. This is not a pellet mill.
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.
Monitoring and safety in Women's Hormone Therapy
Bleeding on HRT = GYN, not 'watch forever.'
Pregnancy test when relevant before hormones.
Postpartum: screen for psychosis.
Lactation: pump/dump or compatible med list.
From intake to follow-up: Women's Hormone Therapy
Telehealth for counseling; office or GYN for procedures.
Refer to emergency care for postpartum psychosis or severe SI.
Map the menstrual, pregnancy, postpartum, and menopausal timeline onto the mood timeline.
Write the plan so the patient can repeat the risks.
Neighborhoods and ZIPs: 33160, 33180
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.
Neighborhoods we hear from most in Aventura include The Waterways, Williams Island, and the Biscayne Boulevard corridor. ZIP codes 33160, 33180 map to this service-area page.
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.
DEXA was never discussed despite premature hypoestrogenism.
How Aventura patients actually get here
South Florida heat, hurricane disruption, shift work, and multigenerational households show up in Aventura presentations. Women's Hormone Therapy intake asks about those stressors explicitly.
{access}. That access pattern is why Women's Hormone Therapy for Aventura is written as a service-area page, not as a fake storefront.
Order labs that could change the plan.
Review contraindications to estrogen.
Schedule with Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC
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.
If you already have records from another psychiatrist, NP, or therapist, send them before Women's Hormone Therapy so the interview can start from data instead of from a blank page.
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.