Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Thyroid plus sex-hormone review for psychiatric symptoms
Walk-in HRT is not how this clinic works. Hormone decisions follow labs and a history.
What Women's Hormone Therapy actually includes
Hot flash care can improve sleep continuity, which then improves daytime mood scores.
Brain fog has a differential; estradiol is one line, not the only line.
Monitoring and safety in Women's Hormone Therapy
Mood scales at baseline and follow-up.
TSH with free T4.
BP check.
Do not exceed physiologic replacement as a mood experiment.
How Aventura patients actually get here
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.
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.
Coordinate with GYN/PCP.
Telehealth for counseling; office or GYN for procedures.
Visit flow for Women's Hormone Therapy
Shared decision: HRT, psychotropic, both, or neither.
Map the menstrual, pregnancy, postpartum, and menopausal timeline onto the mood timeline.
Review contraindications to estrogen.
Coordinate with GYN/PCP.
20-minute path to the Hollywood office
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.
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.
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.
A GYN and a psychiatrist do not share labs.
Indications and differentials
Patients who want a second opinion on a pellet clinic plan.
Surgical menopause with mood destabilization.
PMDD meeting diagnostic timing.
Thyroid disease as a co-indication for labs, not a DIY HRT start.
Book Women's Hormone Therapy
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.
If Women's Hormone Therapy is the right next step, schedule a 60–90 minute intake with Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC. Same-week telehealth follow-ups are used after the diagnostic visit when clinically appropriate.
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.