Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Taper plans when a medication's risk exceeds its benefit
Polypharmacy is treated as a risk to be justified, not a badge of complexity.
What Medication Management actually includes
Telehealth medication management still requires Florida presence, identity check, and a visit note.
Side-effect visits are diagnostic: we name the mechanism when we can.
What we rule in — and rule out
ADHD medication only after the evaluation supports ADHD over mimics.
Need for metabolic or neurologic monitoring on an existing antipsychotic or mood stabilizer.
Not indicated for out-of-state telehealth prescribing.
Perinatal prescribing only with risk-benefit counseling.
From intake to follow-up: Medication Management
Telehealth visits verify Florida location.
Send the prescription to a named pharmacy; document the pharmacy.
No-show after a high-risk start triggers outreach.
If side effects appear, do not wait for the next quarterly slot — tighten follow-up.
Labs, scales, and follow-up cadence
Benzodiazepines: indication, duration limit, taper language.
Hyponatremia: BMP in older adults on SSRIs when symptoms fit.
Valproate: level, LFTs, CBC, pregnancy counseling.
Formulary alternatives offered without pretending they are identical.
Neighborhoods and ZIPs: 33004
ZIP 33004 is the lead postal code listed for Dania Beach. Mail-order labs and pharmacy routing still use the patient's actual address, not this page's city token.
Dania Beach (Broward County) has about 32,000 residents. The nearest Peace & Heart Wellness exam room is the Hollywood office, about 10 minutes from Dania Beach Pier and the antique district.
Dania Beach sits in Broward County. County-level resources (crisis lines, hospital ERs, IOP programs) are discussed during Medication Management when a higher level of care is safer than outpatient titration.
Perinatal patients were given a drug with a lactation profile nobody explained.
Clinical FAQ
What is GeneSight?
A pharmacogenetic panel that may adjust probabilities for certain antidepressants. It does not diagnose ADHD or depression.
How often are visits?
Tighter after a start or change; wider when stable and labs are current.
Can you prescribe if I am traveling?
Only if you are physically in a state where we are licensed — currently Florida telehealth.
Do you treat insomnia with medication only?
No. We look for apnea, circadian issues, alcohol, and psychiatric drivers.
Do you prescribe benzodiazepines long-term?
Rarely, with a documented indication and a taper orientation. They are not a standing plan for GAD.
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.
How close is your office to Dania Beach?
Extremely close — our Hollywood office is approximately 5-10 minutes from Dania Beach. We're one of the nearest psychiatric practices for Dania Beach residents.
Is the practice large or small?
We're a focused private practice where you work directly with Dr. Chatelier, DNP — not a large clinic. This ensures continuity of care and a strong therapeutic relationship.
Next step
Request a Medication Management 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.
After Medication Management is scheduled, complete intake forms once. Repeating the same history at every visit is what we are trying to avoid.
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.