Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
GeneSight-informed trials after failed antidepressants
Polypharmacy is treated as a risk to be justified, not a badge of complexity.
What Medication Management actually includes
Sleep medication management asks whether the drug is treating insomnia or hiding apnea and alcohol.
Antidepressant management includes adequate dose/duration, activation screening, and suicide-risk follow-up after initiation.
Questions we hear about Medication Management
Do you treat insomnia with medication only?
No. We look for apnea, circadian issues, alcohol, and psychiatric drivers.
How often are visits?
Tighter after a start or change; wider when stable and labs are current.
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.
Do you prescribe benzodiazepines long-term?
Rarely, with a documented indication and a taper orientation. They are not a standing plan for GAD.
What is GeneSight?
A pharmacogenetic panel that may adjust probabilities for certain antidepressants. It does not diagnose ADHD or depression.
Can you help me taper?
Yes. Tapers are scheduled by drug class. Do not stop MAOIs, benzos, or paroxetine abruptly on your own.
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.
Parking, hours, and video visits
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 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.
Review PDMP and allergies.
Counsel on onset, alcohol, driving, pregnancy, and overdose risk.
DSM-5-TR framing for telehealth med management
Not indicated to supply controlled substances without a supporting diagnosis and monitoring plan.
Need for metabolic or neurologic monitoring on an existing antipsychotic or mood stabilizer.
Polypharmacy review when the list exceeds what the diagnosis can justify.
telehealth med management still has to map to a problem on the list.
Protocol elements we do not skip
MAOI diet and washout rules if that class is ever used.
QTc risk: ECG when combining high-risk agents.
New antidepressant: short-interval follow-up for activation and SI.
Informed consent stored in the chart.
Neighborhoods and ZIPs: 33004
Commute noise on I-95 and the Turnpike changes whether an in-office Medication Management visit is realistic this week. Telehealth is used when the clinical exam does not require the office.
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 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.
Hyponatremia on an SSRI in an older Dania Beach patient was never checked.
Book Medication Management
After Medication Management is scheduled, complete intake forms once. Repeating the same history at every visit is what we are trying to avoid.
Questions about insurance, labs, or whether Medication Management can be done by video: call (888) 307-2199 before you book so the visit type matches the clinical need.
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.