Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
ADHD medication titration after a real differential
Pharmacogenetics can shift probabilities after failed trials. It does not pick a winner from a menu.
Clinical scope of Medication Management in Broward County
Sleep medication management asks whether the drug is treating insomnia or hiding apnea and alcohol.
ADHD titration follows a confirmed differential. Heart rate, sleep, appetite, and diversion risk are part of the visit.
Clinical FAQ
What is GeneSight?
A pharmacogenetic panel that may adjust probabilities for certain antidepressants. It does not diagnose ADHD or depression.
What labs do I need?
Depends on the drug: TSH, lithium level, A1c, etc. We will list them in the plan.
Can medication management be telehealth?
Yes if you are in Florida and the case is appropriate. Controlled-substance rules still apply.
Do you treat insomnia with medication only?
No. We look for apnea, circadian issues, alcohol, and psychiatric drivers.
Are leftover 'affordable refill' URLs a discount?
No. They are retained slugs. Billing follows insurance contracts.
Will you take over my current list?
After a diagnostic review. We do not rubber-stamp unsafe combinations.
Can I do all appointments via telehealth?
After an initial evaluation (which we recommend in-person for the most thorough assessment), most follow-up appointments can be conducted via our secure telehealth platform.
How do you ensure privacy?
All appointments and records are HIPAA-compliant. Telehealth sessions use encrypted video, and we never share patient information without explicit consent.
Protocol elements we do not skip
Valproate: level, LFTs, CBC, pregnancy counseling.
Alcohol withdrawal is not managed as an anxiety refill.
QTc risk: ECG when combining high-risk agents.
Missed labs = delayed titration.
What we rule in — and rule out
Intolerable side effects that might respond to dose change, switch, or adjunct.
Bridge care after hospitalization until a stable outpatient cadence exists.
Need for metabolic or neurologic monitoring on an existing antipsychotic or mood stabilizer.
Polypharmacy review when the list exceeds what the diagnosis can justify.
Visit flow for Medication Management
Review PDMP and allergies.
Decide: continue, adjust, switch, or taper — one primary change when possible.
Share the plan with the therapist when consent exists.
Set the next visit before the bottle runs out.
Neighborhoods and ZIPs: 33062
Hillsboro Beach (Broward County) has about 2,000 residents. The nearest Peace & Heart Wellness exam room is the Hollywood office, about 36 minutes from Hillsboro Inlet Lighthouse and Millionaire Mile.
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 33062 is the lead postal code listed for Hillsboro Beach. Mail-order labs and pharmacy routing still use the patient's actual address, not this page's city token.
Antidepressant-induced mixed features were never named.
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.
If you already have records from another psychiatrist, NP, or therapist, send them before Medication Management 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.