Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
ADHD medication titration after a real differential
Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC prescribes within Florida PMHNP-BC scope. Every start, stop, and taper is documented with indication and monitoring.
Clinical scope of Medication Management in Broward County
Hormone-mood medications are reconciled with estradiol, progesterone, and testosterone plans.
Mood-stabilizer adjustment uses levels, kidney/thyroid labs, and teratogenicity counseling when relevant.
How Medication Management is structured
Send the prescription to a named pharmacy; document the pharmacy.
No-show after a high-risk start triggers outreach.
Revisit the original diagnosis if two classes have failed.
Telehealth visits verify Florida location.
Protocol elements we do not skip
Benzodiazepines: indication, duration limit, taper language.
Informed consent stored in the chart.
Missed labs = delayed titration.
Opioid + benzo overlap is treated as a safety event.
In-office versus Florida telehealth
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.
Hollywood (Broward County) has about 153,000 residents. The nearest Peace & Heart Wellness exam room is the Hollywood office, about 0 minutes from Hollywood Beach Broadwalk and downtown Hollywood.
No-show after a high-risk start triggers outreach.
Decide: continue, adjust, switch, or taper — one primary change when possible.
What we rule in — and rule out
Antidepressants only after bipolar-spectrum screening.
Not indicated for out-of-state telehealth prescribing.
ADHD medication only after the evaluation supports ADHD over mimics.
Bridge care after hospitalization until a stable outpatient cadence exists.
Questions we hear about Medication Management
How often are visits?
Tighter after a start or change; wider when stable and labs are current.
Can medication management be telehealth?
Yes if you are in Florida and the case is appropriate. Controlled-substance rules still apply.
Can you prescribe if I am traveling?
Only if you are physically in a state where we are licensed — currently Florida telehealth.
Are leftover 'affordable refill' URLs a discount?
No. They are retained slugs. Billing follows insurance contracts.
Do you work with my therapist?
With consent, yes. Medication does not replace psychotherapy when both are indicated.
What labs do I need?
Depends on the drug: TSH, lithium level, A1c, etc. We will list them in the plan.
Where is your Hollywood office?
Our office is located at 7603 Davie Road Extension, Hollywood, FL 33024. We're easily accessible from I-95, the Turnpike, and US-441.
Do you serve Hollywood Beach residents?
Yes! We serve all Hollywood neighborhoods including Hollywood Beach, Hollywood Hills, Emerald Hills, and surrounding areas.
Book Medication Management
Call (888) 307-2199 to hold an appointment for Medication Management. Mention Hollywood so staff can plan in-office versus Florida telehealth for the first visit.
If Medication Management 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.