Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
GeneSight-informed trials after failed antidepressants
Crisis plus a medication question is still a crisis: 988 or ER first.
What Medication Management actually includes
Top-rated language in old keywords is ignored. Monitoring quality is the product.
Best-practice med management is boring: lists, labs, and dates.
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.
Parking at 7603 Davie Road Extension is on site. Hollywood patients who drive 0 minutes should plan for weekday 9:00–17:00 hours; Saturday is by appointment only.
Share the plan with the therapist when consent exists.
Counsel on onset, alcohol, driving, pregnancy, and overdose risk.
Labs, scales, and follow-up cadence
Stimulants: BP/HR, sleep, appetite, PDMP, diversion discussion.
Lithium: level, TSH, creatinine, pregnancy test as indicated.
Formulary alternatives offered without pretending they are identical.
MAOI diet and washout rules if that class is ever used.
What we rule in — and rule out
A DSM-5-TR diagnosis that has an evidence-based pharmacologic option the patient wants to consider.
Not indicated for out-of-state telehealth prescribing.
Hypnotics only after sleep differential, not as a standing nightcap.
Antidepressants only after bipolar-spectrum screening.
How Medication Management is structured
Reconcile the current list, including OTC, cannabis, and hormones.
Document why a requested stimulant or benzo was declined.
Revisit the original diagnosis if two classes have failed.
Confirm the target symptom and the diagnosis it belongs to.
Neighborhoods and ZIPs: 33019, 33020, 33021, 33022
Hollywood 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.
Parking at 7603 Davie Road Extension is on site. Hollywood patients who drive 0 minutes should plan for weekday 9:00–17:00 hours; Saturday is by appointment only.
South Florida heat, hurricane disruption, shift work, and multigenerational households show up in Hollywood presentations. Medication Management intake asks about those stressors explicitly.
You have been on an SSRI for years with no documented target symptom and no trial of a therapeutic dose.
Next step
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.
Start with one thorough Medication Management evaluation rather than a series of 15-minute check-ins. Book at (888) 307-2199 or online.
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.