Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Antipsychotic metabolic monitoring serving Hollywood
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
Booking a med check is booking a medical visit, not a vending machine.
Hormone-mood medications are reconciled with estradiol, progesterone, and testosterone plans.
How Medication Management is structured
If prior authorization is required, start it the same day.
Check labs due for the current class.
No-show after a high-risk start triggers outreach.
Decide: continue, adjust, switch, or taper — one primary change when possible.
How this differs from a 15-minute med check
A pharmacy auto-refill is not medication management.
Hormone clinics that ignore lithium or MAOIs create preventable interactions — we reconcile.
GeneSight is an adjunct after failed trials, not a first-visit upsell.
DSM-5-TR framing for ADHD med titration
Polypharmacy review when the list exceeds what the diagnosis can justify.
Bridge care after hospitalization until a stable outpatient cadence exists.
Need for metabolic or neurologic monitoring on an existing antipsychotic or mood stabilizer.
Taper request that requires a medical schedule.
Clinical FAQ
Can medication management be telehealth?
Yes if you are in Florida and the case is appropriate. Controlled-substance rules still apply.
Do you monitor antipsychotics?
Weight, A1c, lipids, and neurologic side effects are part of the protocol.
What is PDMP?
Florida's prescription drug monitoring program. We check it before controlled substances.
Can a PMHNP-BC prescribe psychiatric medication in Florida?
Yes. Dr. Chatelier is a board-certified psychiatric mental health nurse practitioner. Prescribing is within Florida APRN scope, with monitoring.
Do you prescribe benzodiazepines long-term?
Rarely, with a documented indication and a taper orientation. They are not a standing plan for GAD.
Do you treat insomnia with medication only?
No. We look for apnea, circadian issues, alcohol, and psychiatric drivers.
Labs, scales, and follow-up cadence
Lithium: level, TSH, creatinine, pregnancy test as indicated.
Clozapine: ANC monitoring — we refer if we cannot meet the REMS cadence.
Informed consent stored in the chart.
QTc risk: ECG when combining high-risk agents.
Stressors we document in Hollywood
QTc-prolonging combinations were stacked without an ECG.
Antipsychotic weight gain and A1c were never measured.
Hyponatremia on an SSRI in an older Hollywood patient was never checked.
Schedule with Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC
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.
Crisis now is 988 or the ER — not the booking form. For non-urgent Medication Management, use (888) 307-2199 during weekday hours.
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.