Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Hormone-aware psychiatric prescribing
Crisis plus a medication question is still a crisis: 988 or ER first.
What Medication Management actually includes
Antidepressant management includes adequate dose/duration, activation screening, and suicide-risk follow-up after initiation.
Hormone-mood medications are reconciled with estradiol, progesterone, and testosterone plans.
Labs, scales, and follow-up cadence
QTc risk: ECG when combining high-risk agents.
Valproate: level, LFTs, CBC, pregnancy counseling.
Missed labs = delayed titration.
Informed consent stored in the chart.
Medication Management versus a generic template visit
Psychotherapy remains indicated for many diagnoses even when medication helps.
Primary-care SSRIs without a bipolar screen are a common reason people land here.
A pharmacy auto-refill is not medication management.
Visit flow for Medication Management
Revisit the original diagnosis if two classes have failed.
Review PDMP and allergies.
No-show after a high-risk start triggers outreach.
Decide: continue, adjust, switch, or taper — one primary change when possible.
Clinical FAQ
What is PDMP?
Florida's prescription drug monitoring program. We check it before controlled substances.
Do you treat insomnia with medication only?
No. We look for apnea, circadian issues, alcohol, and psychiatric drivers.
What is GeneSight?
A pharmacogenetic panel that may adjust probabilities for certain antidepressants. It does not diagnose ADHD or depression.
Do you prescribe stimulants?
When the evaluation supports ADHD and PDMP/safety checks pass. Not from a questionnaire alone.
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.
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.
Local context for Medication Management in Broward County
Antidepressant-induced mixed features were never named.
You fear dependency, so you skip doses and then crash, which looks like 'nonadherence.'
Antipsychotic weight gain and A1c were never measured.
What we rule in — and rule out
Need for metabolic or neurologic monitoring on an existing antipsychotic or mood stabilizer.
A DSM-5-TR diagnosis that has an evidence-based pharmacologic option the patient wants to consider.
ADHD medication only after the evaluation supports ADHD over mimics.
Hypnotics only after sleep differential, not as a standing nightcap.
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.