Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
HRT counseling that includes VTE, breast, and mood risk
Estrogen and progesterone affect serotonin and sleep architecture. That is physiology, not a guarantee that HRT will replace an antidepressant.
Women's Hormone Therapy for Hollywood patients
Booking an HRT consult is booking a medical visit with psychiatric overlap.
Progesterone therapy can help some sleep/anxiety pictures and worsen others — that is why follow-up exists.
Visit flow for Women's Hormone Therapy
Stop or change a hormone if mood destabilizes and the timeline fits.
Write the plan so the patient can repeat the risks.
Telehealth for counseling; office or GYN for procedures.
Order labs that could change the plan.
Why Hollywood presentations look the way they do
Progesterone made you depressed and nobody changed the regimen.
PMDD was treated as a character flaw in a Broward County family system.
Thyroid was last checked five years ago.
Clinical FAQ
What about breast cancer risk?
We discuss it. Personal history may require oncology/GYN before estrogen.
Do you do pellets?
We do not run a pellet-first model. If a GYN uses them, we still require a psychiatric formulation.
Do you help with libido?
We evaluate causes, including SSRI effects and endocrine factors. No guaranteed outcome.
How close is the office?
About 0 minutes from Hollywood.
Can progesterone worsen mood?
Yes in some patients. Tell us; we change the plan.
Crisis?
988 or ER. Especially for postpartum psychosis.
Women's Hormone Therapy versus a generic template visit
Antidepressant-only care can be right; hormone-only care can be right; both can be wrong.
Bioidentical marketing vs estradiol that is actually estradiol.
Med-spa HRT maximizes procedures. We maximize a differential.
Protocol elements we do not skip
Bleeding on HRT = GYN, not 'watch forever.'
Drug-interaction check with psychotropics.
Informed consent stored.
Do not exceed physiologic replacement as a mood experiment.
DSM-5-TR framing for bioidentical HRT women
Not indicated as anti-aging retail.
Thyroid disease as a co-indication for labs, not a DIY HRT start.
PMDD meeting diagnostic timing.
Not indicated to treat breast cancer.
Book Women's Hormone Therapy
Start with one thorough Women's Hormone Therapy evaluation rather than a series of 15-minute check-ins. Book at (888) 307-2199 or online.
Questions about insurance, labs, or whether Women's Hormone Therapy 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.