Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Side-effect management that names the actual syndrome
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.
Medication Management for Hollywood patients
Functional psychiatry does not mean 'no medication.' It means medication plus the labs that could change the choice.
Telehealth medication management still requires Florida presence, identity check, and a visit note.
Protocol elements we do not skip
Missed labs = delayed titration.
Hyponatremia: BMP in older adults on SSRIs when symptoms fit.
MAOI diet and washout rules if that class is ever used.
Formulary alternatives offered without pretending they are identical.
How Medication Management is structured
Reconcile the current list, including OTC, cannabis, and hormones.
Check labs due for the current class.
Review PDMP and allergies.
Counsel on onset, alcohol, driving, pregnancy, and overdose risk.
What we rule in — and rule out
Failed or partial response to a current agent after an adequate trial.
Taper request that requires a medical schedule.
Need for metabolic or neurologic monitoring on an existing antipsychotic or mood stabilizer.
Perinatal prescribing only with risk-benefit counseling.
Clinical FAQ
Do you treat insomnia with medication only?
No. We look for apnea, circadian issues, alcohol, and psychiatric drivers.
Can medication management be telehealth?
Yes if you are in Florida and the case is appropriate. Controlled-substance rules still apply.
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 work with my therapist?
With consent, yes. Medication does not replace psychotherapy when both are indicated.
What is PDMP?
Florida's prescription drug monitoring program. We check it before controlled substances.
Can you prescribe if I am traveling?
Only if you are physically in a state where we are licensed — currently Florida telehealth.
How this differs from a 15-minute med check
GeneSight is an adjunct after failed trials, not a first-visit upsell.
We will not 'optimize' a regimen that was never indicated.
Hormone clinics that ignore lithium or MAOIs create preventable interactions — we reconcile.
Local context for Medication Management in Broward County
Hyponatremia on an SSRI in an older Hollywood patient was never checked.
Brand-to-generic switches changed your blood level and nobody noticed.
You were told you would be on medication 'for life' without a review of indication.
Schedule with Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC
If you already have records from another psychiatrist, NP, or therapist, send them before Medication Management so the interview can start from data instead of from a blank page.
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.