Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Medication management from the Hollywood medical home
You should be able to name the drug, the target symptom, the main risks, and the next lab date.
Clinical scope of Medication Management in Broward County
Hormone-mood medications are reconciled with estradiol, progesterone, and testosterone plans.
Functional psychiatry does not mean 'no medication.' It means medication plus the labs that could change the choice.
Questions we hear about Medication Management
How often are visits?
Tighter after a start or change; wider when stable and labs are current.
Do you prescribe benzodiazepines long-term?
Rarely, with a documented indication and a taper orientation. They are not a standing plan for GAD.
What labs do I need?
Depends on the drug: TSH, lithium level, A1c, etc. We will list them in the plan.
Do you treat insomnia with medication only?
No. We look for apnea, circadian issues, alcohol, and psychiatric drivers.
Do you monitor antipsychotics?
Weight, A1c, lipids, and neurologic side effects are part of the protocol.
Will I get a refill without a visit?
Not as a routine. Monitoring interval is part of the prescription.
How Medication Management is structured
Revisit the original diagnosis if two classes have failed.
Counsel on onset, alcohol, driving, pregnancy, and overdose risk.
Review PDMP and allergies.
No-show after a high-risk start triggers outreach.
What we rule in — and rule out
Not indicated to supply controlled substances without a supporting diagnosis and monitoring plan.
hormone mood meds still has to map to a problem on the list.
ADHD medication only after the evaluation supports ADHD over mimics.
Intolerable side effects that might respond to dose change, switch, or adjunct.
Medication Management versus a generic template visit
We will not 'optimize' a regimen that was never indicated.
Primary-care SSRIs without a bipolar screen are a common reason people land here.
Hormone clinics that ignore lithium or MAOIs create preventable interactions — we reconcile.
Stressors we document in Hollywood
Clozapine-level monitoring was skipped after a near miss.
You have been on an SSRI for years with no documented target symptom and no trial of a therapeutic dose.
The chart says 'stable' because you stopped complaining, not because scales improved.
Monitoring and safety in Medication Management
QTc risk: ECG when combining high-risk agents.
MAOI diet and washout rules if that class is ever used.
SGAs: weight, A1c, lipids; AIMS on a schedule.
Clozapine: ANC monitoring — we refer if we cannot meet the REMS cadence.
Book Medication Management
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.
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.
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.