Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Menopause brain fog workup in Hollywood
PMDD is a DSM-5-TR diagnosis with luteal-phase timing. It is not 'bad PMS' as a vibe.
Clinical scope of Women's Hormone Therapy in Broward County
Hormone therapy for women with psychiatric symptoms needs both skill sets in one formulation.
Low estrogen is a lab and a syndrome, not a marketing category.
Why Hollywood presentations look the way they do
You fear breast cancer conversation so you avoid care entirely.
Weight change at menopause was blamed on willpower.
You were refused antidepressants 'because it's just hormones.'
What we do not do
Bioidentical marketing vs estradiol that is actually estradiol.
Telehealth counseling vs intramuscular procedures.
GYN-only care may miss bipolar mixed features. We screen.
From intake to follow-up: Women's Hormone Therapy
Map the menstrual, pregnancy, postpartum, and menopausal timeline onto the mood timeline.
Shared decision: HRT, psychotropic, both, or neither.
Telehealth for counseling; office or GYN for procedures.
Do not start estrogen and a new antidepressant on the same day without a reason.
Clinical FAQ
Do you work with my OB/GYN?
With consent.
Can progesterone worsen mood?
Yes in some patients. Tell us; we change the plan.
Are you a gynecologist?
No. Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC is a PMHNP-BC providing hormone-informed psychiatric care.
Crisis?
988 or ER. Especially for postpartum psychosis.
Is this anti-aging?
No.
Can HRT replace my antidepressant?
Sometimes mood improves when sleep and vasomotor symptoms improve. Sometimes you still need a psychotropic. We do not promise a swap.
What we rule in — and rule out
Perimenopausal or menopausal symptoms with psychiatric comorbidity.
Thyroid disease as a co-indication for labs, not a DIY HRT start.
SSRI sexual dysfunction plus a hormone question.
Contraindication counseling itself can be the visit goal.
Monitoring and safety in Women's Hormone Therapy
Bipolar screen before unopposed-feeling antidepressant plans.
Lactation: pump/dump or compatible med list.
Emergency precautions for chest pain/neuro deficits on estrogen.
Postpartum: screen for psychosis.
Book Women's Hormone Therapy
If Women's Hormone Therapy 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.
Call (888) 307-2199 to hold an appointment for Women's Hormone Therapy. Mention Hollywood so staff can plan in-office versus Florida telehealth for the first visit.
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.