Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Perimenopause psychiatry serving Broward County
Cancer history, migraines with aura, and VTE risk change the conversation before any prescription.
What Women's Hormone Therapy actually includes
Brain fog has a differential; estradiol is one line, not the only line.
Walk-in HRT URLs are retained; care is scheduled.
Clinical FAQ
What about breast cancer risk?
We discuss it. Personal history may require oncology/GYN before estrogen.
Is brain fog always menopause?
No. Sleep, ADHD, depression, B12, and thyroid are on the list.
Are you a gynecologist?
No. Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC is a PMHNP-BC providing hormone-informed psychiatric care.
Do you work with my OB/GYN?
With consent.
Will you check thyroid?
Yes when the history fits. Fatigue and mood are not 'just estrogen' by default.
Do you help with libido?
We evaluate causes, including SSRI effects and endocrine factors. No guaranteed outcome.
Monitoring and safety in Women's Hormone Therapy
Emergency precautions for chest pain/neuro deficits on estrogen.
VTE/migraine/cancer history every start.
Do not exceed physiologic replacement as a mood experiment.
BP check.
What we do not do
Traditional psychiatry often ignores luteal timing. We do not.
Med-spa HRT maximizes procedures. We maximize a differential.
Antidepressant-only care can be right; hormone-only care can be right; both can be wrong.
Indications and differentials
Surgical menopause with mood destabilization.
Perimenopausal or menopausal symptoms with psychiatric comorbidity.
PMDD meeting diagnostic timing.
Postpartum mood or anxiety needing medical evaluation.
Why Hollywood presentations look the way they do
A GYN and a psychiatrist do not share labs.
DEXA was never discussed despite premature hypoestrogenism.
You commute from Hollywood to a clinic that only sells pellets.
How Women's Hormone Therapy is structured
Review contraindications to estrogen.
Coordinate with GYN/PCP.
Order labs that could change the plan.
Document lactation plans.
Schedule with Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC
Request a Women's Hormone Therapy visit by calling (888) 307-2199 or using the booking form. Bring current medications, prior labs, and a list of what has already been tried.
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.