Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Antidepressant and mood-stabilizer management in Broward County
Polypharmacy is treated as a risk to be justified, not a badge of complexity.
Clinical scope of Medication Management in Broward County
Best-practice med management is boring: lists, labs, and dates.
Antidepressant management includes adequate dose/duration, activation screening, and suicide-risk follow-up after initiation.
How Medication Management is structured
Telehealth visits verify Florida location.
Send the prescription to a named pharmacy; document the pharmacy.
Confirm the target symptom and the diagnosis it belongs to.
Reconcile the current list, including OTC, cannabis, and hormones.
Stressors we document in Hollywood
A genetic test PDF sits in your email with no clinician interpretation.
Hyponatremia on an SSRI in an older Hollywood patient was never checked.
Clozapine-level monitoring was skipped after a near miss.
Protocol elements we do not skip
New antidepressant: short-interval follow-up for activation and SI.
Hyponatremia: BMP in older adults on SSRIs when symptoms fit.
QTc risk: ECG when combining high-risk agents.
Informed consent stored in the chart.
Clinical FAQ
Are leftover 'affordable refill' URLs a discount?
No. They are retained slugs. Billing follows insurance contracts.
What if side effects start this week?
Call the office. Do not wait for a distant follow-up if symptoms are severe. ER for emergency symptoms.
Will you take over my current list?
After a diagnostic review. We do not rubber-stamp unsafe combinations.
What is PDMP?
Florida's prescription drug monitoring program. We check it before controlled substances.
Do you prescribe benzodiazepines long-term?
Rarely, with a documented indication and a taper orientation. They are not a standing plan for GAD.
Can I refuse a medication?
Always. Informed consent includes the option of no medication.
What we rule in — and rule out
Bridge care after hospitalization until a stable outpatient cadence exists.
A DSM-5-TR diagnosis that has an evidence-based pharmacologic option the patient wants to consider.
medication management psychiatry still has to map to a problem on the list.
Antidepressants only after bipolar-spectrum screening.
How this differs from a 15-minute med check
Psychotherapy remains indicated for many diagnoses even when medication helps.
We will not 'optimize' a regimen that was never indicated.
GeneSight is an adjunct after failed trials, not a first-visit upsell.
Next step
Crisis now is 988 or the ER — not the booking form. For non-urgent Medication Management, use (888) 307-2199 during weekday hours.
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.
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.