Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Perimenopause psychiatry serving Broward County
PMDD is a DSM-5-TR diagnosis with luteal-phase timing. It is not 'bad PMS' as a vibe.
What Women's Hormone Therapy actually includes
Thyroid and HRT overlap: check TSH before attributing everything to estradiol.
Best menopause HRT is the regimen whose risks you understood.
Visit flow for Women's Hormone Therapy
Discuss mammography and cervical screening as primary-care tasks we will not skip mentioning.
Map the menstrual, pregnancy, postpartum, and menopausal timeline onto the mood timeline.
Reassess at a short interval because perimenopause is not a static lab value.
Review contraindications to estrogen.
Monitoring and safety in Women's Hormone Therapy
BP check.
Informed consent stored.
VTE/migraine/cancer history every start.
Drug-interaction check with psychotropics.
Indications and differentials
SSRI sexual dysfunction plus a hormone question.
Premature hypoestrogenism needing specialist collaboration.
Not indicated as anti-aging retail.
Perimenopausal or menopausal symptoms with psychiatric comorbidity.
Clinical FAQ
Do you work with my OB/GYN?
With consent.
What labs?
Individualized: estradiol, progesterone, FSH, TSH, ferritin, vitamin D as indicated.
What is PMDD?
A DSM-5-TR diagnosis with symptoms in the luteal phase that remit after menses. Timing matters.
Is this anti-aging?
No.
Can I refuse HRT?
Yes.
What about breast cancer risk?
We discuss it. Personal history may require oncology/GYN before estrogen.
How this differs from a 15-minute med check
Bioidentical marketing vs estradiol that is actually estradiol.
Traditional psychiatry often ignores luteal timing. We do not.
Telehealth counseling vs intramuscular procedures.
Why Hollywood presentations look the way they do
Progesterone made you depressed and nobody changed the regimen.
You were refused antidepressants 'because it's just hormones.'
You fear breast cancer conversation so you avoid care entirely.
Book Women's Hormone Therapy
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.
Questions about insurance, labs, or whether Women's Hormone Therapy 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.