Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Bioidentical is a chemistry word — still needs a chart
Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC treats psychiatric syndromes that track with reproductive transitions. HRT is coordinated, not sold as a personality upgrade.
Women's Hormone Therapy for Hollywood patients
Hormone therapy for women with psychiatric symptoms needs both skill sets in one formulation.
Walk-in HRT URLs are retained; care is scheduled.
Stressors we document in Hollywood
A GYN and a psychiatrist do not share labs.
Lactation and mood meds were never reconciled.
Thyroid was last checked five years ago.
Questions we hear about Women's Hormone Therapy
Crisis?
988 or ER. Especially for postpartum psychosis.
Can I refuse HRT?
Yes.
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.
Do you work with my OB/GYN?
With consent.
Do you help with libido?
We evaluate causes, including SSRI effects and endocrine factors. No guaranteed outcome.
Do you treat postpartum depression?
We evaluate and treat. Postpartum psychosis is an emergency.
Protocol elements we do not skip
Informed consent stored.
TSH with free T4.
VTE/migraine/cancer history every start.
Refer DEXA when premature estrogen loss.
What we rule in — and rule out
Contraindication counseling itself can be the visit goal.
Not indicated as sole treatment of bipolar I mania.
PMDD meeting diagnostic timing.
Patients who want a second opinion on a pellet clinic plan.
What we do not do
GYN-only care may miss bipolar mixed features. We screen.
Telehealth counseling vs intramuscular procedures.
Compounding pharmacies are tools, not religions.
How Women's Hormone Therapy is structured
Review contraindications to estrogen.
Reassess at a short interval because perimenopause is not a static lab value.
Complete psychiatric evaluation standards (safety, bipolar screen, substances).
Write the plan so the patient can repeat the risks.
Schedule with Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC
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.
If you already have records from another psychiatrist, NP, or therapist, send them before Women's Hormone Therapy 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.