Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Postpartum and perimenopausal mood evaluation
Thyroid disorders mimic perimenopause. TSH with free T4 is not optional when the story fits.
Clinical scope of Women's Hormone Therapy in Broward County
Thyroid and HRT overlap: check TSH before attributing everything to estradiol.
Top-rated language is ignored. Risk counseling is the product.
DSM-5-TR framing for sleep HRT women
Vasomotor symptoms wrecking sleep and daytime function.
Not indicated when VTE or estrogen-sensitive cancer history blocks estrogen without oncology input.
PMDD meeting diagnostic timing.
Patients who want a second opinion on a pellet clinic plan.
Women's Hormone Therapy versus a generic template visit
Antidepressant-only care can be right; hormone-only care can be right; both can be wrong.
Compounding pharmacies are tools, not religions.
GYN-only care may miss bipolar mixed features. We screen.
Stressors we document in Hollywood
Hot flashes destroy sleep; the psychiatrist only increased benzodiazepines.
Compounded pellets were placed with no baseline estradiol/progesterone documentation.
A GYN and a psychiatrist do not share labs.
Hollywood FAQs for Women's Hormone Therapy
What is PMDD?
A DSM-5-TR diagnosis with symptoms in the luteal phase that remit after menses. Timing matters.
Can progesterone worsen mood?
Yes in some patients. Tell us; we change the plan.
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 do pellets?
We do not run a pellet-first model. If a GYN uses them, we still require a psychiatric formulation.
Do you prescribe HRT?
When indicated after history, labs, and risk counseling, and often in coordination with GYN. This is not a pellet mill.
Can this be telehealth?
Counseling and some follow-up, if you are in Florida. Procedures and some exams cannot.
Visit flow for Women's Hormone Therapy
Reassess at a short interval because perimenopause is not a static lab value.
Map the menstrual, pregnancy, postpartum, and menopausal timeline onto the mood timeline.
Stop or change a hormone if mood destabilizes and the timeline fits.
Shared decision: HRT, psychotropic, both, or neither.
Protocol elements we do not skip
Do not exceed physiologic replacement as a mood experiment.
TSH with free T4.
Postpartum: screen for psychosis.
VTE/migraine/cancer history every start.
Next step
After Women's Hormone Therapy is scheduled, complete intake forms once. Repeating the same history at every visit is what we are trying to avoid.
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.