Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Sleep medication management that does not skip apnea
Tapering is a procedure. Stopping paroxetine or a benzodiazepine 'cold' is not a plan.
Clinical scope of Medication Management in Broward County
Booking a med check is booking a medical visit, not a vending machine.
Mood-stabilizer adjustment uses levels, kidney/thyroid labs, and teratogenicity counseling when relevant.
Hollywood FAQs for Medication Management
Do you prescribe stimulants?
When the evaluation supports ADHD and PDMP/safety checks pass. Not from a questionnaire alone.
Can you help me taper?
Yes. Tapers are scheduled by drug class. Do not stop MAOIs, benzos, or paroxetine abruptly on your own.
Do you monitor antipsychotics?
Weight, A1c, lipids, and neurologic side effects are part of the protocol.
Are leftover 'affordable refill' URLs a discount?
No. They are retained slugs. Billing follows insurance contracts.
What labs do I need?
Depends on the drug: TSH, lithium level, A1c, etc. We will list them in the plan.
Where is the office for in-person med checks?
7603 Davie Road Extension, Hollywood, FL 33024 — about 0 minutes from Hollywood.
What we do not do
Psychotherapy remains indicated for many diagnoses even when medication helps.
Hormone clinics that ignore lithium or MAOIs create preventable interactions — we reconcile.
A pharmacy auto-refill is not medication management.
Why Hollywood presentations look the way they do
You have been on an SSRI for years with no documented target symptom and no trial of a therapeutic dose.
Antidepressant-induced mixed features were never named.
Sleeping pills masked untreated sleep apnea.
Protocol elements we do not skip
Formulary alternatives offered without pretending they are identical.
QTc risk: ECG when combining high-risk agents.
Benzodiazepines: indication, duration limit, taper language.
Opioid + benzo overlap is treated as a safety event.
DSM-5-TR framing for sleep med management
Hypnotics only after sleep differential, not as a standing nightcap.
Failed or partial response to a current agent after an adequate trial.
sleep med management still has to map to a problem on the list.
Need for metabolic or neurologic monitoring on an existing antipsychotic or mood stabilizer.
From intake to follow-up: Medication Management
Send the prescription to a named pharmacy; document the pharmacy.
Counsel on onset, alcohol, driving, pregnancy, and overdose risk.
Confirm the target symptom and the diagnosis it belongs to.
Check labs due for the current class.
Next step
After Medication Management is scheduled, complete intake forms once. Repeating the same history at every visit is what we are trying to avoid.
If you already have records from another psychiatrist, NP, or therapist, send them before Medication Management 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.