Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
GeneSight-informed trials after failed antidepressants
Tapering is a procedure. Stopping paroxetine or a benzodiazepine 'cold' is not a plan.
Clinical scope of Medication Management in Broward County
Psych med management includes saying no when the requested drug does not match the diagnosis.
Antidepressant management includes adequate dose/duration, activation screening, and suicide-risk follow-up after initiation.
Monitoring and safety in Medication Management
Missed labs = delayed titration.
MAOI diet and washout rules if that class is ever used.
New antidepressant: short-interval follow-up for activation and SI.
Benzodiazepines: indication, duration limit, taper language.
DSM-5-TR framing for tapering psych meds
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.
Antidepressants only after bipolar-spectrum screening.
Need for metabolic or neurologic monitoring on an existing antipsychotic or mood stabilizer.
Questions we hear about Medication Management
Can I refuse a medication?
Always. Informed consent includes the option of no medication.
What labs do I need?
Depends on the drug: TSH, lithium level, A1c, etc. We will list them in the plan.
Can a PMHNP-BC prescribe psychiatric medication in Florida?
Yes. Dr. Chatelier is a board-certified psychiatric mental health nurse practitioner. Prescribing is within Florida APRN scope, with monitoring.
What about pregnancy?
Tell us before a prescription is sent. Some agents need specialist coordination.
Can medication management be telehealth?
Yes if you are in Florida and the case is appropriate. Controlled-substance rules still apply.
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.
Medication Management versus a generic template visit
A pharmacy auto-refill is not medication management.
Psychotherapy remains indicated for many diagnoses even when medication helps.
Primary-care SSRIs without a bipolar screen are a common reason people land here.
Visit flow for Medication Management
Counsel on onset, alcohol, driving, pregnancy, and overdose risk.
Review PDMP and allergies.
Revisit the original diagnosis if two classes have failed.
Share the plan with the therapist when consent exists.
Stressors we document in Hollywood
Hyponatremia on an SSRI in an older Hollywood patient was never checked.
Stimulants were started before a bipolar screen, and now sleep and irritability are worse.
You fear dependency, so you skip doses and then crash, which looks like 'nonadherence.'
Next step
Start with one thorough Medication Management evaluation rather than a series of 15-minute check-ins. Book at (888) 307-2199 or online.
Questions about insurance, labs, or whether Medication Management 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.