Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Sleep medication management that does not skip apnea
Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC prescribes within Florida PMHNP-BC scope. Every start, stop, and taper is documented with indication and monitoring.
What Medication Management actually includes
Genetic testing (pharmacogenomics) may change CYP2D6/2C19 probabilities. It is not a personality test.
Antipsychotic monitoring is metabolic and neurologic, not just 'mood better / worse.'
Stressors we document in Hollywood
You fear dependency, so you skip doses and then crash, which looks like 'nonadherence.'
Prior authorization limbo left you between two half-tapers.
You want off a medication and were told that desire is a symptom.
Clinical FAQ
Where is the office for in-person med checks?
7603 Davie Road Extension, Hollywood, FL 33024 — about 0 minutes from Hollywood.
Do you prescribe stimulants?
When the evaluation supports ADHD and PDMP/safety checks pass. Not from a questionnaire alone.
Can you prescribe if I am traveling?
Only if you are physically in a state where we are licensed — currently Florida telehealth.
Do you treat insomnia with medication only?
No. We look for apnea, circadian issues, alcohol, and psychiatric drivers.
Can you help me taper?
Yes. Tapers are scheduled by drug class. Do not stop MAOIs, benzos, or paroxetine abruptly on your own.
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.
Primary-care SSRIs without a bipolar screen are a common reason people land here.
Cash telehealth stimulant mills optimize speed. We optimize a differential and PDMP.
Visit flow for Medication Management
Share the plan with the therapist when consent exists.
Counsel on onset, alcohol, driving, pregnancy, and overdose risk.
Check labs due for the current class.
Revisit the original diagnosis if two classes have failed.
Monitoring and safety in Medication Management
Lithium: level, TSH, creatinine, pregnancy test as indicated.
Stimulants: BP/HR, sleep, appetite, PDMP, diversion discussion.
Alcohol withdrawal is not managed as an anxiety refill.
SGAs: weight, A1c, lipids; AIMS on a schedule.
Indications and differentials
Polypharmacy review when the list exceeds what the diagnosis can justify.
Antidepressants only after bipolar-spectrum screening.
telehealth med management still has to map to a problem on the list.
Taper request that requires a medical schedule.
Schedule with Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC
If Medication Management 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.
After Medication Management is scheduled, complete intake forms once. Repeating the same history at every visit is what we are trying to avoid.
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.