Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Perimenopause psychiatry serving Broward County
PMDD is a DSM-5-TR diagnosis with luteal-phase timing. It is not 'bad PMS' as a vibe.
Women's Hormone Therapy for Hollywood patients
Thyroid and HRT overlap: check TSH before attributing everything to estradiol.
Booking an HRT consult is booking a medical visit with psychiatric overlap.
From intake to follow-up: Women's Hormone Therapy
Shared decision: HRT, psychotropic, both, or neither.
Review contraindications to estrogen.
Set monitoring: bleeding, mood scales, BP, labs.
Write the plan so the patient can repeat the risks.
Why Hollywood presentations look the way they do
Thyroid was last checked five years ago.
Weight change at menopause was blamed on willpower.
You were refused antidepressants 'because it's just hormones.'
What we do not do
GYN-only care may miss bipolar mixed features. We screen.
Med-spa HRT maximizes procedures. We maximize a differential.
Compounding pharmacies are tools, not religions.
Protocol elements we do not skip
Emergency precautions for chest pain/neuro deficits on estrogen.
VTE/migraine/cancer history every start.
Postpartum: screen for psychosis.
Bleeding on HRT = GYN, not 'watch forever.'
DSM-5-TR framing for thyroid HRT women
Not indicated as anti-aging retail.
Not indicated when VTE or estrogen-sensitive cancer history blocks estrogen without oncology input.
Not indicated as sole treatment of bipolar I mania.
Not indicated to treat breast cancer.
Clinical FAQ
Can progesterone worsen mood?
Yes in some patients. Tell us; we change the plan.
Can this be telehealth?
Counseling and some follow-up, if you are in Florida. Procedures and some exams cannot.
Can I refuse HRT?
Yes.
What about breast cancer risk?
We discuss it. Personal history may require oncology/GYN before estrogen.
Will you check thyroid?
Yes when the history fits. Fatigue and mood are not 'just estrogen' by default.
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.
Schedule with Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC
Request a Women's Hormone Therapy visit by calling (888) 307-2199 or using the booking form. Bring current medications, prior labs, and a list of what has already been tried.
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.
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.