Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Sleep medication management that does not skip apnea
Polypharmacy is treated as a risk to be justified, not a badge of complexity.
What Medication Management actually includes
Antidepressant management includes adequate dose/duration, activation screening, and suicide-risk follow-up after initiation.
Mood-stabilizer adjustment uses levels, kidney/thyroid labs, and teratogenicity counseling when relevant.
DSM-5-TR framing for ADHD med titration
Bridge care after hospitalization until a stable outpatient cadence exists.
Need for metabolic or neurologic monitoring on an existing antipsychotic or mood stabilizer.
Not indicated to supply controlled substances without a supporting diagnosis and monitoring plan.
Taper request that requires a medical schedule.
Lauderdale-by-the-Sea FAQs for Medication Management
Will I get a refill without a visit?
Not as a routine. Monitoring interval is part of the prescription.
Will you take over my current list?
After a diagnostic review. We do not rubber-stamp unsafe combinations.
What is GeneSight?
A pharmacogenetic panel that may adjust probabilities for certain antidepressants. It does not diagnose ADHD or depression.
What about pregnancy?
Tell us before a prescription is sent. Some agents need specialist coordination.
How often are visits?
Tighter after a start or change; wider when stable and labs are current.
What labs do I need?
Depends on the drug: TSH, lithium level, A1c, etc. We will list them in the plan.
Are psychiatric services available near Lauderdale-by-the-Sea?
While we're not located in Lauderdale-by-the-Sea, our Hollywood office is about 25 minutes away, and our telehealth platform makes follow-up care extremely convenient for coastal residents.
Do you address seasonal mood changes?
Yes. Seasonal affective patterns, including reverse SAD (summer-related), are recognized in our evaluations. Florida's unique climate patterns can affect mood differently than northern states.
28-minute path to the Hollywood office
South Florida heat, hurricane disruption, shift work, and multigenerational households show up in Lauderdale-by-the-Sea presentations. Medication Management intake asks about those stressors explicitly.
Parking at 7603 Davie Road Extension is on site. Lauderdale-by-the-Sea patients who drive 28 minutes should plan for weekday 9:00–17:00 hours; Saturday is by appointment only.
Lauderdale-by-the-Sea (Broward County) has about 6,500 residents. The nearest Peace & Heart Wellness exam room is the Hollywood office, about 28 minutes from The Lauderdale-by-the-Sea reef and pedestrian village.
Antipsychotic weight gain and A1c were never measured.
Labs, scales, and follow-up cadence
Clozapine: ANC monitoring — we refer if we cannot meet the REMS cadence.
Informed consent stored in the chart.
Alcohol withdrawal is not managed as an anxiety refill.
Lithium: level, TSH, creatinine, pregnancy test as indicated.
In-office versus Florida telehealth
Neighborhoods we hear from most in Lauderdale-by-the-Sea include The A1A village core and the Commercial Boulevard beach approach. ZIP codes 33308 map to this service-area page.
Lauderdale-by-the-Sea (Broward County) has about 6,500 residents. The nearest Peace & Heart Wellness exam room is the Hollywood office, about 28 minutes from The Lauderdale-by-the-Sea reef and pedestrian village.
Telehealth visits verify Florida location.
Reconcile the current list, including OTC, cannabis, and hormones.
Next step
Call (888) 307-2199 to hold an appointment for Medication Management. Mention Lauderdale-by-the-Sea so staff can plan in-office versus Florida telehealth for the first visit.
Request a Medication Management 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.
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.