Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
GeneSight-informed trials after failed antidepressants
Insurance coverage of a medication is not the same as a clinical indication.
Medication Management for Lauderdale-by-the-Sea patients
Sleep medication management asks whether the drug is treating insomnia or hiding apnea and alcohol.
Hormone-mood medications are reconciled with estradiol, progesterone, and testosterone plans.
DSM-5-TR framing for medication management psychiatry
A DSM-5-TR diagnosis that has an evidence-based pharmacologic option the patient wants to consider.
Bridge care after hospitalization until a stable outpatient cadence exists.
Perinatal prescribing only with risk-benefit counseling.
Antidepressants only after bipolar-spectrum screening.
Questions we hear about Medication Management
Do you prescribe benzodiazepines long-term?
Rarely, with a documented indication and a taper orientation. They are not a standing plan for GAD.
Do you work with my therapist?
With consent, yes. Medication does not replace psychotherapy when both are indicated.
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.
Do you monitor antipsychotics?
Weight, A1c, lipids, and neurologic side effects are part of the protocol.
Can medication management be telehealth?
Yes if you are in Florida and the case is appropriate. Controlled-substance rules still apply.
Can I refuse a medication?
Always. Informed consent includes the option of no medication.
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.
Protocol elements we do not skip
SGAs: weight, A1c, lipids; AIMS on a schedule.
Missed labs = delayed titration.
New antidepressant: short-interval follow-up for activation and SI.
QTc risk: ECG when combining high-risk agents.
28-minute path to the Hollywood office
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.
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.
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.
From intake to follow-up: Medication Management
Telehealth visits verify Florida location.
Document why a requested stimulant or benzo was declined.
Reconcile the current list, including OTC, cannabis, and hormones.
If side effects appear, do not wait for the next quarterly slot — tighten follow-up.
Book Medication Management
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.