Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Taper plans when a medication's risk exceeds its benefit
Lauderdale-by-the-Sea patients (28 min to Hollywood) can split care: in-office labs, video titration when stable.
Medication Management for Lauderdale-by-the-Sea patients
Hormone-mood medications are reconciled with estradiol, progesterone, and testosterone plans.
Functional psychiatry does not mean 'no medication.' It means medication plus the labs that could change the choice.
Questions we hear about Medication Management
What labs do I need?
Depends on the drug: TSH, lithium level, A1c, etc. We will list them in the plan.
Do you work with my therapist?
With consent, yes. Medication does not replace psychotherapy when both are indicated.
Can you help me taper?
Yes. Tapers are scheduled by drug class. Do not stop MAOIs, benzos, or paroxetine abruptly on your own.
Where is the office for in-person med checks?
7603 Davie Road Extension, Hollywood, FL 33024 — about 28 minutes from Lauderdale-by-the-Sea.
What about pregnancy?
Tell us before a prescription is sent. Some agents need specialist coordination.
What is PDMP?
Florida's prescription drug monitoring program. We check it before controlled substances.
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
Lauderdale-by-the-Sea sits in Broward County. County-level resources (crisis lines, hospital ERs, IOP programs) are discussed during Medication Management when a higher level of care is safer than outpatient titration.
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.
Sleeping pills masked untreated sleep apnea.
In-office versus Florida telehealth
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.
Commute noise on I-95 and the Turnpike changes whether an in-office Medication Management visit is realistic this week. Telehealth is used when the clinical exam does not require the office.
Decide: continue, adjust, switch, or taper — one primary change when possible.
If side effects appear, do not wait for the next quarterly slot — tighten follow-up.
Indications and differentials
Hypnotics only after sleep differential, not as a standing nightcap.
Failed or partial response to a current agent after an adequate trial.
Need for metabolic or neurologic monitoring on an existing antipsychotic or mood stabilizer.
Taper request that requires a medical schedule.
Protocol elements we do not skip
Formulary alternatives offered without pretending they are identical.
New antidepressant: short-interval follow-up for activation and SI.
Benzodiazepines: indication, duration limit, taper language.
MAOI diet and washout rules if that class is ever used.
Schedule with Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC
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.
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.