Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Estradiol, progesterone, and the psychiatric differential
Lauderdale-by-the-Sea patients can complete counseling by Florida telehealth; some exams and procedures cannot.
What Women's Hormone Therapy actually includes
Bioidentical means molecular structure; it does not mean unregulated or safer by default.
Progesterone therapy can help some sleep/anxiety pictures and worsen others — that is why follow-up exists.
In-office versus Florida telehealth
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.
Commute noise on I-95 and the Turnpike changes whether an in-office Women's Hormone Therapy visit is realistic this week. Telehealth is used when the clinical exam does not require the office.
Complete psychiatric evaluation standards (safety, bipolar screen, substances).
Shared decision: HRT, psychotropic, both, or neither.
Questions we hear about Women's Hormone Therapy
Can this be telehealth?
Counseling and some follow-up, if you are in Florida. Procedures and some exams cannot.
Do you do pellets?
We do not run a pellet-first model. If a GYN uses them, we still require a psychiatric formulation.
What about breast cancer risk?
We discuss it. Personal history may require oncology/GYN before estrogen.
Can I refuse HRT?
Yes.
Will you check thyroid?
Yes when the history fits. Fatigue and mood are not 'just estrogen' by default.
How close is the office?
About 28 minutes from Lauderdale-by-the-Sea.
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
BP check.
Lactation: pump/dump or compatible med list.
Mood scales at baseline and follow-up.
Bleeding on HRT = GYN, not 'watch forever.'
From intake to follow-up: Women's Hormone Therapy
Set monitoring: bleeding, mood scales, BP, labs.
Stop or change a hormone if mood destabilizes and the timeline fits.
Coordinate with GYN/PCP.
Reassess at a short interval because perimenopause is not a static lab value.
Indications and differentials
PMDD meeting diagnostic timing.
Vasomotor symptoms wrecking sleep and daytime function.
bone health HRT still requires a visit.
Not indicated as anti-aging retail.
Book Women's Hormone Therapy
Questions about insurance, labs, or whether Women's Hormone Therapy can be done by video: call (888) 307-2199 before you book so the visit type matches the clinical need.
Start with one thorough Women's Hormone Therapy evaluation rather than a series of 15-minute check-ins. Book at (888) 307-2199 or online.
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.