Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
ADHD medication titration after a real differential
Lighthouse Point patients (32 min to Hollywood) can split care: in-office labs, video titration when stable.
Clinical scope of Medication Management in Broward County
Side-effect visits are diagnostic: we name the mechanism when we can.
Telehealth medication management still requires Florida presence, identity check, and a visit note.
Lighthouse Point FAQs for Medication Management
Will you take over my current list?
After a diagnostic review. We do not rubber-stamp unsafe combinations.
What about pregnancy?
Tell us before a prescription is sent. Some agents need specialist coordination.
Do you monitor antipsychotics?
Weight, A1c, lipids, and neurologic side effects are part of the protocol.
What is PDMP?
Florida's prescription drug monitoring program. We check it before controlled substances.
Can a PMHNP-BC prescribe psychiatric medication in Florida?
Yes. Dr. Chatelier is a board-certified psychiatric mental health nurse practitioner. Prescribing is within Florida APRN scope, with monitoring.
Do you treat insomnia with medication only?
No. We look for apnea, circadian issues, alcohol, and psychiatric drivers.
Do you offer pharmacogenetic testing?
Yes. We offer pharmacogenetic (GeneSight) testing to determine which psychiatric medications are most likely to be effective for your specific genetic makeup, reducing trial-and-error in medication selection.
What makes your evaluations comprehensive?
Our initial evaluations last 60-90 minutes and include clinical assessment, review of functional lab options, hormone screening discussion, and a personalized treatment plan — not a 15-minute med check.
Why Lighthouse Point presentations look the way they do
Lithium or valproate was never given a level, TSH, or pregnancy counseling.
Akathisia was labeled 'worsening anxiety' and the dose was increased.
Antidepressant-induced mixed features were never named.
Clinical benefits of a complete Medication Management plan
Pharmacogenetic testing only after an adequate trial history.
Coordination with HRT/TRT so endocrine and psychotropic plans are not accidental.
PDMP review before controlled substances.
Deprescribing as a clinical goal when the risk/benefit flips.
Telehealth follow-up when the patient is in Florida and the case is stable enough.
Indications and differentials
Not indicated to supply controlled substances without a supporting diagnosis and monitoring plan.
Bridge care after hospitalization until a stable outpatient cadence exists.
Medication Management still has to map to a problem on the list.
Failed or partial response to a current agent after an adequate trial.
Parking, hours, and video visits
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.
Lighthouse Point 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.
Check labs due for the current class.
Set the next visit before the bottle runs out.
Access from Lighthouse Point
South Florida heat, hurricane disruption, shift work, and multigenerational households show up in Lighthouse Point 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.
{access}. That access pattern is why Medication Management for Lighthouse Point is written as a service-area page, not as a fake storefront.
You have been on an SSRI for years with no documented target symptom and no trial of a therapeutic dose.
Schedule with Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC
After Medication Management is scheduled, complete intake forms once. Repeating the same history at every visit is what we are trying to avoid.
Call (888) 307-2199 to hold an appointment for Medication Management. Mention Lighthouse Point so staff can plan in-office versus Florida telehealth for the first visit.
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.