Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Controlled-substance monitoring in Lighthouse Point
Tapering is a procedure. Stopping paroxetine or a benzodiazepine 'cold' is not a plan.
Clinical scope of Medication Management in Broward County
Side-effect visits are diagnostic: we name the mechanism when we can.
Psych med management includes saying no when the requested drug does not match the diagnosis.
Labs, scales, and follow-up cadence
Informed consent stored in the chart.
QTc risk: ECG when combining high-risk agents.
Hyponatremia: BMP in older adults on SSRIs when symptoms fit.
Formulary alternatives offered without pretending they are identical.
What we rule in — and rule out
ADHD med titration still has to map to a problem on the list.
Polypharmacy review when the list exceeds what the diagnosis can justify.
A DSM-5-TR diagnosis that has an evidence-based pharmacologic option the patient wants to consider.
Taper request that requires a medical schedule.
From intake to follow-up: Medication Management
Telehealth visits verify Florida location.
Check labs due for the current class.
Confirm the target symptom and the diagnosis it belongs to.
Document why a requested stimulant or benzo was declined.
Lighthouse Point FAQs for Medication Management
Are leftover 'affordable refill' URLs a discount?
No. They are retained slugs. Billing follows insurance contracts.
Do you work with my therapist?
With consent, yes. Medication does not replace psychotherapy when both are indicated.
What about pregnancy?
Tell us before a prescription is sent. Some agents need specialist coordination.
Will you take over my current list?
After a diagnostic review. We do not rubber-stamp unsafe combinations.
Can you prescribe if I am traveling?
Only if you are physically in a state where we are licensed — currently Florida telehealth.
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 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.
How Lighthouse Point patients actually get here
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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.
Document why a requested stimulant or benzo was declined.
Check labs due for the current class.
Next step
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.
Crisis now is 988 or the ER — not the booking form. For non-urgent Medication Management, use (888) 307-2199 during weekday hours.
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.