Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Hormone-aware psychiatric prescribing
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
Antipsychotic monitoring is metabolic and neurologic, not just 'mood better / worse.'
ADHD titration follows a confirmed differential. Heart rate, sleep, appetite, and diversion risk are part of the visit.
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.
South Florida heat, hurricane disruption, shift work, and multigenerational households show up in Lighthouse Point presentations. Medication Management intake asks about those stressors explicitly.
Confirm the target symptom and the diagnosis it belongs to.
Decide: continue, adjust, switch, or taper — one primary change when possible.
Labs, scales, and follow-up cadence
Lithium: level, TSH, creatinine, pregnancy test as indicated.
Valproate: level, LFTs, CBC, pregnancy counseling.
QTc risk: ECG when combining high-risk agents.
Alcohol withdrawal is not managed as an anxiety refill.
What we rule in — and rule out
Bridge care after hospitalization until a stable outpatient cadence exists.
Taper request that requires a medical schedule.
ADHD medication only after the evaluation supports ADHD over mimics.
Polypharmacy review when the list exceeds what the diagnosis can justify.
Lighthouse Point FAQs for Medication Management
Are leftover 'affordable refill' URLs a discount?
No. They are retained slugs. Billing follows insurance contracts.
Do you treat insomnia with medication only?
No. We look for apnea, circadian issues, alcohol, and psychiatric drivers.
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.
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.
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.
32-minute path to the Hollywood 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.
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.
South Florida heat, hurricane disruption, shift work, and multigenerational households show up in Lighthouse Point presentations. Medication Management intake asks about those stressors explicitly.
The chart says 'stable' because you stopped complaining, not because scales improved.
Schedule with Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC
Request a Medication Management visit by calling (888) 307-2199 or using the booking form. Bring current medications, prior labs, and a list of what has already been tried.
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.