Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
ADHD medication titration after a real differential
Missed monitoring labs pause titration. That is safety, not punishment.
What Medication Management actually includes
ADHD titration follows a confirmed differential. Heart rate, sleep, appetite, and diversion risk are part of the visit.
Refill-only care is not offered. If you need only a refill, you still need a monitoring interval.
Lighthouse Point FAQs for Medication Management
What about pregnancy?
Tell us before a prescription is sent. Some agents need specialist coordination.
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.
What is PDMP?
Florida's prescription drug monitoring program. We check it before controlled substances.
Do you prescribe benzodiazepines long-term?
Rarely, with a documented indication and a taper orientation. They are not a standing plan for GAD.
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.
Will you take over my current list?
After a diagnostic review. We do not rubber-stamp unsafe combinations.
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.
Indications and differentials
Failed or partial response to a current agent after an adequate trial.
Bridge care after hospitalization until a stable outpatient cadence exists.
functional psych meds still has to map to a problem on the list.
Antidepressants only after bipolar-spectrum screening.
Parking, hours, and video visits
South Florida heat, hurricane disruption, shift work, and multigenerational households show up in Lighthouse Point presentations. Medication Management intake asks about those stressors explicitly.
ZIP 33064 is the lead postal code listed for Lighthouse Point. Mail-order labs and pharmacy routing still use the patient's actual address, not this page's city token.
Decide: continue, adjust, switch, or taper — one primary change when possible.
Reconcile the current list, including OTC, cannabis, and hormones.
How Medication Management is structured
Revisit the original diagnosis if two classes have failed.
If side effects appear, do not wait for the next quarterly slot — tighten follow-up.
Review PDMP and allergies.
Share the plan with the therapist when consent exists.
Access from Lighthouse Point
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.
{access}. That access pattern is why Medication Management for Lighthouse Point is written as a service-area page, not as a fake storefront.
South Florida heat, hurricane disruption, shift work, and multigenerational households show up in Lighthouse Point presentations. Medication Management intake asks about those stressors explicitly.
Stimulants were started before a bipolar screen, and now sleep and irritability are worse.
Schedule with Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC
Start with one thorough Medication Management evaluation rather than a series of 15-minute check-ins. Book at (888) 307-2199 or online.
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.
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.