Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Titration and monitoring — not a refill mill
Pharmacogenetics can shift probabilities after failed trials. It does not pick a winner from a menu.
Clinical scope of Medication Management in Broward County
Top-rated language in old keywords is ignored. Monitoring quality is the product.
ADHD titration follows a confirmed differential. Heart rate, sleep, appetite, and diversion risk are part of the visit.
Visit flow for Medication Management
Counsel on onset, alcohol, driving, pregnancy, and overdose risk.
Set the next visit before the bottle runs out.
Decide: continue, adjust, switch, or taper — one primary change when possible.
Reconcile the current list, including OTC, cannabis, and hormones.
Protocol elements we do not skip
SGAs: weight, A1c, lipids; AIMS on a schedule.
MAOI diet and washout rules if that class is ever used.
Informed consent stored in the chart.
Hyponatremia: BMP in older adults on SSRIs when symptoms fit.
DSM-5-TR framing for mood stabilizer adjustment
mood stabilizer adjustment still has to map to a problem on the list.
Need for metabolic or neurologic monitoring on an existing antipsychotic or mood stabilizer.
Intolerable side effects that might respond to dose change, switch, or adjunct.
Not indicated for out-of-state telehealth prescribing.
32-minute path to the Hollywood office
Lighthouse Point (Broward County) has about 10,500 residents. The nearest Peace & Heart Wellness exam room is the Hollywood office, about 32 minutes from Lighthouse Point Yacht Club and the Venetian Waterway.
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.
South Florida heat, hurricane disruption, shift work, and multigenerational households show up in Lighthouse Point presentations. Medication Management intake asks about those stressors explicitly.
Three benzodiazepines from three apps, no taper plan, and a PDMP that tells a story nobody reviewed.
Clinical FAQ
Do you work with my therapist?
With consent, yes. Medication does not replace psychotherapy when both are indicated.
Can I refuse a medication?
Always. Informed consent includes the option of no medication.
What about pregnancy?
Tell us before a prescription is sent. Some agents need specialist coordination.
What is GeneSight?
A pharmacogenetic panel that may adjust probabilities for certain antidepressants. It does not diagnose ADHD or depression.
Will you take over my current list?
After a diagnostic review. We do not rubber-stamp unsafe combinations.
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.
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.
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.