Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Mental health assessment that records differentials
We document sleep architecture, menstrual or androgen history, thyroid clues, and substance use because they change the differential.
Psychiatric Evaluations for Lighthouse Point patients
Booking a psychiatric evaluation is the start of a record, not a guarantee of a preferred medication.
Perinatal mood evaluation includes pregnancy, postpartum, lactation, and medication teratogenicity counseling — not a generic depression template.
Monitoring and safety in Psychiatric Evaluations
Follow-up interval tightens when a new antidepressant, antipsychotic, or mood stabilizer is started.
Informed consent is documented for off-label use when evidence supports it and alternatives were discussed.
PDMP review before controlled substances. No stimulant start from a chat message.
Missed appointments after a high-risk visit trigger outreach, not silent discharge.
Indications and differentials
Not indicated solely to obtain a letter that the interview does not support.
Out-of-state patients cannot complete a Florida telehealth evaluation while physically outside Florida.
Antidepressant trials that failed, caused mixed features, or were never given an adequate dose/duration.
Not indicated as a substitute for emergency care, inpatient psychiatry, or court-ordered forensic evaluation.
32-minute path to the Hollywood office
South Florida heat, hurricane disruption, shift work, and multigenerational households show up in Lighthouse Point presentations. Psychiatric Evaluations intake asks about those stressors explicitly.
Lighthouse Point sits in Broward County. County-level resources (crisis lines, hospital ERs, IOP programs) are discussed during Psychiatric Evaluations when a higher level of care is safer than outpatient titration.
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.
You want a second opinion but do not want to restart the entire story from birth.
How Psychiatric Evaluations is structured
Formulation is shared in plain language: what is likely, what is possible, what we are watching.
Psychiatric review of systems covers mood, anxiety, psychosis, OCD, trauma, ADHD, sleep, eating, and substance use even if you came for only one of those.
Mental status exam is documented: appearance, speech, affect, thought process, insight, cognition, and risk.
If telehealth was used, we record why an in-office visit was or was not required.
Clinical FAQ
How long is a psychiatric evaluation?
New evaluations are typically 60–90 minutes. Follow-up length depends on risk and how many variables changed.
What labs might you order?
Hypothesis-driven: TSH with free T4, ferritin, vitamin D, B12, folate, CBC, CMP, and selected hormones. Not every patient needs every test.
Do you see children?
The practice is primarily adults and older adolescents, considered case-by-case.
What does 'affordable' in some URLs mean?
Leftover slugs. We do not market cheap care. We bill insurance when in-network and discuss costs before non-covered labs.
Can you evaluate psychosis?
Yes, and we will escalate to a higher level of care if outpatient treatment is unsafe.
Do you treat ADHD in adults?
Yes, with a differential that includes sleep, trauma, mood, and thyroid mimics. Childhood history still matters.
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.
Schedule with Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC
If you already have records from another psychiatrist, NP, or therapist, send them before Psychiatric Evaluations so the interview can start from data instead of from a blank page.
Start with one thorough Psychiatric Evaluations evaluation rather than a series of 15-minute check-ins. Book at (888) 307-2199 or online.
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.
