Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Binge-eating and night-eating on a problem list
SGAs and some antidepressants cause weight gain. We name that and discuss switches or metformin/GLP-1 only when appropriate.
What Wellness & Weight Management actually includes
Sleep weight wellness: apnea and insomnia are metabolic.
Mind-body weight loss still uses A1c.
How Wellness & Weight Management is structured
Set behavior metrics, not only pounds.
Safety if BMI or vitals are unsafe.
Screen restriction, binge, purge, laxatives.
Do not start a crash diet in active eating disorder.
Parking, hours, and video visits
Commute noise on I-95 and the Turnpike changes whether an in-office Wellness & Weight Management visit is realistic this week. Telehealth is used when the clinical exam does not require the office.
Lighthouse Point sits in Broward County. County-level resources (crisis lines, hospital ERs, IOP programs) are discussed during Wellness & Weight Management when a higher level of care is safer than outpatient titration.
Sleep, shift work, and Lighthouse Point food access.
Map weight trajectory onto medication starts.
Labs, scales, and follow-up cadence
Informed consent for off-label metabolic uses.
Suicide screen — eating disorders carry risk.
A1c/lipids/TSH as indicated.
Eating-disorder screen every new patient in this service line.
Indications and differentials
Depression/anxiety driving intake or inactivity.
Not indicated as cosmetic rapid loss.
Metabolic syndrome plus psychiatric illness.
Body image distress with medical risk.
Clinical FAQ
Do you prescribe GLP-1s?
When medically appropriate and after eating-disorder screening. Not as a cosmetic product.
Who is the clinician?
Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC.
Exercise?
Dosed. Not a punishment.
Can I refuse weight as a goal?
Yes. We can treat binge-eating and mood without a scale goal.
Insurance?
Verify. Metabolic meds and visits have different coverage rules.
Crisis / medical instability?
ER. Especially with restriction and electrolyte risk.
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
Start with one thorough Wellness & Weight Management evaluation rather than a series of 15-minute check-ins. Book at (888) 307-2199 or online.
If you already have records from another psychiatrist, NP, or therapist, send them before Wellness & Weight 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.