Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Estradiol, progesterone, and the psychiatric differential
Hot flashes can wreck sleep, which then wrecks mood. We treat the chain, not a single token.
Women's Hormone Therapy for Lighthouse Point patients
Female hormone doctor in consumer search often means a prescriber. Here it is a PMHNP-BC coordinating with GYN.
Best menopause HRT is the regimen whose risks you understood.
Lighthouse Point FAQs for Women's Hormone Therapy
Is brain fog always menopause?
No. Sleep, ADHD, depression, B12, and thyroid are on the list.
Do you work with my OB/GYN?
With consent.
Are you a gynecologist?
No. Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC is a PMHNP-BC providing hormone-informed psychiatric care.
Can HRT replace my antidepressant?
Sometimes mood improves when sleep and vasomotor symptoms improve. Sometimes you still need a psychotropic. We do not promise a swap.
Do you help with libido?
We evaluate causes, including SSRI effects and endocrine factors. No guaranteed outcome.
Do you do pellets?
We do not run a pellet-first model. If a GYN uses them, we still require a psychiatric formulation.
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.
Parking, hours, and video visits
Lighthouse Point sits in Broward County. County-level resources (crisis lines, hospital ERs, IOP programs) are discussed during Women's Hormone Therapy when a higher level of care is safer than outpatient titration.
Commute noise on I-95 and the Turnpike changes whether an in-office Women's Hormone Therapy visit is realistic this week. Telehealth is used when the clinical exam does not require the office.
Set monitoring: bleeding, mood scales, BP, labs.
Reassess at a short interval because perimenopause is not a static lab value.
DSM-5-TR framing for Women's Hormone Therapy
Women's Hormone Therapy still requires a visit.
Contraindication counseling itself can be the visit goal.
Not indicated when VTE or estrogen-sensitive cancer history blocks estrogen without oncology input.
Vasomotor symptoms wrecking sleep and daytime function.
Outcomes we target — without promising them
Cultural context for menopause stigma.
Crisis path for postpartum psychosis: emergency, not a cream.
Postpartum screening that uses validated tools.
Clear 'not a diagnosis from this webpage' framing.
Sleep and vasomotor symptoms on the same problem list as mood.
Stressors we document in Lighthouse Point
Lactation and mood meds were never reconciled.
Compounded pellets were placed with no baseline estradiol/progesterone documentation.
You were refused antidepressants 'because it's just hormones.'
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.
Parking at 7603 Davie Road Extension is on site. Lighthouse Point patients who drive 32 minutes should plan for weekday 9:00–17:00 hours; Saturday is by appointment only.
South Florida heat, hurricane disruption, shift work, and multigenerational households show up in Lighthouse Point presentations. Women's Hormone Therapy intake asks about those stressors explicitly.
Compounded pellets were placed with no baseline estradiol/progesterone documentation.
Book Women's Hormone Therapy
Request a Women's Hormone Therapy 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.
Crisis now is 988 or the ER — not the booking form. For non-urgent Women's Hormone Therapy, use (888) 307-2199 during weekday hours.
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.