Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Women's HRT from a PMHNP-BC medical home
Leftover 'affordable estrogen' slugs are not a cash hormone mill.
Women's Hormone Therapy for Lighthouse Point patients
Libido workup is medical, not moral.
Progesterone therapy can help some sleep/anxiety pictures and worsen others — that is why follow-up exists.
Monitoring and safety in Women's Hormone Therapy
Lactation: pump/dump or compatible med list.
Bipolar screen before unopposed-feeling antidepressant plans.
Drug-interaction check with psychotropics.
Postpartum: screen for psychosis.
What we rule in — and rule out
Not indicated when VTE or estrogen-sensitive cancer history blocks estrogen without oncology input.
Vasomotor symptoms wrecking sleep and daytime function.
Contraindication counseling itself can be the visit goal.
Perimenopausal or menopausal symptoms with psychiatric comorbidity.
In-office versus Florida telehealth
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.
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.
Coordinate with GYN/PCP.
Shared decision: HRT, psychotropic, both, or neither.
Questions we hear about Women's Hormone Therapy
What labs?
Individualized: estradiol, progesterone, FSH, TSH, ferritin, vitamin D as indicated.
Will you check thyroid?
Yes when the history fits. Fatigue and mood are not 'just estrogen' by default.
Can progesterone worsen mood?
Yes in some patients. Tell us; we change the plan.
Do you treat postpartum depression?
We evaluate and treat. Postpartum psychosis is an emergency.
Do you help with libido?
We evaluate causes, including SSRI effects and endocrine factors. No guaranteed outcome.
Are you a gynecologist?
No. Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC is a PMHNP-BC providing hormone-informed psychiatric care.
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.
Visit flow for Women's Hormone Therapy
Coordinate with GYN/PCP.
Refer to emergency care for postpartum psychosis or severe SI.
Document lactation plans.
Do not start estrogen and a new antidepressant on the same day without a reason.
Schedule with Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC
Start with one thorough Women's Hormone Therapy evaluation rather than a series of 15-minute check-ins. Book at (888) 307-2199 or online.
After Women's Hormone Therapy is scheduled, complete intake forms once. Repeating the same history at every visit is what we are trying to avoid.
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.