Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
PMDD and menopause-related mood: a medical evaluation
We order labs when the history of hot flash HRT suggests endocrine contribution. We do not diagnose menopause from a mood adjective.
What Women's Hormone Therapy actually includes
Low estrogen is a lab and a syndrome, not a marketing category.
Affordable estrogen URLs are retained; not a discount promise.
Visit flow for Women's Hormone Therapy
Telehealth for counseling; office or GYN for procedures.
Document lactation plans.
Refer to emergency care for postpartum psychosis or severe SI.
Shared decision: HRT, psychotropic, both, or neither.
DSM-5-TR framing for hot flash HRT
Premature hypoestrogenism needing specialist collaboration.
Not indicated as anti-aging retail.
hot flash HRT still requires a visit.
SSRI sexual dysfunction plus a hormone question.
Clinical FAQ
Can progesterone worsen mood?
Yes in some patients. Tell us; we change the plan.
Is this anti-aging?
No.
Do leftover affordable URLs mean cheap estrogen?
No.
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.
What about breast cancer risk?
We discuss it. Personal history may require oncology/GYN before estrogen.
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.
Protocol elements we do not skip
TSH with free T4.
Lactation: pump/dump or compatible med list.
Do not exceed physiologic replacement as a mood experiment.
Drug-interaction check with psychotropics.
How Lighthouse Point patients actually get here
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.
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.
Discuss mammography and cervical screening as primary-care tasks we will not skip mentioning.
Shared decision: HRT, psychotropic, both, or neither.
Next step
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.
If Women's Hormone Therapy is the right next step, schedule a 60–90 minute intake with Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC. Same-week telehealth follow-ups are used after the diagnostic visit when clinically appropriate.
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.