Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Libido, sleep, and hot flashes documented as symptoms, not slogans
Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC treats psychiatric syndromes that track with reproductive transitions. HRT is coordinated, not sold as a personality upgrade.
What Women's Hormone Therapy actually includes
Perimenopause HRT decisions require a history of cycles, vasomotor symptoms, and psychiatric syndromes.
Booking an HRT consult is booking a medical visit with psychiatric overlap.
Access from Lighthouse Point
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.
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.
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.
Telehealth hormone apps shipped cream without a mental-status exam.
Labs, scales, and follow-up cadence
Mood scales at baseline and follow-up.
Emergency precautions for chest pain/neuro deficits on estrogen.
Do not exceed physiologic replacement as a mood experiment.
Lactation: pump/dump or compatible med list.
Clinical FAQ
Is this anti-aging?
No.
Do you help with libido?
We evaluate causes, including SSRI effects and endocrine factors. No guaranteed outcome.
Do you treat postpartum depression?
We evaluate and treat. Postpartum psychosis is an emergency.
Can progesterone worsen mood?
Yes in some patients. Tell us; we change the plan.
Do you work with my OB/GYN?
With consent.
Do you prescribe HRT?
When indicated after history, labs, and risk counseling, and often in coordination with GYN. This is not a pellet mill.
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.
From intake to follow-up: Women's Hormone Therapy
Telehealth for counseling; office or GYN for procedures.
Stop or change a hormone if mood destabilizes and the timeline fits.
Document lactation plans.
Shared decision: HRT, psychotropic, both, or neither.
What we rule in — and rule out
Not indicated as anti-aging retail.
Not indicated when VTE or estrogen-sensitive cancer history blocks estrogen without oncology input.
SSRI sexual dysfunction plus a hormone question.
Vasomotor symptoms wrecking sleep and daytime function.
Schedule with Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC
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.
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.