Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
tapering psych meds with PDMP and lab surveillance
Hormone therapies prescribed elsewhere are reconciled so serotonergic and endocrine plans do not collide blindly.
Clinical scope of Medication Management in Broward County
Side-effect visits are diagnostic: we name the mechanism when we can.
Leftover 'affordable refill' slugs are not a cash-pay promise.
How Medication Management is structured
Revisit the original diagnosis if two classes have failed.
Document why a requested stimulant or benzo was declined.
No-show after a high-risk start triggers outreach.
Reconcile the current list, including OTC, cannabis, and hormones.
Monitoring and safety in Medication Management
Stimulants: BP/HR, sleep, appetite, PDMP, diversion discussion.
QTc risk: ECG when combining high-risk agents.
Clozapine: ANC monitoring — we refer if we cannot meet the REMS cadence.
Alcohol withdrawal is not managed as an anxiety refill.
In-office versus Florida telehealth
Margate sits in Broward County. County-level resources (crisis lines, hospital ERs, IOP programs) are discussed during Medication Management when a higher level of care is safer than outpatient titration.
{access}. That access pattern is why Medication Management for Margate is written as a service-area page, not as a fake storefront.
Share the plan with the therapist when consent exists.
If side effects appear, do not wait for the next quarterly slot — tighten follow-up.
DSM-5-TR framing for tapering psych meds
Failed or partial response to a current agent after an adequate trial.
Bridge care after hospitalization until a stable outpatient cadence exists.
Hypnotics only after sleep differential, not as a standing nightcap.
Need for metabolic or neurologic monitoring on an existing antipsychotic or mood stabilizer.
Questions we hear about Medication Management
Do you work with my therapist?
With consent, yes. Medication does not replace psychotherapy when both are indicated.
Will you take over my current list?
After a diagnostic review. We do not rubber-stamp unsafe combinations.
What is PDMP?
Florida's prescription drug monitoring program. We check it before controlled substances.
What is GeneSight?
A pharmacogenetic panel that may adjust probabilities for certain antidepressants. It does not diagnose ADHD or depression.
What labs do I need?
Depends on the drug: TSH, lithium level, A1c, etc. We will list them in the plan.
Can you prescribe if I am traveling?
Only if you are physically in a state where we are licensed — currently Florida telehealth.
Do you treat older adults from Margate?
Yes. We specialize in mood changes related to aging, medication management for complex cases, and hormone replacement therapy for both men and women experiencing age-related hormonal decline.
What's the best way to reach you from Margate?
Drive time is about 25 minutes via 441 or the Turnpike. Many Margate patients choose telehealth for routine follow-ups and in-person visits for initial evaluations.
Book Medication Management
Crisis now is 988 or the ER — not the booking form. For non-urgent Medication Management, use (888) 307-2199 during weekday hours.
If Medication Management 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.