Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Psychiatric medication management for Miramar
Pharmacogenetics can shift probabilities after failed trials. It does not pick a winner from a menu.
Clinical scope of Medication Management in Broward County
Best-practice med management is boring: lists, labs, and dates.
Functional psychiatry does not mean 'no medication.' It means medication plus the labs that could change the choice.
Access from Miramar
Miramar (Broward County) has about 135,000 residents. The nearest Peace & Heart Wellness exam room is the Hollywood office, about 16 minutes from Miramar Town Center and the Miami-Dade county line.
Commute noise on I-95 and the Turnpike changes whether an in-office Medication Management visit is realistic this week. Telehealth is used when the clinical exam does not require the office.
South Florida heat, hurricane disruption, shift work, and multigenerational households show up in Miramar presentations. Medication Management intake asks about those stressors explicitly.
You fear dependency, so you skip doses and then crash, which looks like 'nonadherence.'
Questions we hear about Medication Management
Do you prescribe stimulants?
When the evaluation supports ADHD and PDMP/safety checks pass. Not from a questionnaire alone.
Where is the office for in-person med checks?
7603 Davie Road Extension, Hollywood, FL 33024 — about 16 minutes from Miramar.
How often are visits?
Tighter after a start or change; wider when stable and labs are current.
What is GeneSight?
A pharmacogenetic panel that may adjust probabilities for certain antidepressants. It does not diagnose ADHD or depression.
Can I refuse a medication?
Always. Informed consent includes the option of no medication.
What if side effects start this week?
Call the office. Do not wait for a distant follow-up if symptoms are severe. ER for emergency symptoms.
Do you understand Caribbean mental health perspectives?
Yes. Dr. Chatelier is Haitian-American and deeply understands the cultural nuances that affect mental health care in Caribbean communities. We provide culturally sensitive psychiatric treatment.
Is your office accessible from Miramar?
Our Hollywood office is about 15 minutes from Miramar via Miramar Parkway. We also offer telehealth appointments for added convenience.
Protocol elements we do not skip
Informed consent stored in the chart.
Lithium: level, TSH, creatinine, pregnancy test as indicated.
Opioid + benzo overlap is treated as a safety event.
SGAs: weight, A1c, lipids; AIMS on a schedule.
From intake to follow-up: Medication Management
If prior authorization is required, start it the same day.
Confirm the target symptom and the diagnosis it belongs to.
Telehealth visits verify Florida location.
Revisit the original diagnosis if two classes have failed.
What we rule in — and rule out
Polypharmacy review when the list exceeds what the diagnosis can justify.
Bridge care after hospitalization until a stable outpatient cadence exists.
Not indicated to supply controlled substances without a supporting diagnosis and monitoring plan.
Hypnotics only after sleep differential, not as a standing nightcap.
Schedule with Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC
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.
If you already have records from another psychiatrist, NP, or therapist, send them before Medication Management so the interview can start from data instead of from a blank page.
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.