Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
GeneSight-informed trials after failed antidepressants
Missed monitoring labs pause titration. That is safety, not punishment.
What Medication Management actually includes
Mood-stabilizer adjustment uses levels, kidney/thyroid labs, and teratogenicity counseling when relevant.
Hormone-mood medications are reconciled with estradiol, progesterone, and testosterone plans.
Indications and differentials
ADHD medication only after the evaluation supports ADHD over mimics.
antipsychotic monitoring still has to map to a problem on the list.
Not indicated as a replacement for inpatient care when risk is high.
Hypnotics only after sleep differential, not as a standing nightcap.
Neighborhoods and ZIPs: 33023, 33025, 33027, 33029
South Florida heat, hurricane disruption, shift work, and multigenerational households show up in Miramar presentations. Medication Management intake asks about those stressors explicitly.
ZIP 33023 is the lead postal code listed for Miramar. Mail-order labs and pharmacy routing still use the patient's actual address, not this page's city token.
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.
The chart says 'stable' because you stopped complaining, not because scales improved.
How Miramar patients actually get here
South Florida heat, hurricane disruption, shift work, and multigenerational households show up in Miramar presentations. Medication Management intake asks about those stressors explicitly.
Parking at 7603 Davie Road Extension is on site. Miramar patients who drive 16 minutes should plan for weekday 9:00–17:00 hours; Saturday is by appointment only.
Review PDMP and allergies.
Set the next visit before the bottle runs out.
Visit flow for Medication Management
If prior authorization is required, start it the same day.
Check labs due for the current class.
Share the plan with the therapist when consent exists.
Decide: continue, adjust, switch, or taper — one primary change when possible.
Clinical FAQ
Will I get a refill without a visit?
Not as a routine. Monitoring interval is part of the prescription.
Can you prescribe if I am traveling?
Only if you are physically in a state where we are licensed — currently Florida telehealth.
What labs do I need?
Depends on the drug: TSH, lithium level, A1c, etc. We will list them in the plan.
Do you monitor antipsychotics?
Weight, A1c, lipids, and neurologic side effects are part of the protocol.
Do you prescribe stimulants?
When the evaluation supports ADHD and PDMP/safety checks pass. Not from a questionnaire alone.
How often are visits?
Tighter after a start or change; wider when stable and labs are current.
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.
Book Medication Management
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.
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.