Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
GeneSight-informed trials after failed antidepressants
Tapering is a procedure. Stopping paroxetine or a benzodiazepine 'cold' is not a plan.
Medication Management for Miramar patients
Side-effect visits are diagnostic: we name the mechanism when we can.
Best-practice med management is boring: lists, labs, and dates.
Parking, hours, and video visits
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.
Miramar 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.
Telehealth visits verify Florida location.
Document why a requested stimulant or benzo was declined.
Questions we hear about Medication Management
Can you help me taper?
Yes. Tapers are scheduled by drug class. Do not stop MAOIs, benzos, or paroxetine abruptly on your own.
Do you treat insomnia with medication only?
No. We look for apnea, circadian issues, alcohol, and psychiatric drivers.
What is PDMP?
Florida's prescription drug monitoring program. We check it before controlled substances.
What labs do I need?
Depends on the drug: TSH, lithium level, A1c, etc. We will list them in the plan.
Where is the office for in-person med checks?
7603 Davie Road Extension, Hollywood, FL 33024 — about 16 minutes from Miramar.
Do you monitor antipsychotics?
Weight, A1c, lipids, and neurologic side effects are part of the protocol.
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.
Neighborhoods and ZIPs: 33023, 33025, 33027, 33029
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.
Brand-to-generic switches changed your blood level and nobody noticed.
How Medication Management is structured
Reconcile the current list, including OTC, cannabis, and hormones.
Send the prescription to a named pharmacy; document the pharmacy.
If prior authorization is required, start it the same day.
If side effects appear, do not wait for the next quarterly slot — tighten follow-up.
Protocol elements we do not skip
Hyponatremia: BMP in older adults on SSRIs when symptoms fit.
Formulary alternatives offered without pretending they are identical.
Opioid + benzo overlap is treated as a safety event.
Stimulants: BP/HR, sleep, appetite, PDMP, diversion discussion.
Next step
Start with one thorough Medication Management evaluation rather than a series of 15-minute check-ins. Book at (888) 307-2199 or online.
Request a Medication Management visit by calling (888) 307-2199 or using the booking form. Bring current medications, prior labs, and a list of what has already been tried.
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.