Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Hormone-aware psychiatric prescribing
If the diagnosis is wrong, no titration schedule will look like recovery. We will re-evaluate rather than stack drugs.
Clinical scope of Medication Management in Broward County
Hormone-mood medications are reconciled with estradiol, progesterone, and testosterone plans.
Functional psychiatry does not mean 'no medication.' It means medication plus the labs that could change the choice.
In-office versus Florida telehealth
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.
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.
Document why a requested stimulant or benzo was declined.
Reconcile the current list, including OTC, cannabis, and hormones.
Clinical FAQ
What is GeneSight?
A pharmacogenetic panel that may adjust probabilities for certain antidepressants. It does not diagnose ADHD or depression.
Do you prescribe benzodiazepines long-term?
Rarely, with a documented indication and a taper orientation. They are not a standing plan for GAD.
How often are visits?
Tighter after a start or change; wider when stable and labs are current.
Where is the office for in-person med checks?
7603 Davie Road Extension, Hollywood, FL 33024 — about 16 minutes from Miramar.
Are leftover 'affordable refill' URLs a discount?
No. They are retained slugs. Billing follows insurance contracts.
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 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.
DSM-5-TR framing for hormone mood meds
Hypnotics only after sleep differential, not as a standing nightcap.
Polypharmacy review when the list exceeds what the diagnosis can justify.
Need for metabolic or neurologic monitoring on an existing antipsychotic or mood stabilizer.
ADHD medication only after the evaluation supports ADHD over mimics.
Visit flow for Medication Management
Decide: continue, adjust, switch, or taper — one primary change when possible.
Share the plan with the therapist when consent exists.
If side effects appear, do not wait for the next quarterly slot — tighten follow-up.
Telehealth visits verify Florida location.
Protocol elements we do not skip
Formulary alternatives offered without pretending they are identical.
Informed consent stored in the chart.
Missed labs = delayed titration.
Stimulants: BP/HR, sleep, appetite, PDMP, diversion discussion.
Next step
Questions about insurance, labs, or whether Medication Management can be done by video: call (888) 307-2199 before you book so the visit type matches the clinical need.
Crisis now is 988 or the ER — not the booking form. For non-urgent Medication Management, 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.