Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Antipsychotic metabolic monitoring serving Miramar
We measure what the drug can harm: sodium, TSH, lipids, A1c, weight, AIMS, pregnancy — class by class.
Medication Management for Miramar patients
Mood-stabilizer adjustment uses levels, kidney/thyroid labs, and teratogenicity counseling when relevant.
Telehealth medication management still requires Florida presence, identity check, and a visit note.
Labs, scales, and follow-up cadence
Missed labs = delayed titration.
Valproate: level, LFTs, CBC, pregnancy counseling.
New antidepressant: short-interval follow-up for activation and SI.
MAOI diet and washout rules if that class is ever used.
Miramar FAQs for 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 monitor antipsychotics?
Weight, A1c, lipids, and neurologic side effects are part of the protocol.
What is GeneSight?
A pharmacogenetic panel that may adjust probabilities for certain antidepressants. It does not diagnose ADHD or depression.
Do you work with my therapist?
With consent, yes. Medication does not replace psychotherapy when both are indicated.
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 treat insomnia with medication only?
No. We look for apnea, circadian issues, alcohol, and psychiatric drivers.
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.
How Medication Management is structured
Share the plan with the therapist when consent exists.
If prior authorization is required, start it the same day.
Review PDMP and allergies.
No-show after a high-risk start triggers outreach.
16-minute path to the Hollywood office
{access}. That access pattern is why Medication Management for Miramar is written as a service-area page, not as a fake storefront.
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.
You were started on two changes at once, so nobody knows which drug caused the rash.
DSM-5-TR framing for tapering psych meds
Hypnotics only after sleep differential, not as a standing nightcap.
A DSM-5-TR diagnosis that has an evidence-based pharmacologic option the patient wants to consider.
Not indicated for out-of-state telehealth prescribing.
Failed or partial response to a current agent after an adequate trial.
Book Medication Management
Call (888) 307-2199 to hold an appointment for Medication Management. Mention Miramar so staff can plan in-office versus Florida telehealth for the first visit.
Start with one thorough Medication Management evaluation rather than a series of 15-minute check-ins. Book at (888) 307-2199 or online.
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.