Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
ADHD medication titration after a real differential
Tapering is a procedure. Stopping paroxetine or a benzodiazepine 'cold' is not a plan.
Clinical scope of Medication Management in Broward County
Hormone-mood medications are reconciled with estradiol, progesterone, and testosterone plans.
Best-practice med management is boring: lists, labs, and dates.
DSM-5-TR framing for telehealth med management
Polypharmacy review when the list exceeds what the diagnosis can justify.
Taper request that requires a medical schedule.
Bridge care after hospitalization until a stable outpatient cadence exists.
Not indicated to supply controlled substances without a supporting diagnosis and monitoring plan.
Protocol elements we do not skip
New antidepressant: short-interval follow-up for activation and SI.
Clozapine: ANC monitoring — we refer if we cannot meet the REMS cadence.
Lithium: level, TSH, creatinine, pregnancy test as indicated.
MAOI diet and washout rules if that class is ever used.
From intake to follow-up: Medication Management
Revisit the original diagnosis if two classes have failed.
Telehealth visits verify Florida location.
Document why a requested stimulant or benzo was declined.
Counsel on onset, alcohol, driving, pregnancy, and overdose risk.
Parking, hours, and video visits
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.
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.
Clinical FAQ
Do you treat insomnia with medication only?
No. We look for apnea, circadian issues, alcohol, and psychiatric drivers.
Do you prescribe stimulants?
When the evaluation supports ADHD and PDMP/safety checks pass. Not from a questionnaire alone.
Can you prescribe if I am traveling?
Only if you are physically in a state where we are licensed — currently Florida telehealth.
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 I refuse a medication?
Always. Informed consent includes the option of no medication.
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.
Schedule with Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC
After Medication Management is scheduled, complete intake forms once. Repeating the same history at every visit is what we are trying to avoid.
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.