Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Libido, sleep, and hot flashes documented as symptoms, not slogans
Brain fog has a differential: sleep apnea, ADHD, depression, B12, thyroid, estradiol fluctuation.
What Women's Hormone Therapy actually includes
Bioidentical means molecular structure; it does not mean unregulated or safer by default.
Walk-in HRT URLs are retained; care is scheduled.
Protocol elements we do not skip
Refer DEXA when premature estrogen loss.
Lactation: pump/dump or compatible med list.
Mood scales at baseline and follow-up.
No pellet-only practice.
Visit flow for Women's Hormone Therapy
Discuss mammography and cervical screening as primary-care tasks we will not skip mentioning.
Shared decision: HRT, psychotropic, both, or neither.
Refer to emergency care for postpartum psychosis or severe SI.
Coordinate with GYN/PCP.
DSM-5-TR framing for perimenopause HRT
Surgical menopause with mood destabilization.
Perimenopausal or menopausal symptoms with psychiatric comorbidity.
Not indicated as sole treatment of bipolar I mania.
Not indicated as anti-aging retail.
Questions we hear about Women's Hormone Therapy
Can I refuse HRT?
Yes.
Crisis?
988 or ER. Especially for postpartum psychosis.
How close is the office?
About 16 minutes from Miramar.
Is brain fog always menopause?
No. Sleep, ADHD, depression, B12, and thyroid are on the list.
Do you prescribe HRT?
When indicated after history, labs, and risk counseling, and often in coordination with GYN. This is not a pellet mill.
Are you a gynecologist?
No. Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC is a PMHNP-BC providing hormone-informed psychiatric care.
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 Miramar patients actually get here
Neighborhoods we hear from most in Miramar include Silver Shores, Riviera Isles, and the Miramar Parkway corridor. ZIP codes 33023, 33025, 33027, 33029 map to this service-area page.
Miramar sits in Broward County. County-level resources (crisis lines, hospital ERs, IOP programs) are discussed during Women's Hormone Therapy when a higher level of care is safer than outpatient titration.
Write the plan so the patient can repeat the risks.
Stop or change a hormone if mood destabilizes and the timeline fits.
Book Women's Hormone Therapy
Start with one thorough Women's Hormone Therapy evaluation rather than a series of 15-minute check-ins. Book at (888) 307-2199 or online.
Crisis now is 988 or the ER — not the booking form. For non-urgent Women's Hormone Therapy, 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.