Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Hormone-aware psychiatric prescribing
Insurance coverage of a medication is not the same as a clinical indication.
Clinical scope of Medication Management in Miami-Dade County
Psychiatric medication management is ongoing medical treatment: indication, dose, monitoring, and an exit plan.
Functional psychiatry does not mean 'no medication.' It means medication plus the labs that could change the choice.
Neighborhoods and ZIPs: 33160, 33162, 33169, 33179
Parking at 7603 Davie Road Extension is on site. North Miami Beach patients who drive 24 minutes should plan for weekday 9:00–17:00 hours; Saturday is by appointment only.
South Florida heat, hurricane disruption, shift work, and multigenerational households show up in North Miami Beach presentations. Medication Management intake asks about those stressors explicitly.
North Miami Beach (Miami-Dade County) has about 43,000 residents. The nearest Peace & Heart Wellness exam room is the Hollywood office, about 24 minutes from Oleta River State Park and the 163rd Street corridor.
A previous clinic used 'med check' as a 6-minute billing event.
Questions we hear about Medication Management
Do you prescribe benzodiazepines long-term?
Rarely, with a documented indication and a taper orientation. They are not a standing plan for GAD.
Can medication management be telehealth?
Yes if you are in Florida and the case is appropriate. Controlled-substance rules still apply.
Do you monitor antipsychotics?
Weight, A1c, lipids, and neurologic side effects are part of the protocol.
Can you prescribe if I am traveling?
Only if you are physically in a state where we are licensed — currently Florida telehealth.
What is GeneSight?
A pharmacogenetic panel that may adjust probabilities for certain antidepressants. It does not diagnose ADHD or depression.
What about pregnancy?
Tell us before a prescription is sent. Some agents need specialist coordination.
Can North Miami Beach residents use your Hollywood office?
Yes. Our Hollywood office is about 15 minutes from North Miami Beach via I-95. We also offer telehealth for routine medication management and follow-up appointments.
Do you understand immigration-related mental health challenges?
Yes. We see many patients dealing with adjustment stress, anxiety related to immigration experiences, and intergenerational trauma. Our evaluations consider these cultural and social factors alongside clinical symptoms.
Why North Miami Beach presentations look the way they do
Three benzodiazepines from three apps, no taper plan, and a PDMP that tells a story nobody reviewed.
You were started on two changes at once, so nobody knows which drug caused the rash.
Antidepressant-induced mixed features were never named.
In-office versus Florida telehealth
North Miami Beach sits in Miami-Dade 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.
Neighborhoods we hear from most in North Miami Beach include Eastern Shores, Fulford, and the U.S. 1 commercial strip. ZIP codes 33160, 33162, 33169, 33179 map to this service-area page.
Decide: continue, adjust, switch, or taper — one primary change when possible.
No-show after a high-risk start triggers outreach.
What we rule in — and rule out
Polypharmacy review when the list exceeds what the diagnosis can justify.
Need for metabolic or neurologic monitoring on an existing antipsychotic or mood stabilizer.
Intolerable side effects that might respond to dose change, switch, or adjunct.
Bridge care after hospitalization until a stable outpatient cadence exists.
Outcomes we target — without promising them
Metabolic monitoring for antipsychotics (weight, A1c, lipids).
A follow-up date before you leave the visit.
Deprescribing as a clinical goal when the risk/benefit flips.
PDMP review before controlled substances.
Start low, go slow when the class requires it; go to a therapeutic dose when the evidence requires it.
Next step
Crisis now is 988 or the ER — not the booking form. For non-urgent Medication Management, use (888) 307-2199 during weekday hours.
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.