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 Miami-Dade County
Best-practice med management is boring: lists, labs, and dates.
Leftover 'affordable refill' slugs are not a cash-pay promise.
How North Miami Beach patients actually get here
ZIP 33160 is the lead postal code listed for North Miami Beach. Mail-order labs and pharmacy routing still use the patient's actual address, not this page's city token.
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.
Confirm the target symptom and the diagnosis it belongs to.
If side effects appear, do not wait for the next quarterly slot — tighten follow-up.
What we rule in — and rule out
Hypnotics only after sleep differential, not as a standing nightcap.
Not indicated for out-of-state telehealth prescribing.
Polypharmacy review when the list exceeds what the diagnosis can justify.
Perinatal prescribing only with risk-benefit counseling.
24-minute path to the Hollywood office
{access}. That access pattern is why Medication Management for North Miami Beach is written as a service-area page, not as a fake storefront.
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.
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.
Clozapine-level monitoring was skipped after a near miss.
Questions we hear about Medication Management
How often are visits?
Tighter after a start or change; wider when stable and labs are current.
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.
Do you prescribe stimulants?
When the evaluation supports ADHD and PDMP/safety checks pass. Not from a questionnaire alone.
Can you help me taper?
Yes. Tapers are scheduled by drug class. Do not stop MAOIs, benzos, or paroxetine abruptly on your own.
Can I refuse a medication?
Always. Informed consent includes the option of no medication.
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.
Labs, scales, and follow-up cadence
Lithium: level, TSH, creatinine, pregnancy test as indicated.
Hyponatremia: BMP in older adults on SSRIs when symptoms fit.
Benzodiazepines: indication, duration limit, taper language.
QTc risk: ECG when combining high-risk agents.
Next step
Call (888) 307-2199 to hold an appointment for Medication Management. Mention North Miami Beach so staff can plan in-office versus Florida telehealth for the first visit.
If Medication Management is the right next step, schedule a 60–90 minute intake with Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC. Same-week telehealth follow-ups are used after the diagnostic visit when clinically appropriate.
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.