Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Titration and monitoring — not a refill mill
Florida location is verified on telehealth visits before a prescription is sent.
What Medication Management actually includes
Psych med management includes saying no when the requested drug does not match the diagnosis.
Mood-stabilizer adjustment uses levels, kidney/thyroid labs, and teratogenicity counseling when relevant.
Visit flow for Medication Management
Review PDMP and allergies.
Revisit the original diagnosis if two classes have failed.
Telehealth visits verify Florida location.
If side effects appear, do not wait for the next quarterly slot — tighten follow-up.
Questions we hear about Medication Management
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 work with my therapist?
With consent, yes. Medication does not replace psychotherapy when both are indicated.
Do you treat insomnia with medication only?
No. We look for apnea, circadian issues, alcohol, and psychiatric drivers.
What labs do I need?
Depends on the drug: TSH, lithium level, A1c, etc. We will list them in the plan.
Can you help me taper?
Yes. Tapers are scheduled by drug class. Do not stop MAOIs, benzos, or paroxetine abruptly on your own.
Will I get a refill without a visit?
Not as a routine. Monitoring interval is part of the prescription.
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.
Access from North Miami Beach
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.
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.
Antipsychotic weight gain and A1c were never measured.
DSM-5-TR framing for antidepressant management
A DSM-5-TR diagnosis that has an evidence-based pharmacologic option the patient wants to consider.
ADHD medication only after the evaluation supports ADHD over mimics.
Not indicated for out-of-state telehealth prescribing.
Bridge care after hospitalization until a stable outpatient cadence exists.
Protocol elements we do not skip
Lithium: level, TSH, creatinine, pregnancy test as indicated.
MAOI diet and washout rules if that class is ever used.
Benzodiazepines: indication, duration limit, taper language.
New antidepressant: short-interval follow-up for activation and SI.
Next step
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.
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.