Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Sleep medication management that does not skip apnea
Crisis plus a medication question is still a crisis: 988 or ER first.
What Medication Management actually includes
Mood-stabilizer adjustment uses levels, kidney/thyroid labs, and teratogenicity counseling when relevant.
Side-effect visits are diagnostic: we name the mechanism when we can.
Questions we hear about Medication Management
Can you help me taper?
Yes. Tapers are scheduled by drug class. Do not stop MAOIs, benzos, or paroxetine abruptly on your own.
Can a PMHNP-BC prescribe psychiatric medication in Florida?
Yes. Dr. Chatelier is a board-certified psychiatric mental health nurse practitioner. Prescribing is within Florida APRN scope, with monitoring.
Do you work with my therapist?
With consent, yes. Medication does not replace psychotherapy when both are indicated.
What labs do I need?
Depends on the drug: TSH, lithium level, A1c, etc. We will list them in the plan.
Do you monitor antipsychotics?
Weight, A1c, lipids, and neurologic side effects are part of the protocol.
Will you take over my current list?
After a diagnostic review. We do not rubber-stamp unsafe combinations.
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.
New antidepressant: short-interval follow-up for activation and SI.
Stimulants: BP/HR, sleep, appetite, PDMP, diversion discussion.
Valproate: level, LFTs, CBC, pregnancy counseling.
In-office versus Florida telehealth
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.
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.
If prior authorization is required, start it the same day.
Reconcile the current list, including OTC, cannabis, and hormones.
Neighborhoods and ZIPs: 33160, 33162, 33169, 33179
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.
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.
Lithium or valproate was never given a level, TSH, or pregnancy counseling.
Indications and differentials
Bridge care after hospitalization until a stable outpatient cadence exists.
Not indicated as a replacement for inpatient care when risk is high.
Perinatal prescribing only with risk-benefit counseling.
A DSM-5-TR diagnosis that has an evidence-based pharmacologic option the patient wants to consider.
Schedule with Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC
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 you already have records from another psychiatrist, NP, or therapist, send them before Medication Management so the interview can start from data instead of from a blank page.
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.