Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
medication management psychiatry with PDMP and lab surveillance
Sleep meds are reviewed for next-day impairment, falls, and whether CBT-I or apnea treatment should come first.
Clinical scope of Medication Management in Miami-Dade County
Refill-only care is not offered. If you need only a refill, you still need a monitoring interval.
Genetic testing (pharmacogenomics) may change CYP2D6/2C19 probabilities. It is not a personality test.
Questions we hear about Medication Management
What is PDMP?
Florida's prescription drug monitoring program. We check it before controlled substances.
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 monitor antipsychotics?
Weight, A1c, lipids, and neurologic side effects are part of the protocol.
Are leftover 'affordable refill' URLs a discount?
No. They are retained slugs. Billing follows insurance contracts.
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.
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.
Protocol elements we do not skip
Benzodiazepines: indication, duration limit, taper language.
QTc risk: ECG when combining high-risk agents.
Alcohol withdrawal is not managed as an anxiety refill.
Informed consent stored in the chart.
How Medication Management is structured
Check labs due for the current class.
Review PDMP and allergies.
Revisit the original diagnosis if two classes have failed.
Counsel on onset, alcohol, driving, pregnancy, and overdose risk.
Parking, hours, and video visits
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.
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.
Document why a requested stimulant or benzo was declined.
Check labs due for the current class.
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.
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.
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.
Antipsychotic weight gain and A1c were never measured.
Book Medication Management
After Medication Management is scheduled, complete intake forms once. Repeating the same history at every visit is what we are trying to avoid.
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.