Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Taper plans when a medication's risk exceeds its benefit
Hormone therapies prescribed elsewhere are reconciled so serotonergic and endocrine plans do not collide blindly.
Clinical scope of Medication Management in Miami-Dade County
Telehealth medication management still requires Florida presence, identity check, and a visit note.
Hormone-mood medications are reconciled with estradiol, progesterone, and testosterone plans.
Parking, hours, and video visits
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 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.
Reconcile the current list, including OTC, cannabis, and hormones.
Telehealth visits verify Florida location.
Labs, scales, and follow-up cadence
Clozapine: ANC monitoring — we refer if we cannot meet the REMS cadence.
Benzodiazepines: indication, duration limit, taper language.
Lithium: level, TSH, creatinine, pregnancy test as indicated.
Opioid + benzo overlap is treated as a safety event.
Access from North Miami Beach
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.
{access}. That access pattern is why Medication Management for North Miami Beach is written as a service-area page, not as a fake storefront.
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.
You have been on an SSRI for years with no documented target symptom and no trial of a therapeutic dose.
Clinical FAQ
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 treat insomnia with medication only?
No. We look for apnea, circadian issues, alcohol, and psychiatric drivers.
Do you prescribe benzodiazepines long-term?
Rarely, with a documented indication and a taper orientation. They are not a standing plan for GAD.
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.
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.
Visit flow for Medication Management
Reconcile the current list, including OTC, cannabis, and hormones.
If prior authorization is required, start it the same day.
No-show after a high-risk start triggers outreach.
Document why a requested stimulant or benzo was declined.
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.
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.