Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
PMDD and menopause-related mood: a medical evaluation
Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC treats psychiatric syndromes that track with reproductive transitions. HRT is coordinated, not sold as a personality upgrade.
Women's Hormone Therapy for North Miami Beach patients
Female hormone doctor in consumer search often means a prescriber. Here it is a PMHNP-BC coordinating with GYN.
Top-rated language is ignored. Risk counseling is the product.
Labs, scales, and follow-up cadence
Lactation: pump/dump or compatible med list.
Refer DEXA when premature estrogen loss.
Mood scales at baseline and follow-up.
Informed consent stored.
Clinical FAQ
Do you treat postpartum depression?
We evaluate and treat. Postpartum psychosis is an emergency.
Can progesterone worsen mood?
Yes in some patients. Tell us; we change the plan.
Can I refuse HRT?
Yes.
Do you prescribe HRT?
When indicated after history, labs, and risk counseling, and often in coordination with GYN. This is not a pellet mill.
How close is the office?
About 24 minutes from North Miami Beach.
Is brain fog always menopause?
No. Sleep, ADHD, depression, B12, and thyroid are on the list.
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 Women's Hormone Therapy
Discuss mammography and cervical screening as primary-care tasks we will not skip mentioning.
Set monitoring: bleeding, mood scales, BP, labs.
Telehealth for counseling; office or GYN for procedures.
Stop or change a hormone if mood destabilizes and the timeline fits.
Indications and differentials
Patients who want a second opinion on a pellet clinic plan.
Not indicated when VTE or estrogen-sensitive cancer history blocks estrogen without oncology input.
SSRI sexual dysfunction plus a hormone question.
Perimenopausal or menopausal symptoms with psychiatric comorbidity.
How North Miami Beach patients actually get here
South Florida heat, hurricane disruption, shift work, and multigenerational households show up in North Miami Beach presentations. Women's Hormone Therapy intake asks about those stressors explicitly.
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Coordinate with GYN/PCP.
Stop or change a hormone if mood destabilizes and the timeline fits.
Schedule with Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC
After Women's Hormone Therapy is scheduled, complete intake forms once. Repeating the same history at every visit is what we are trying to avoid.
Crisis now is 988 or the ER — not the booking form. For non-urgent Women's Hormone Therapy, use (888) 307-2199 during weekday hours.
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.