Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Estradiol, progesterone, and the psychiatric differential
Leftover 'affordable estrogen' slugs are not a cash hormone mill.
What Women's Hormone Therapy actually includes
Hormone therapy for women with psychiatric symptoms needs both skill sets in one formulation.
Thyroid and HRT overlap: check TSH before attributing everything to estradiol.
What we rule in — and rule out
Perimenopausal or menopausal symptoms with psychiatric comorbidity.
Not indicated to treat breast cancer.
Vasomotor symptoms wrecking sleep and daytime function.
PMDD meeting diagnostic timing.
How Women's Hormone Therapy is structured
Coordinate with GYN/PCP.
Set monitoring: bleeding, mood scales, BP, labs.
Shared decision: HRT, psychotropic, both, or neither.
Document lactation plans.
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.
North Miami Beach sits in Miami-Dade County. County-level resources (crisis lines, hospital ERs, IOP programs) are discussed during Women's Hormone Therapy when a higher level of care is safer than outpatient titration.
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.
Thyroid was last checked five years ago.
Protocol elements we do not skip
Bleeding on HRT = GYN, not 'watch forever.'
Do not exceed physiologic replacement as a mood experiment.
Pregnancy test when relevant before hormones.
Emergency precautions for chest pain/neuro deficits on estrogen.
Questions we hear about Women's Hormone Therapy
Crisis?
988 or ER. Especially for postpartum psychosis.
Can I refuse HRT?
Yes.
Are you a gynecologist?
No. Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC is a PMHNP-BC providing hormone-informed psychiatric care.
Is bioidentical safer?
Bioidentical describes structure. Risk depends on dose, route, and your history — not the marketing word.
Do you work with my OB/GYN?
With consent.
Can HRT replace my antidepressant?
Sometimes mood improves when sleep and vasomotor symptoms improve. Sometimes you still need a psychotropic. We do not promise a swap.
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.
Book Women's Hormone Therapy
Start with one thorough Women's Hormone Therapy evaluation rather than a series of 15-minute check-ins. Book at (888) 307-2199 or online.
Questions about insurance, labs, or whether Women's Hormone Therapy can be done by video: call (888) 307-2199 before you book so the visit type matches the clinical need.
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.