Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
ADHD medication titration after a real differential
Polypharmacy is treated as a risk to be justified, not a badge of complexity.
Clinical scope of Medication Management in Broward County
Psych med management includes saying no when the requested drug does not match the diagnosis.
Genetic testing (pharmacogenomics) may change CYP2D6/2C19 probabilities. It is not a personality test.
22-minute path to the Hollywood office
Oakland Park sits in Broward 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.
Oakland Park (Broward County) has about 45,000 residents. The nearest Peace & Heart Wellness exam room is the Hollywood office, about 22 minutes from Downtown Oakland Park and the Dixie Highway arts 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.
Lithium or valproate was never given a level, TSH, or pregnancy counseling.
In-office versus Florida telehealth
South Florida heat, hurricane disruption, shift work, and multigenerational households show up in Oakland Park presentations. Medication Management intake asks about those stressors explicitly.
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.
Decide: continue, adjust, switch, or taper — one primary change when possible.
Reconcile the current list, including OTC, cannabis, and hormones.
Questions we hear about Medication Management
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 you take over my current list?
After a diagnostic review. We do not rubber-stamp unsafe combinations.
What is PDMP?
Florida's prescription drug monitoring program. We check it before controlled substances.
Will I get a refill without a visit?
Not as a routine. Monitoring interval is part of the prescription.
Can medication management be telehealth?
Yes if you are in Florida and the case is appropriate. Controlled-substance rules still apply.
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 treat anxiety related to life transitions?
Yes. Life transitions — career changes, relocations, relationship shifts — are common triggers for anxiety and depression. Our evaluations assess these factors and create targeted treatment plans.
How far is Oakland Park from your office?
Our Hollywood office is about 20 minutes from Oakland Park. Telehealth appointments are also available for follow-up medication management visits.
Labs, scales, and follow-up cadence
Alcohol withdrawal is not managed as an anxiety refill.
Benzodiazepines: indication, duration limit, taper language.
Stimulants: BP/HR, sleep, appetite, PDMP, diversion discussion.
Opioid + benzo overlap is treated as a safety event.
Visit flow for Medication Management
Send the prescription to a named pharmacy; document the pharmacy.
Set the next visit before the bottle runs out.
Share the plan with the therapist when consent exists.
Reconcile the current list, including OTC, cannabis, and hormones.
Schedule with Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC
After Medication Management is scheduled, complete intake forms once. Repeating the same history at every visit is what we are trying to avoid.
Call (888) 307-2199 to hold an appointment for Medication Management. Mention Oakland Park so staff can plan in-office versus Florida telehealth for the first visit.
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.