Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
PMDD and menopause-related mood: a medical evaluation
Brain fog has a differential: sleep apnea, ADHD, depression, B12, thyroid, estradiol fluctuation.
Women's Hormone Therapy for Pembroke Pines patients
Women's HRT in this clinic is hormone-informed psychiatry, not a med-spa catalog.
PMDD hormone treatment starts by confirming luteal-phase timing with a symptom diary when possible.
Labs, scales, and follow-up cadence
VTE/migraine/cancer history every start.
Refer DEXA when premature estrogen loss.
BP check.
Bleeding on HRT = GYN, not 'watch forever.'
In-office versus Florida telehealth
Pembroke Pines sits in Broward 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.
Neighborhoods we hear from most in Pembroke Pines include Chapel Trail, Pembroke Falls, Century Village, and the Pines Boulevard spine. ZIP codes 33023, 33024, 33025, 33026 map to this service-area page.
Shared decision: HRT, psychotropic, both, or neither.
Document lactation plans.
How Women's Hormone Therapy is structured
Set monitoring: bleeding, mood scales, BP, labs.
Discuss mammography and cervical screening as primary-care tasks we will not skip mentioning.
Stop or change a hormone if mood destabilizes and the timeline fits.
Reassess at a short interval because perimenopause is not a static lab value.
Access from Pembroke Pines
Parking at 7603 Davie Road Extension is on site. Pembroke Pines patients who drive 12 minutes should plan for weekday 9:00–17:00 hours; Saturday is by appointment only.
Pembroke Pines sits in Broward 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.
Commute noise on I-95 and the Turnpike changes whether an in-office Women's Hormone Therapy visit is realistic this week. Telehealth is used when the clinical exam does not require the office.
Weight change at menopause was blamed on willpower.
Indications and differentials
Perimenopausal or menopausal symptoms with psychiatric comorbidity.
Surgical menopause with mood destabilization.
Thyroid disease as a co-indication for labs, not a DIY HRT start.
SSRI sexual dysfunction plus a hormone question.
Schedule with Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC
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.
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.
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.