Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Hormone-aware psychiatric prescribing
Hormone therapies prescribed elsewhere are reconciled so serotonergic and endocrine plans do not collide blindly.
Medication Management for Aventura patients
Psychiatric medication management is ongoing medical treatment: indication, dose, monitoring, and an exit plan.
Hormone-mood medications are reconciled with estradiol, progesterone, and testosterone plans.
Credentials and method
Crisis care is not provided after hours. Medication Management patients in acute danger are directed to 988 or an emergency department. Ongoing care resumes after medical stabilization.
The Hollywood office is the only brick-and-mortar site. Medication Management for Aventura is service-area care from that office plus telehealth — not a separate clinic in every city.
GeneSight pharmacogenetic testing is available when prior antidepressant trials failed or side effects were limiting. Results are probabilistic, not deterministic.
Visit flow for Medication Management
Confirm the target symptom and the diagnosis it belongs to.
Set the next visit before the bottle runs out.
Revisit the original diagnosis if two classes have failed.
Decide: continue, adjust, switch, or taper — one primary change when possible.
How Aventura patients actually get here
ZIP 33160 is the lead postal code listed for Aventura. Mail-order labs and pharmacy routing still use the patient's actual address, not this page's city token.
Aventura (Miami-Dade County) has about 40,000 residents. The nearest Peace & Heart Wellness exam room is the Hollywood office, about 20 minutes from Aventura Mall and the Intracoastal waterfront.
No-show after a high-risk start triggers outreach.
Set the next visit before the bottle runs out.
DSM-5-TR framing for Medication Management
Antidepressants only after bipolar-spectrum screening.
Failed or partial response to a current agent after an adequate trial.
Not indicated as a replacement for inpatient care when risk is high.
Perinatal prescribing only with risk-benefit counseling.
Monitoring and safety in Medication Management
SGAs: weight, A1c, lipids; AIMS on a schedule.
Alcohol withdrawal is not managed as an anxiety refill.
MAOI diet and washout rules if that class is ever used.
Valproate: level, LFTs, CBC, pregnancy counseling.
Aventura FAQs for Medication Management
Can I refuse a medication?
Always. Informed consent includes the option of no medication.
Are leftover 'affordable refill' URLs a discount?
No. They are retained slugs. Billing follows insurance contracts.
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 you help me taper?
Yes. Tapers are scheduled by drug class. Do not stop MAOIs, benzos, or paroxetine abruptly on your own.
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.
Is your practice discreet for Aventura patients?
Absolutely. We maintain strict HIPAA compliance, and our telehealth option ensures complete privacy. Many Aventura patients prefer virtual appointments from their residence or office.
Do you address image-related anxiety and mood disorders?
Yes. We treat the full spectrum of anxiety and mood disorders, including those related to social pressure, perfectionism, and performance expectations common in high-achieving communities.
Book Medication Management
Call (888) 307-2199 to hold an appointment for Medication Management. Mention Aventura so staff can plan in-office versus Florida telehealth for the first visit.
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.
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.