Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
GeneSight-informed trials after failed antidepressants
Pharmacogenetics can shift probabilities after failed trials. It does not pick a winner from a menu.
What Medication Management actually includes
Best-practice med management is boring: lists, labs, and dates.
Sleep medication management asks whether the drug is treating insomnia or hiding apnea and alcohol.
Parking, hours, and video visits
ZIP 33063 is the lead postal code listed for Coconut Creek. Mail-order labs and pharmacy routing still use the patient's actual address, not this page's city token.
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.
Telehealth visits verify Florida location.
Document why a requested stimulant or benzo was declined.
Evidence we actually use
Isabel Cartilla coordinates intake paperwork and lab logistics so the 60–90 minute Medication Management visit is spent on the clinical interview rather than on form-filling.
Florida telehealth for Medication Management requires the patient to be physically in Florida at the time of the visit. Crossing a state line mid-treatment can pause prescribing until licensure allows.
GeneSight pharmacogenetic testing is available when prior antidepressant trials failed or side effects were limiting. Results are probabilistic, not deterministic.
How Medication Management is structured
Send the prescription to a named pharmacy; document the pharmacy.
Decide: continue, adjust, switch, or taper — one primary change when possible.
Check labs due for the current class.
Reconcile the current list, including OTC, cannabis, and hormones.
DSM-5-TR framing for Medication Management
ADHD medication only after the evaluation supports ADHD over mimics.
Not indicated for out-of-state telehealth prescribing.
Hypnotics only after sleep differential, not as a standing nightcap.
Perinatal prescribing only with risk-benefit counseling.
Monitoring and safety in Medication Management
QTc risk: ECG when combining high-risk agents.
MAOI diet and washout rules if that class is ever used.
Clozapine: ANC monitoring — we refer if we cannot meet the REMS cadence.
Valproate: level, LFTs, CBC, pregnancy counseling.
Questions we hear about Medication Management
Can you prescribe if I am traveling?
Only if you are physically in a state where we are licensed — currently Florida telehealth.
Will I get a refill without a visit?
Not as a routine. Monitoring interval is part of the prescription.
What is PDMP?
Florida's prescription drug monitoring program. We check it before controlled substances.
Can you help me taper?
Yes. Tapers are scheduled by drug class. Do not stop MAOIs, benzos, or paroxetine abruptly on your own.
Will you take over my current list?
After a diagnostic review. We do not rubber-stamp unsafe combinations.
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 evaluate menopause-related mood changes?
Yes. Many Coconut Creek patients come to us specifically for the intersection of hormonal changes and mood disorders. We offer comprehensive hormone panels alongside psychiatric evaluation.
How do I get to your office from Coconut Creek?
Our Hollywood office is about 25-30 minutes via 441 or the Turnpike. First evaluations are in-person; many follow-up med checks can be done via telehealth.
Schedule with Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC
Call (888) 307-2199 to hold an appointment for Medication Management. Mention Coconut Creek so staff can plan in-office versus Florida telehealth for the first visit.
Questions about insurance, labs, or whether Medication Management 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.