Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Medication Management with PDMP and lab surveillance
If the diagnosis is wrong, no titration schedule will look like recovery. We will re-evaluate rather than stack drugs.
Medication Management for Lighthouse Point patients
Antipsychotic monitoring is metabolic and neurologic, not just 'mood better / worse.'
Tapering is scheduled. Paroxetine, venlafaxine, benzodiazepines, and stimulants each have different withdrawal physics.
Labs, scales, and follow-up cadence
SGAs: weight, A1c, lipids; AIMS on a schedule.
Opioid + benzo overlap is treated as a safety event.
Lithium: level, TSH, creatinine, pregnancy test as indicated.
Informed consent stored in the chart.
Credentials and method
Documentation for Medication Management uses problem lists, differential diagnosis, and follow-up intervals — not marketing slogans. Visit notes are written so a covering clinician could continue care safely.
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.
Care is structured around validated instruments (PHQ-9, GAD-7, ASRS, MDQ) plus a clinical interview. Scores inform Medication Management; they do not replace it.
What we rule in — and rule out
Not indicated as a replacement for inpatient care when risk is high.
Perinatal prescribing only with risk-benefit counseling.
A DSM-5-TR diagnosis that has an evidence-based pharmacologic option the patient wants to consider.
Not indicated for out-of-state telehealth prescribing.
Clinical FAQ
Can you prescribe if I am traveling?
Only if you are physically in a state where we are licensed — currently Florida telehealth.
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.
Do you monitor antipsychotics?
Weight, A1c, lipids, and neurologic side effects are part of the protocol.
What about pregnancy?
Tell us before a prescription is sent. Some agents need specialist coordination.
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.
What is GeneSight?
A pharmacogenetic panel that may adjust probabilities for certain antidepressants. It does not diagnose ADHD or depression.
Do you offer pharmacogenetic testing?
Yes. We offer pharmacogenetic (GeneSight) testing to determine which psychiatric medications are most likely to be effective for your specific genetic makeup, reducing trial-and-error in medication selection.
What makes your evaluations comprehensive?
Our initial evaluations last 60-90 minutes and include clinical assessment, review of functional lab options, hormone screening discussion, and a personalized treatment plan — not a 15-minute med check.
Parking, hours, and video visits
Neighborhoods we hear from most in Lighthouse Point include The Venetian Isles and Sample Road east of US-1. ZIP codes 33064 map to this service-area page.
Lighthouse Point (Broward County) has about 10,500 residents. The nearest Peace & Heart Wellness exam room is the Hollywood office, about 32 minutes from Lighthouse Point Yacht Club and the Venetian Waterway.
Set the next visit before the bottle runs out.
Send the prescription to a named pharmacy; document the pharmacy.
How Medication Management is structured
If side effects appear, do not wait for the next quarterly slot — tighten follow-up.
Review PDMP and allergies.
If prior authorization is required, start it the same day.
Telehealth visits verify Florida location.
Schedule with Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC
If Medication Management is the right next step, schedule a 60–90 minute intake with Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC. Same-week telehealth follow-ups are used after the diagnostic visit when clinically appropriate.
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.