Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Sleep medication management that does not skip apnea
Missed monitoring labs pause titration. That is safety, not punishment.
Medication Management for Miramar patients
Top-rated language in old keywords is ignored. Monitoring quality is the product.
Tapering is scheduled. Paroxetine, venlafaxine, benzodiazepines, and stimulants each have different withdrawal physics.
Visit flow for Medication Management
Reconcile the current list, including OTC, cannabis, and hormones.
If side effects appear, do not wait for the next quarterly slot — tighten follow-up.
Review PDMP and allergies.
No-show after a high-risk start triggers outreach.
In-office versus Florida telehealth
South Florida heat, hurricane disruption, shift work, and multigenerational households show up in Miramar presentations. Medication Management intake asks about those stressors explicitly.
ZIP 33023 is the lead postal code listed for Miramar. Mail-order labs and pharmacy routing still use the patient's actual address, not this page's city token.
Set the next visit before the bottle runs out.
Revisit the original diagnosis if two classes have failed.
Protocol elements we do not skip
Alcohol withdrawal is not managed as an anxiety refill.
QTc risk: ECG when combining high-risk agents.
New antidepressant: short-interval follow-up for activation and SI.
Stimulants: BP/HR, sleep, appetite, PDMP, diversion discussion.
What we rule in — and rule out
Hypnotics only after sleep differential, not as a standing nightcap.
Taper request that requires a medical schedule.
Intolerable side effects that might respond to dose change, switch, or adjunct.
Not indicated as a replacement for inpatient care when risk is high.
Evidence we actually use
HIPAA-compliant records, encrypted telehealth, and a single Hollywood office at 7603 Davie Road Extension keep Medication Management identifiable to one medical home instead of a rotating locum panel.
Medication Management at Peace & Heart Wellness is directed by Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC, a Florida-licensed psychiatric mental health nurse practitioner with more than a decade of hormone-informed psychiatric practice. Care is hormone-informed and lab-aware rather than checklist-only.
The practice does not publish fabricated star ratings. Patient stories on this site are process descriptions, not purchased testimonials.
Miramar FAQs for Medication Management
Do you prescribe benzodiazepines long-term?
Rarely, with a documented indication and a taper orientation. They are not a standing plan for GAD.
Will I get a refill without a visit?
Not as a routine. Monitoring interval is part of the prescription.
Can you prescribe if I am traveling?
Only if you are physically in a state where we are licensed — currently Florida telehealth.
Do you work with my therapist?
With consent, yes. Medication does not replace psychotherapy when both are indicated.
How often are visits?
Tighter after a start or change; wider when stable and labs are current.
Can you help me taper?
Yes. Tapers are scheduled by drug class. Do not stop MAOIs, benzos, or paroxetine abruptly on your own.
Do you understand Caribbean mental health perspectives?
Yes. Dr. Chatelier is Haitian-American and deeply understands the cultural nuances that affect mental health care in Caribbean communities. We provide culturally sensitive psychiatric treatment.
Is your office accessible from Miramar?
Our Hollywood office is about 15 minutes from Miramar via Miramar Parkway. We also offer telehealth appointments for added convenience.
Book Medication Management
Crisis now is 988 or the ER — not the booking form. For non-urgent Medication Management, use (888) 307-2199 during weekday hours.
Start with one thorough Medication Management evaluation rather than a series of 15-minute check-ins. Book at (888) 307-2199 or online.
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.