Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Taper plans when a medication's risk exceeds its benefit
Polypharmacy is treated as a risk to be justified, not a badge of complexity.
What Medication Management actually includes
Refill-only care is not offered. If you need only a refill, you still need a monitoring interval.
Functional psychiatry does not mean 'no medication.' It means medication plus the labs that could change the choice.
DSM-5-TR framing for Medication Management
Failed or partial response to a current agent after an adequate trial.
Intolerable side effects that might respond to dose change, switch, or adjunct.
Polypharmacy review when the list exceeds what the diagnosis can justify.
Not indicated for out-of-state telehealth prescribing.
From intake to follow-up: Medication Management
If prior authorization is required, start it the same day.
Confirm the target symptom and the diagnosis it belongs to.
Set the next visit before the bottle runs out.
Review PDMP and allergies.
Clinical FAQ
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.
What about pregnancy?
Tell us before a prescription is sent. Some agents need specialist coordination.
Can you help me taper?
Yes. Tapers are scheduled by drug class. Do not stop MAOIs, benzos, or paroxetine abruptly on your own.
What labs do I need?
Depends on the drug: TSH, lithium level, A1c, etc. We will list them in the plan.
Do you work with my therapist?
With consent, yes. Medication does not replace psychotherapy when both are indicated.
Do you monitor antipsychotics?
Weight, A1c, lipids, and neurologic side effects are part of the protocol.
Do you treat anxiety related to life transitions?
Yes. Life transitions — career changes, relocations, relationship shifts — are common triggers for anxiety and depression. Our evaluations assess these factors and create targeted treatment plans.
How far is Oakland Park from your office?
Our Hollywood office is about 20 minutes from Oakland Park. Telehealth appointments are also available for follow-up medication management visits.
How Oakland Park patients actually get here
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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.
Decide: continue, adjust, switch, or taper — one primary change when possible.
Send the prescription to a named pharmacy; document the pharmacy.
How Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC practices Medication Management
Informed consent for Medication Management covers benefits, risks, alternatives (including no medication), and the limits of telehealth. Patients can decline any lab or medication without losing access to the diagnostic formulation.
Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC holds DNP, FNP-BC, and PMHNP-BC credentials. Medication Management is advanced-practice psychiatric care, not a 15-minute refill mill and not unsupervised coaching.
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.
Labs, scales, and follow-up cadence
SGAs: weight, A1c, lipids; AIMS on a schedule.
Lithium: level, TSH, creatinine, pregnancy test as indicated.
Clozapine: ANC monitoring — we refer if we cannot meet the REMS cadence.
Hyponatremia: BMP in older adults on SSRIs when symptoms fit.
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.
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.