Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Perimenopause psychiatry serving Miami-Dade County
Estrogen and progesterone affect serotonin and sleep architecture. That is physiology, not a guarantee that HRT will replace an antidepressant.
Clinical scope of Women's Hormone Therapy in Miami-Dade County
Walk-in HRT URLs are retained; care is scheduled.
Female hormone doctor in consumer search often means a prescriber. Here it is a PMHNP-BC coordinating with GYN.
Clinical FAQ
Can HRT replace my antidepressant?
Sometimes mood improves when sleep and vasomotor symptoms improve. Sometimes you still need a psychotropic. We do not promise a swap.
What is PMDD?
A DSM-5-TR diagnosis with symptoms in the luteal phase that remit after menses. Timing matters.
Is this anti-aging?
No.
Can this be telehealth?
Counseling and some follow-up, if you are in Florida. Procedures and some exams cannot.
Can progesterone worsen mood?
Yes in some patients. Tell us; we change the plan.
Do you prescribe HRT?
When indicated after history, labs, and risk counseling, and often in coordination with GYN. This is not a pellet mill.
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.
Credentials and method
The practice is women-owned and Haitian-led. Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC documents cultural context — including stigma in Caribbean and Latin American families — during Women's Hormone Therapy rather than treating it as an afterthought.
Crisis care is not provided after hours. Women's Hormone Therapy patients in acute danger are directed to 988 or an emergency department. Ongoing care resumes after medical stabilization.
Visit length for new Women's Hormone Therapy is typically 60–90 minutes. Follow-up length depends on risk, controlled substances, and how many variables changed since the last visit.
In-office versus Florida telehealth
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.
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Map the menstrual, pregnancy, postpartum, and menopausal timeline onto the mood timeline.
Reassess at a short interval because perimenopause is not a static lab value.
How Women's Hormone Therapy is structured
Map the menstrual, pregnancy, postpartum, and menopausal timeline onto the mood timeline.
Stop or change a hormone if mood destabilizes and the timeline fits.
Set monitoring: bleeding, mood scales, BP, labs.
Do not start estrogen and a new antidepressant on the same day without a reason.
DSM-5-TR framing for Women's Hormone Therapy
Vasomotor symptoms wrecking sleep and daytime function.
Women's Hormone Therapy still requires a visit.
Not indicated when VTE or estrogen-sensitive cancer history blocks estrogen without oncology input.
Not indicated as sole treatment of bipolar I mania.
Labs, scales, and follow-up cadence
Postpartum: screen for psychosis.
Refer DEXA when premature estrogen loss.
Bipolar screen before unopposed-feeling antidepressant plans.
Drug-interaction check with psychotropics.
Next step
Request a Women's Hormone Therapy 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.
If you already have records from another psychiatrist, NP, or therapist, send them before Women's Hormone Therapy so the interview can start from data instead of from a blank page.
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.