Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Thyroid plus sex-hormone review for psychiatric symptoms
Thyroid disorders mimic perimenopause. TSH with free T4 is not optional when the story fits.
Women's Hormone Therapy for Wilton Manors patients
Low estrogen is a lab and a syndrome, not a marketing category.
Best menopause HRT is the regimen whose risks you understood.
Clinical FAQ
What is PMDD?
A DSM-5-TR diagnosis with symptoms in the luteal phase that remit after menses. Timing matters.
Do you help with libido?
We evaluate causes, including SSRI effects and endocrine factors. No guaranteed outcome.
Do you do pellets?
We do not run a pellet-first model. If a GYN uses them, we still require a psychiatric formulation.
What labs?
Individualized: estradiol, progesterone, FSH, TSH, ferritin, vitamin D as indicated.
Can I refuse HRT?
Yes.
Can this be telehealth?
Counseling and some follow-up, if you are in Florida. Procedures and some exams cannot.
Do you provide LGBTQ+-affirming psychiatric care?
Yes. We provide competent, affirming psychiatric care for all patients. Our hormone therapy services and psychiatric evaluations are delivered with respect for every patient's identity.
Can you coordinate hormone therapy with psychiatric medication?
Absolutely. This is one of our specialties. We understand the interplay between hormone levels and mood, and manage both under one clinical roof for optimal outcomes.
How Wilton Manors patients actually get here
Commute noise on I-95 and the Turnpike changes whether an in-office Women's Hormone Therapy visit is realistic this week. Telehealth is used when the clinical exam does not require the office.
South Florida heat, hurricane disruption, shift work, and multigenerational households show up in Wilton Manors presentations. Women's Hormone Therapy intake asks about those stressors explicitly.
Write the plan so the patient can repeat the risks.
Order labs that could change the plan.
Evidence we actually use
Clinical decisions for Women's Hormone Therapy are made by Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC (DNP, FNP-BC, PMHNP-BC). Pharmacogenetic data (including GeneSight when indicated) can inform medication choice; it never replaces a diagnostic interview.
Florida telehealth for Women's Hormone Therapy 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.
Care is structured around validated instruments (PHQ-9, GAD-7, ASRS, MDQ) plus a clinical interview. Scores inform Women's Hormone Therapy; they do not replace it.
Labs, scales, and follow-up cadence
BP check.
Pregnancy test when relevant before hormones.
Bipolar screen before unopposed-feeling antidepressant plans.
Emergency precautions for chest pain/neuro deficits on estrogen.
What we rule in — and rule out
SSRI sexual dysfunction plus a hormone question.
Not indicated as anti-aging retail.
Patients who want a second opinion on a pellet clinic plan.
PMDD meeting diagnostic timing.
How Women's Hormone Therapy is structured
Set monitoring: bleeding, mood scales, BP, labs.
Complete psychiatric evaluation standards (safety, bipolar screen, substances).
Shared decision: HRT, psychotropic, both, or neither.
Map the menstrual, pregnancy, postpartum, and menopausal timeline onto the mood timeline.
Book Women's Hormone Therapy
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.
After Women's Hormone Therapy is scheduled, complete intake forms once. Repeating the same history at every visit is what we are trying to avoid.
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.