Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
GeneSight-informed trials after failed antidepressants
Tapering is a procedure. Stopping paroxetine or a benzodiazepine 'cold' is not a plan.
Clinical scope of Medication Management in Broward County
Leftover 'affordable refill' slugs are not a cash-pay promise.
Tapering is scheduled. Paroxetine, venlafaxine, benzodiazepines, and stimulants each have different withdrawal physics.
Access from Wilton Manors
Wilton Manors sits in Broward County. County-level resources (crisis lines, hospital ERs, IOP programs) are discussed during Medication Management when a higher level of care is safer than outpatient titration.
South Florida heat, hurricane disruption, shift work, and multigenerational households show up in Wilton Manors presentations. Medication Management intake asks about those stressors explicitly.
Wilton Manors (Broward County) has about 11,500 residents. The nearest Peace & Heart Wellness exam room is the Hollywood office, about 22 minutes from Wilton Drive and the Pride Center district.
Antipsychotic weight gain and A1c were never measured.
What we rule in — and rule out
Antidepressants only after bipolar-spectrum screening.
Perinatal prescribing only with risk-benefit counseling.
Not indicated for out-of-state telehealth prescribing.
Not indicated as a replacement for inpatient care when risk is high.
Wilton Manors FAQs for Medication Management
Do you monitor antipsychotics?
Weight, A1c, lipids, and neurologic side effects are part of the protocol.
Are leftover 'affordable refill' URLs a discount?
No. They are retained slugs. Billing follows insurance contracts.
What is GeneSight?
A pharmacogenetic panel that may adjust probabilities for certain antidepressants. It does not diagnose ADHD or depression.
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 about pregnancy?
Tell us before a prescription is sent. Some agents need specialist coordination.
Where is the office for in-person med checks?
7603 Davie Road Extension, Hollywood, FL 33024 — about 22 minutes from Wilton Manors.
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
Parking at 7603 Davie Road Extension is on site. Wilton Manors patients who drive 22 minutes should plan for weekday 9:00–17:00 hours; Saturday is by appointment only.
ZIP 33305 is the lead postal code listed for Wilton Manors. Mail-order labs and pharmacy routing still use the patient's actual address, not this page's city token.
Check labs due for the current class.
Revisit the original diagnosis if two classes have failed.
Protocol elements we do not skip
Clozapine: ANC monitoring — we refer if we cannot meet the REMS cadence.
Lithium: level, TSH, creatinine, pregnancy test as indicated.
QTc risk: ECG when combining high-risk agents.
Hyponatremia: BMP in older adults on SSRIs when symptoms fit.
Next step
Call (888) 307-2199 to hold an appointment for Medication Management. Mention Wilton Manors so staff can plan in-office versus Florida telehealth for the first visit.
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.