Gender Affirming Care
Finding a provider who respects your identity shouldn’t feel like a battle.
Too many of us have been asked to prove ourselves, educate our clinicians, or wait for someone else’s approval before accessing care. At OutPsych, we do things differently.
We offer gender-affirming psychiatric and hormonal care that’s grounded in expertise, trust, and your lived experience.
Because we operate outside the insurance system, we can provide comprehensive, individualized support—regardless of what happens in the sociopolitical landscape.
Gender-affirming care at OutPsych includes hormone therapy, surgical readiness assessments, and psychiatric support for gender diverse folks across the lifespan.
Our providers understand that gender and mental health are deeply connected. We look at the full picture—how your body, mind, hormones, and environment interact—and tailor care accordingly. There are no one-size-fits-all protocols here. Every plan is individualized, evidence-informed, and grounded in your goals.
OutPsych provides gender-affirming care via telehealth for adults and adolescents in Maryland, Massachusetts, Virginia, and Washington DC.
What to Expect
Initial Consultation
Your first visit (75–90 minutes) is a space to talk about your goals, health history, and experiences with past care. We’ll review options for hormone therapy, psychiatric support, and care coordination. You decide what’s most important to focus on.
Starting or Continuing Hormones
If hormone therapy is part of your plan, we’ll design an approach that aligns with your goals, health profile, and comfort level. We’ll discuss dosage, expected effects, and safety monitoring in detail. Because we’re an out-of-network practice, your care isn’t dictated by insurance requirements or external approval processes.
Ongoing Support
Follow-up appointments (25–50 minutes) are used to monitor physical and emotional well-being, review labs, and fine-tune treatment. You’ll have consistent access to a provider who listens, adjusts, and supports you as changes unfold. We also provide medication management, therapy integration, and help addressing coexisting concerns like anxiety, ADHD, or trauma.
Surgery Assessments & Letters
If you need documentation for gender-affirming surgeries, our clinicians can provide assessments and letters that meet current surgical and insurance standards—efficiently and respectfully.
Providers Who Offer Gender Affirming Care
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Jess Romeo (he/they)
FOUNDER
Psychiatric Nurse Practitioner
Clinical Social Worker
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Tina Remillard (she/her)
Physician Assistant
Gender Affirming Care Specialist
Menopause & Hormone Optimization Specialist
Let’s work together!
Interested in taking the next step? Fill out some info and we will be in touch shortly!