Welcome to OutPsych
(Formerly Integra Mental Health)
Meticulous, Compassionate Care that sees beyond symptoms.
Psychiatry | Gender Affirming Care | Perinatal and Perimenopausal Treatment
In DC, Maryland, Virginia, and Massachusetts
When you’re done being the “easy” patient and ready to be complicated—
Welcome. That’s our specialty.
Who We Serve
You've been performing "fine" for so long, you can't remember what you actually feel anymore.
Maybe you’re looking for….
A psychiatric provider who won't interrupt you 30 seconds in to tell you what you're “really feeling,” and prescribe medication before understanding anything about you.
A provider you don’t have to educate about your LGBTQIA+ identity, for once…
Care that accounts for chronic illness, trauma, and neurodivergence while treating you like the expert on your own experience.
Assessment for autism or ADHD that doesn't dismiss your self-knowledge.
Gender-affirming treatment from people with lived queer or trans experience…
…who won't make you justify your existence before writing a prescription.
Support through pregnancy and postpartum when you want to be treated like the whole, complex human you are — not just a vessel.
Hormone care through perimenopause that doesn't dismiss you with "welcome to getting older” when you’ve worked your a$$ off to get where you are, but memory and focus problems threaten your ability to hold it all together.
You deserve expert care that takes you seriously, and doesn’t pathologize your survival strategies or try to make you “normal.”
And providers who understand that when the world is hostile to difference…
Your responses make perfect sense.
What We Do
Psychiatry
Comprehensive psychiatric evaluations, medication management, and integrative/holistic treatment for all mental health conditions.
We specialize in complex presentations, particularly when complex trauma, chronic illness, neurodivergence, anxiety, and medical trauma are part of your story.
Gender Affirming Care
Hormone therapy and ongoing medical support using an informed consent model.
We provide comprehensive gender-affirming treatment including hormone initiation, monitoring, and adjustment as part of integrated psychiatric care.
Autism & ADHD Assessment
Comprehensive diagnostic evaluations for adults seeking assessment for autism spectrum disorder and ADHD. We specialize in evaluations for individuals who may have been missed by traditional diagnostic processes, including late-diagnosed adults and those with complex presentations.
Perinatal Mental Health
Specialized psychiatric care during preconception, pregnancy, and postpartum periods. We offer medication management, therapy, and comprehensive support for the full range of perinatal mental health concerns, including depression, anxiety, OCD, and birth trauma.
Hormone Treatment & Menopause Care
Evidence-based hormone replacement therapy and treatment for perimenopause and menopause symptoms. We address the full spectrum of concerns including mood changes, cognitive symptoms, sleep disruption, and other hormonal transitions.
The OutPsych Approach
We don't do “care as usual”.
Traditional care often fragments you into symptoms, diagnoses, and 15-minute medication checks. At OutPsych, we see symptoms in context—understanding that your responses to an often-hostile world make sense, even when they're causing you pain. Our approach integrates evidence-based treatment with holistic therapies, and an understanding of the social, cultural, and systemic factors shaping your experience.
And we don’t pathologize the complexity that makes you who you are.
Conventional Care:
15-minute med checks where you try to fit the last 3 months of your life into 5 tight bullet points
"Have you tried yoga?" when you mention chronic fatigue
Pathologizes your survival strategies as "maladaptive behaviors"
"You seem high-functioning" (translation: stop complaining)
Psychiatry = Diagnosis + Medication
Educate them about your pronouns every visit
"Please keep your camera on during all sessions. You must do this or I can't provide you with adequate care."
"Let's try this antidepressant and see what happens.”
Dismisses your self-diagnosis as "Dr. TikTok"
Phone tree hell and voicemails that disappear into the void
"You need to build resilience" (aka blame yourself harder)
Worship the diagnostic manual like it’s gospel.
Only recommend "gold standard" interventions
That side effect isn't real - it wasn't seen in the research, so this must be psychosomatic.
Our Approach:
90 minute initial appointments, no less than 30 minute follow-ups
Discussing how a mobility aid AND treatment approaches for chronic fatigue, pain, or dysautonomia/POTS can improve symptoms without you pushing past your limits
Celebrates your brilliant adaptations to impossible situations - and collaborates with you on how you'd like to move forward
"Masking is exhausting - let's talk about how you can get your needs met"
Psychiatry = Science + Soul + Sociopolitical Awareness
Our whole team is queer - you don't have to explain yourself to us
Stim during sessions. Use the chat in zoom to talk. Camera-off day? Totally fine with us.
Let's get some labwork to rule out underlying conditions, collaborate with your therapist to help me understand this more fully, and we can explore a few options that could be a good fit.
Tell me about your research - late-diagnosed folks often know themselves best, and I can help fill in any gaps if you'd like.
Text, email, and portal message your provider directly.
"The system failed you, not the other way around - but that doesn't mean you're out of options. Let's talk through variables we can control, and doing so might help you relate differently to the ones we can't"
Question everything, including our own field's biases.
Integrate evidence-based practice with holistic traditions and patients' self-knowledge and beliefs to find an individualized plan - not a one-size-fits all.
I believe you, and that sounds like it's been pretty uncomfortable. Let's work together to figure out how to move forward from here.
About OutPsych
OutPsych (formerly Integra Mental Health) is a group psychiatry practice founded in 2022 by Jess Romeo (pictured right).
Jess Romeo (he/they) is a transmasculine psychiatric nurse practitioner and clinical social worker who specializes in psychiatric care for folks whose identities and experiences don’t fit neatly into boxes.
That includes complex PTSD, medical trauma, queer and trans folks, autistic folks, ADHD and AuDHD, and folks with chronic illnesses like MCAS, POTS, chronic pain and fatigue, and EDS.
He’s got a knack for pattern recognition, and an insatiable curiosity about the human condition. Since 2022, his work has expanded from a solo practice to leading a group of dedicated, quirky providers who share a commitment to seeing symptoms in context, celebrating complexity, and constantly interrogating the systems and paradigms that shape psychiatry and healthcare in general.
Ready to Get Started?
If you’re tired of performing and ready to work with providers who actually get it, we’re here.
Click the link below to schedule a free 15-minute consultation with us!