Meet the OutPsych Team

Learn more about Jess

Jess Romeo (he/they)

PMHNP-BC, MSW

Serving patients in: Maryland, DC, Massachusetts

FOUNDER AND LEAD CLINICIAN

Founder and psychiatric nurse practitioner. Jess’s work bridges psychiatric expertise with a deep respect for identity, body, and story. He offers integrative psychiatric care for adults and teens navigating mental health challenges, and is a highly sought speaker, trainer, and educator on LGBTQ+ mental health and the specialized care of folks with chronic illness in psychiatry.

Areas of Focus:

  • Trauma (particularly complex PTSD)

  • Bipolar spectrum conditions

  • Perinatal & reproductive psychiatry

  • Anxiety/OCD

  • Autism and ADHD

  • Gender diversity

  • Intersecting chronic illness

    • E.g. POTS/dysautonomia, MCAS, EDS, ME/CFS, Fibromyalgia

Teresa Vlahovich (she/her)

PMHNP-BC, CNM, PMH-C

Serving patients in: Maryland, Virginia, DC, & Massachusetts

PSYCHIATRIC NURSE PRACTITIONER, PERINATAL SPECIALIST

Teresa provides psychiatric and reproductive mental health care rooted in respect for the mind–body connection. Her work centers on helping people feel steady in seasons of transition—from pregnancy to postpartum to hormonal change. She integrates evidence-based psychiatric treatment with midwifery-informed presence and trauma awareness.

Areas of focus:

  • Perinatal and postpartum mental health

  • Reproductive and hormonal psychiatry

  • Anxiety, depression, and trauma recovery

  • Holistic care coordination across medical and therapeutic systems

Janine Michaelson (she/her)

PMHNP-BC

Serving patients in: Maryland, Virginia, DC, & Massachusetts

PSYCHIATRIC NURSE PRACTITIONER

Janine offers affirming, developmentally attuned psychiatric care for youth and adults. She is known for her humor, groundedness, and commitment to helping clients feel safe enough to be themselves. Her work is especially attuned to the needs of LGBTQ+ and neurodivergent teens.

Areas of focus:

  • Adolescent psychiatry

  • PDA profile

  • Gender-affirming psychiatric care

  • Depression, anxiety, and OCD

  • Support for neurodivergent youth and families

Learn more about Janine
Learn more about Teresa

Tina Celenza Remillard (she/her)

PA-C, Certified Menopause Practitioner
Physician Assistant, Psychiatric and Hormonal Care

Serving patients in: Maryland, Virginia, & DC

Tina brings over 20 years of experience integrating psychiatry and hormonal medicine. Her practice centers on mood, focus, and cognitive shifts tied to hormonal transitions—particularly in perimenopause, menopause, and gender-affirming care. She helps clients understand the biological and emotional patterns beneath their symptoms, creating plans that bring both clarity and relief.

Areas of focus:

  • ADHD and attention regulation in adults

  • Perimenopausal and menopausal mood changes

  • PMDD and cyclical mood disorders

  • Hormonal treatment and HRT management

  • Gender-affirming hormonal care

Learn more about Tina

Our Administrative Team

A white person stands against a background of trees and bushes. They have shoulder-length, straight, light brown hair. They are wearing a bright yellow solid-color shirt, a black belt, and pink pants. They lean on a blue cane decorated with stickers.

Radiance Romesberg (she/her)

Director of Operations

Radiance is the glue that holds OutPsych together, serving as the director of operations for the practice, as well as the curriculum manager at My Gender IQ.

Radiance has a long personal and professional history of radical community building, social justice work, and LGBTQIA+ activism. Outside of her paid work, she’s known as a renegade who refuses to adhere to any prescribed societal path in pursuit of her own self-expression, and the liberation of oppressed peoples. She believes in radiating positivity, and encouraging collective collaboration to bring hope and healing to all.

Indigo Sharp (he/they)

Administrative Assistant and Accessibility Lead

Indigo keeps OutPsych connected and accessible. A Smith College graduate, he supports nearly every layer of the practice - from social media and curriculum development to podcast editing and accessibility strategy. As a disabled spoonie with a host of “complex” diagnoses, they know what it’s like to not feel at home in the medical system.

They’re so grateful to have found a place here at OutPsych where disabled knowledge and liberation is celebrated.

When Indigo is not working, he’s usually making clothes (like the pink pants pictured above) or learning about native plants.