Tina Remillard, PA-C, CAQ Psychiatry

she/her

Hi, I’m Tina, a Physician Assistant at OutPsych!

Here’s what shapes how I practice:

I bring over twenty years of experience in internal medicine and psychiatry, with a focus on helping people who’ve been misunderstood or minimized in traditional care settings. My work centers the real lives of adults navigating mood changes, ADHD, hormonal transitions, and trauma.

I have deep expertise in the diagnosis and treatment of adult ADHD, especially in folks who mask symptoms or fall outside the diagnostic boxes designed by and for neurotypical, cisgender men. My approach is comprehensive, affirming, and grounded in your lived experience—not someone else’s idea of “normal.”

I also work closely with patients navigating PMDD, perimenopause, and menopausal mood changes, where shifting hormones can intensify anxiety, depression, or attention difficulties. As a certified menopause practitioner, I integrate hormonal treatment into psychiatric care when it’s helpful—balancing evidence-based medicine with a deep respect for what your body already knows.

Hormone therapy can be life-changing in this season of life, and my role is to make it collaborative and safe. We’ll discuss both hormonal and non-hormonal options, adjust as needed, and create a plan that helps you feel more grounded, clear, and well through midlife and beyond.

I’m also a queer clinician who’s spent my entire career working within LGBTQ+ communities. I provide gender-affirming hormone therapy to adults and youth according to WPATH guidelines and standards of care set by national medical organizations like the American Academy of Pediatrics and the Endocrine Society. Whether you’re beginning your transition or refining an existing regimen, we’ll move at your pace and on your terms. My goal is for you to feel seen, respected, and in control of your care.

My patients often describe me as direct, irreverent, curious, and kind—someone who values clarity, humor, and the quiet power of collaboration. I believe trust is sacred, and I take my time earning it.

When I’m not in session, you’ll probably find me walking with my wife and son in DC, being ambushed by our cats during telehealth calls, or watching figure skating (I used to compete!).

Clinical Focus:

  • ADHD (especially in adults who mask or were diagnosed late)

  • Depression and anxiety

  • PMDD and hormonal mood symptoms

  • Perimenopause and menopause transitions

  • Gender-affirming hormone therapy

  • Trauma-informed psychiatric care

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Where I’ll do my best work with you:

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  • Women and AFAB nonbinary or trans folks in midlife who are tired of being gaslit about their bodies—

    • When you're told your crushing fatigue, brain fog, and emotional overwhelm are "just stress" or "normal aging." I know that it’s the hormonal changes turning your mental health upside down.

    • I'm here to help you navigate menopausal hormone therapy*, and psychiatric support so you can feel like yourself again

  • Gender diverse teens and adults —

    • I see you, I celebrate you, and I can empathize with the particular weight of navigating your identity while managing mental health. You deserve care that affirms every part of who you are, and I’m honored to offer it.

  • During the tender, overwhelming seasons of pregnancy, postpartum, and menopause—

    • When your body and mind feel like strangers. I’ve walked with countless people through these transitions and know how isolating they can feel

  • When you're carrying heavy things—

    • Complex trauma, anxiety that feels too big, depression that makes everything feel impossible, or ADHD that makes you feel like you're failing at life

*Note: I don’t currently offer gender-affirming hormone therapy - hormone therapy mentioned above is offered for folks navigating hormonal life transitions (like menopause, pregnancy, and postpartum) that can impact mental health in powerful ways.

  • In 2005, I earned my Bachelor of Science in Nursing from the University of Maryland, Baltimore. For the next eight years, I worked in maternal health, caring for people through high-risk pregnancies and providing specialized home nursing care.

    Then, in 2013, I became a nurse midwife! This opened up a whole new world of caring for people through pregnancy, birth, and beyond.

    I started at a birth center, then became the lead clinician at Baltimore Medical System, where I had the privilege of caring for families from all walks of life—including resettled refugee families and undocumented immigrants who face systemic challenges accessing quality healthcare. It was during this time that I first began treating peripartum depression, anxiety, and PMDD, discovering how deeply connected reproductive and mental health really are.

    In 2019, I joined Chase Brexton Health Care as a nurse-midwife, focusing on family planning and birth care for people of all gender identities.

    Here, something interesting started happening: I kept getting referred patients who were dealing with trauma histories or mental health challenges alongside their reproductive health needs. I realized I had a knack for holding space for people navigating these complex experiences, and I absolutely loved this work.

    That's what led me to pursue psychiatric training in 2020. I earned my certification as a psychiatric mental health nurse practitioner and specialized in perinatal mental health so I could better support people through pregnancy, postpartum, and all the mental health challenges that can come with these transitions.

    Since early 2024, I've been practicing as a psychiatric nurse practitioner with Chase Brexton, caring for people who often haven't found the right support elsewhere—including queer and trans folks who deserve affirming, understanding care.

    Now I'm excited to join my former Chase Brexton colleagues - Janine and Jess - at Integra, bringing nearly 20 years of experience supporting people through some of life's biggest challenges and transitions.

    Whether you're dealing with reproductive health concerns, life transitions, trauma, or just need someone who gets it—I'm honored to be here for you.

  • My journey has taken me from the West Coast to off-the-grid living on a small Chesapeake Bay island, with summers as a teen spent working aboard the family boat in Alaska. These experiences shaped my appreciation for resilience, embracing not being "normal," and adapting to tough situations.

    As a queer mom of four kids, I have lived experience with creative ways families are made, and am very familiar with the joys and challenges in going off-script from what's expected!

    I know what it means to seek support from the medical community when you don't fit the mold and have to chart your own course. I embrace every beautifully chaotic moment of family life and I am also very familiar with the real experience of balancing career, parenthood, selfhood and sanity!

    My own difficult experiences navigating pregnancy and parenthood without receiving the treatment options I deserved have profoundly shaped my practice. I'm committed to becoming the provider I needed but didn't have—one who truly listens, offers comprehensive options, and advocates fiercely for every patient's needs.

    I'm honored to be present with you during your most vulnerable and triumphant moments—there's nothing more sacred than holding space for someone's complete story, struggles and breakthroughs alike.