Fees
Here are all the fees you can expect with different services at OutPsych.
Psychiatric Care
Initial Assessments (90 minutes)
Jess Romeo & Janine Michaelson: $600
Teresa Vlahovich & Tina Remillard: $450
Follow-Up Appointments
Jess Romeo, Janine Michaelson, Teresa Vlahovich
30-minute session: $250
50-minute session: $350
Tina Remillard
30-minute session: $175
50-minute session: $275
Gender Affirming Care
Documentation Visit (required to start care): $75
Initial Assessment: $300/hour (60 or 90 minutes available)
30-minute Follow-up: $175
20-minute Lab/Check-in: $125
Specialty Assessments
Gender Affirming Surgery Letter
Total Fee: $325 (sliding scale available)
Includes:
1-2 assessment sessions
Review of psychiatric history and gender journey
Coordination with other providers if needed
1-2 hours of letter writing
Final letter to surgeon
Autism & ADHD Assessment for Adults
Total Cost: $1,600 - $2,400
Breakdown:
$400 per session
Typically requires 4-5 sessions (minimum 4 hours total)
Includes collateral communication with family/providers
Detailed written report with diagnoses and recommendations
Hormone Treatment & Menopause Care
Initial Assessment: $450
30-minute Follow-up: $175
Psychiatric Care Services
Initial Assessments (90 minutes)
Dr. Jess Romeo & Janine Michaelson: $600
Teresa Vlahovich & Tina Remillard: $450
Follow-Up Appointments
Premium Providers (Jess Romeo, Janine Michaelson, Teresa Vlahovich):
30-minute session: $250
50-minute session: $350
Standard Provider (Tina Remillard):
30-minute session: $175
50-minute session: $275
Gender Affirming Care
Documentation Visit (required to start care): $75
Initial Assessment: $300/hour (60 or 90 minutes available)
30-minute Follow-up: $175
20-minute Lab/Check-in: $125
Specialty Assessments
Gender Affirming Surgery Letter
Total Fee: $325 (sliding scale available)
Includes:
1-2 assessment sessions
Review of psychiatric history and gender journey
Coordination with other providers if needed
1-2 hours of letter writing
Final letter to surgeon
Autism & ADHD Assessment for Adults
Total Cost: $1,600 - $2,400
Breakdown:
$400 per session
Typically requires 4-5 sessions (minimum 4 hours total)
Includes collateral communication with family/providers
Detailed written report with diagnoses and recommendations
Hormone Treatment & Menopause Care
Initial Assessment: $450
30-minute Follow-up: $175
Services
Psychiatric Care
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.
Learn More
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.
Learn More
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.
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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.
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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.
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Fees
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Including specialized care for peripartum patients, PMDD, and as always, neurodiversity-affirming, and queer/trans-celebratory psychiatric care.
Janine Michaelson or Jess Romeo: 90 Minute Initial Assessment: $600
Teresa Vlahovich or Tina Remillard: 90 Minute Initial Assessment: $450
Follow-Up Appointments: Jess Romeo, Janine Michaelson, & Teresa Vlahovich
30 Minutes: $250
50 Minutes: $350
Follow-Up Appointments: Tina Remillard
30 minutes: $175
50 minutes: $275
See this page for more details!
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Documentation Visit to initiate care $75
Initial Assessment (60 or 90 mins): $300/hr
30 Minute Followup: $175
20 Minute Brief Followup/Labwork Check-In: $125
See this page for more details!
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We’ll review your psychiatric history, talk about your gender journey and the role gender dysphoria has played in your life, and discuss your readiness for surgery. Includes a minimum of 1-2 sessions and letter to your surgeon if appropriate. The fee covers all necessary sessions with us, any coordination with other providers we may need to do, and the 1-2 hours spent writing the assessment and letter of support.
$325 or sliding scale
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We offer autism and ADHD assessments for adults. See this page for more details.
Our assessment process is tailored to your unique needs and takes at least 4 hours over multiple sessions, in addition to any collateral communication with family members and/or other treatment providers. After the assessment, we can provide a detailed report with diagnoses and recommendations for support, as well as guidance and resources for accessing services. Our approach is LGBTQIA+ and neurodiversity-affirming, and we strive to create a compassionate and supportive environment for all of our clients.
$400 per session, typically 4-5 sessions, plus cost of written report. Typically $1600-$2400
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