Meet the Team

A photo of Jess Romeo, a white man with short brown hair and stubble. He sits at a wood table and looks directly into the camera, smithing and wearing a blue button-down shirt.

Jess Romeo (he/they)

PMHNP-BC, MSW

Serving patients in: Maryland, DC, Massachusetts

FOUNDER AND LEAD CLINICIAN

Founder and psychiatric nurse practitioner Jess Romeo’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

Learn more about Jess
A photo of Janine Michaelson, a white woman with black, mostly straight hair. She is wearing a pink scarf, and a purple cardigan, shirt, and pants. She sits on a fallen tree in a forest.

Tesiah Coleman (she/her)

MSN, WHNP-BC, AGPCNP-BC, PMH-C, CLC

Serving Patients in: Virginia, Washington DC, Massachusetts, Delaware

Tesiah brings a background in women's health, primary care, and perinatal support to psychiatric care that takes hormones, reproductive transitions, and lived experience seriously. Her practice centers on mood, anxiety, and cyclical symptoms tied to PMDD, postpartum, perimenopause, and PCOS. She helps clients understand the connections between their mental and physical health that too often get missed when care moves too fast or stays too narrow.

Areas of focus

  • Reproductive and hormonal psychiatry

  • PMDD and cyclical mood changes

  • Perinatal and postpartum mental health, including birth trauma

  • Medication support during pregnancy and lactation

  • PCOS/PMOS - Polyendocrine metabolic ovarian syndrome (formerly Polycystic Ovarian Syndrome)

  • Metabolic health and GLP1s with a health at every size and body liberation approach

  • Perimenopause and menopause

  • Trauma-informed, culturally responsive care

  • Gender-affirming hormone therapy, in coordination with the OutPsych GAHT team

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
A photo of Teresa Vlahovich from the chest up. She is a white woman with curly dark brown and gray hair. She is wearing dangly teal flower-shaped earrings, and a white shirt with blue and purple flowers on it.

Teresa Vlahovich (she/her)

PMHNP-BC, CNM, PMH-C

Serving patients in: Maryland

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

Learn more about Teresa
A photo of Tina Remillard from the waist up. She is a white woman with straight black hair and is wearing a dark red shirt.

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
A young woman with curly blonde hair, wearing a white turtleneck sweater and light blue jeans, is sitting on a painted concrete bench against a colorful graffiti wall. She is smiling and looking at the camera.
Learn more about Tesiah