Teresa Vlahovich
MSN, PMHNP-BC, CNM, PMH-C (she/her)
Serving patients in: Maryland
Hi, I’m Teresa, a Psychiatric Nurse Practitioner at OutPsych!
I offer warm, personalized psychiatric care grounded in a collaborative partnership that honors each client's authenticity and inner knowing. My approach to psychiatry is shaped by more than 12 years of experience as a midwife and over 20 years as a nurse working with people of all ages and experiences. I bring a sense of humor into the therapeutic relationship, believing that both empathy and laughter can be powerful sources of healing.
I have specialized training in perinatal and reproductive mental health, supporting individuals through pregnancy, postpartum, and other hormonal transitions. My approach integrates evidence-based psychiatric care with a grounded, trauma-aware, and midwifery-informed perspective.
I work with children ages 7 and up, adolescents, and adults for support with conditions such as depression, anxiety, ADHD, and autism. I value close communication with my clients' therapists, recognizing the importance of integrated care.
I focus on:
• Adolescent and adult psychiatry
• Anxiety, depression, and trauma recovery
• ADHD and autism
• Perinatal and postpartum mental health
• Reproductive and hormonal psychiatry
• Holistic care coordination across medical and therapeutic systems
LGBTQIA+ affirming, with 7+ years specializing with trans/gender-expansive communities…
and part of the queer community myself. Gender diverse teens and adults — I know the weight of navigating your identity alongside mental health.
You are the expert on your own experience.
I offer tools, medications when helpful, and evidence-based support, but you and only you decide what feels right. This matters especially for women and AFAB nonbinary/trans folks in midlife who've been told their fatigue, brain fog, and emotional overwhelm are "just stress."
I'll help you navigate menopausal hormone therapy* and psychiatric support so you can feel like yourself again.
Trust is sacred and earned slowly.
After years with folks dismissed and hurt by the medical system, I won't rush you or judge your pace. Whether you're carrying complex trauma, anxiety, depression, or ADHD, there's room here for all of it.
Here are a few things that inform how I practice, and where I'll do my best work with you:
*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.
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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.
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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.