Tesiah Coleman (she/her)
MSN, WHNP-BC, AGPCNP-BC, PMH-C, CLC
Nurse Practitioner, Reproductive and Hormonal Mental Health
Serving patients in: Massachusetts, DC, Virginia, Delaware
Hi, I’m Tesiah, a Nurse Practitioner at OutPsych!
A lot of the people I work best with are trying to understand why they suddenly don't feel like themselves.
Maybe their mood crashes every month and no one has taken it seriously.
Maybe pregnancy, postpartum, PCOS, or perimenopause has changed the way they feel in their mind and body.
Maybe they've been told it's "just stress," "just hormones," or something they should be able to push through.
I'm especially drawn to this work because I know how often people are left to connect these dots on their own.
I care about helping things make sense again.
Here are a few things that inform how I practice:
Mental health does not happen in a silo.
Hormones, reproductive transitions, identity, trauma, stress, and lived experience all shape how we feel. Good care has to take that full picture seriously.
My background is in women's health and primary care, combined with training as a doula and lactation counselor.
This means I often notice connections that get missed when care is too narrow or rushed. The overlap of emotional symptoms, physical changes, and life context is where a lot of the real work happens.
I'm a Black queer cis woman, and that lived experience shapes how I show up.
I know what it's like to move through systems that don't make room for the full truth of your experience. I offer care that is respectful, collaborative, and grounded from the start.
Medication can be an important tool, but it’s not our only tool.
I also want to understand the bigger picture, including your hormones, sleep, stress, relationships, history, and physical health, so we’re making sense of what’s driving symptoms, not just reacting to them.
You're the expert on you.
I want to listen closely, and if you have a therapist or other providers, I want to collaborate so your care feels connected rather than siloed.
My approach is grounded in anti-racist, intersectional care.
I'm especially mindful of how racism, bias, chronic stress, and systems harm shape mental health, reproductive health, and the experience of being in care for many BIPOC patients.
You're trying to understand mood changes, anxiety, irritability, focus changes, or exhaustion in the context of PMDD, pregnancy, postpartum, perimenopause, PCOS, or other hormonal shifts.
You've been told your symptoms are "just stress," "just hormones," or "normal," and you know something more specific is going on.
You want support with medication decisions during pregnancy or lactation that takes both evidence and your actual life seriously.
You're dealing with the emotional and body image impact of PCOS, especially when it overlaps with anxiety, depression, shame, or feeling disconnected from your body.
You want a provider who can think carefully about psychiatric symptoms without ignoring hormones, physical health, trauma, or the systems you're navigating.
Where I’ll do my best work with you:
Areas of focus
Perinatal and postpartum mental health
Reproductive and hormonal psychiatry
PMDD and cyclical mood changes
Medication support during pregnancy and lactation
PCOS-related mood changes and body image concerns
Trauma-informed, culturally responsive care
Gender-affirming hormone therapy, in coordination with the OutPsych GAHT team
-
2010–2014
I studied psychology at the University of Vermont while working at a residential program for pregnant and parenting people navigating mental health and substance use. Early confirmation that the work I wanted to do was possible, and worth building a career around.
2016–2019
I completed my BSN and MSN at the MGH Institute of Health Professions as a National Health Service Corps Scholar and John Hilton Knowles Fellow. I chose to become an NP because I believed care could be a tool for justice. I wanted to be close enough to the clinical visit to make people feel seen, safe, and well cared for, while also helping shape the systems around that care. While in school, I was practicing as a doula and lactation counselor, volunteering in a jail-based clinic and an abortion collective, and organizing to embed racial justice into healthcare education. Clinical training and advocacy have always been deeply connected for me.
2019–2021
My first NP role was at a community health center in Richmond, CA, providing prenatal, gynecological, and primary care for a predominantly low-income, uninsured, and undocumented patient panel. It's where I learned to hold complexity, be strategic for my patients within the confines of a broken system, and never lose the person in front of me.
2021–2023
I joined Tia as their first virtual care clinician and built the practice from scratch. A blank page that became 40+ providers across four states. I moved into leadership, co-launched maternity, psychiatry, and medication abortion services, and built quality systems designed to provide optimal health, not just "good enough" care to those too often dismissed or overlooked. I also created the Racial Justice Series, to ground the care we give in anti-racist principles.
2022–present
I founded Togather to do something I wish had existed earlier in my career: create real support for clinicians carrying the weight of this work, because providers who feel cared for give better care. Through consulting with Violet and mygenderIQ, the clinical education arm connected to OutPsych, I've been focused on spreading my ALI framework (antiracism, liberation, and intersectionality) as far as it can reach, training providers and shaping care for patients I'll never meet directly. I also co-founded Kyndred, a digital clinic building race-concordant care for Black women, where I serve as Chief Clinical Officer.
I don't separate any of this from who I am. I'm a mother, a Black woman, and a nurse practitioner who has spent over a decade in women's health, primary care, digital health and racial justice work. Everything I do professionally is in service of the same goal: making sure people get care that takes the whole picture seriously, including the parts that have been explained away, minimized, or missed entirely.