Transcend: The Fulfillment

Your Ultimate Path to Mastery in Gender Affirming Care

You’re not here to just “get it right” or check a box.

You’re here to create a practice that transforms lives—and that includes yours.

You’ve done the trainings. Read the articles.

And you’ve patched your knowledge gaps with every resource you could get your hands on.

And it works—sort of.

You’ve probably even become the clinician others turn to when they need someone who “gets it.”

But let’s be real: the questions are getting harder, the stakes higher, and the gaps more glaring.

You’re the kind of healer who knows exactly how big the gap is from where you are and where you should be when it comes to trans affirming care.

Not to mention, moments like this don’t wait for you to catch up:

  • A parent’s voice trembling as they ask “Is my teen really trans—or is this a phase?”

  • A client breaking down in your office, unsure if their medication side effects are from hormones, antidepressants, or both—but they’re terrified that any suggestion of hormone side effects will make their provider stop prescribing for them

  • A gender affirming surgery candidate who needs a letter, but they’re pursuing a surgery you’ve never heard of before, and you can’t google fast enough to figure it out

Not to mention, moments like this don’t wait for you to catch up:

  • A parent’s voice trembling as they ask “Is my teen really trans—or is this a phase?”

  • A client breaking down in your office, unsure if their medication side effects are from hormones, antidepressants, or both—but they’re terrified that any suggestion of hormone side effects will make their provider stop prescribing for them

  • A gender affirming surgery candidate who needs a letter, but they’re pursuing a surgery you’ve never heard of before, and you can’t google fast enough to figure it out

What’s Awaiting You in Transcend

An Unparalleled Curriculum

There is a truly unhinged amount of expertly curated content you get with Transcend, ranging from the annals of trans history to cutting-edge strategies for navigating complex co-occurring conditions. And we hit every step of your clinical journey in between. As we continue to expand our network of collaborators—drawing in leading experts, pioneering voices, and real-world insights—the breadth and depth of this program evolves alongside the needs of the communities we serve, ensuring that you stay at the forefront of transformative care.

Strategic Practice Coaching

Your clinical expertise deserves a platform that amplifies your impact. In Transcend, we delve into the art of strategic practice branding, equipping you with the tools to create an authentic, inclusive, and compelling professional presence. From refining your website and optimizing LGBTQ+ SEO to crafting intake processes that signal trust and inclusivity, every element is tailored to help you attract and serve the clients who need you most. Together, we’ll align your practice’s messaging with your values, ensuring it resonates deeply and leaves a lasting impression.

Weekly Group Consultations

Complexity is inevitable—but you don’t have to face it alone. Our weekly group consultations bring you into a collaborative space where real-world challenges are met with actionable solutions. Bring your toughest cases, nuanced questions, or moments of hesitation, and leave with clarity and direction. Guided by experienced mentorship and bolstered by peer insights, these sessions sharpen your intuition and ensure that your clinical instincts remain adaptive and attuned.

A Dynamic Community

Transcend isn’t just a mentorship program—it’s a vibrant professional collective. Within this network, you’ll connect with clinicians who share your drive for excellence, your passion for transformative care, and your commitment to continued growth. This is more than a group; it’s a space where collaboration replaces competition, where support fuels innovation, and where shared dedication fosters a community like no other. Together, we’ll push the boundaries of what’s possible in affirming care.

Practice Resource Compendium

Elevate your practice with a refined collection of expertly crafted resources. Transcend offers an exclusive compendium of ready-to-use tools—including intake forms, surgery letter templates, and more—designed to integrate seamlessly into your workflow. Each resource is meticulously tailored to reduce administrative demands, empowering you to focus on providing exceptional, affirming care that makes a lasting impact.

Access to Evolving Expertise

Transcend is as dynamic as the field of trans-affirming care itself. With exclusive access to the latest research, cutting-edge insights, and bonus modules, you’ll stay ahead of the curve in a world that’s constantly shifting. From free live webinars to real-time updates, this program ensures you’re always equipped to meet the evolving needs of the communities you serve, delivering care that’s not just relevant but revolutionary.

Meet the Team

  • Jess Romeo

    FOUNDER

  • Radiance Romesberg

    DIRECTOR OF OPERATIONS & QUEER RENEGADE

  • Debb Dunn

    PRIMARY CARE LEAD

Our Friends & Partners

  • Togather

    Community for those who care. The first ever collective care platform built by and for healthcare providers. Built to address burnout, learn in community, and find joy in pursuit of a better, more just healthcare system.

  • THE PMHNP SOURCE

    Resources, digital products and mentorship support to empower new PMHNPs in their professional journey.

  • Rooted PMHNP Mentorship

    Private Practice Mentorship for Psychiatric-Mental Health Nurse Practitioners

  • Peacock Mental Health

    Arizona’s affirming mental health prescribers: offering LGBTQ+ affirming psychiatric care, and safety being your full self.

  • Prism Therapy Collective

    Where healing and inclusivity converge to illuminate the diverse spectrum of human experiences.

  • Integra Mental Health

    Where psychiatry = science + soul.

    Integrative psychiatric care that’s deeply attuned to the needs of LGBTQIA+ communities, and offers high-quality, specialized care for the whole person.

“This is incredible. What an accomplishment to put this curriculum together…I’ve never seen anything like this.”

Tesiah Coleman, NP

“This educational content was truly incredible. There many impactful learnings and re-learnings for me. I believe this would be such a great addition that will help educate and support the newest generation of PMHNPs (and me!)”

Kirby Williams, PMHNP-BC

You are such a solid teacher! I’m not just blowing smoke…. You are confident, measured, and very approachable, in addition to clearly knowing your stuff.

That’s a combination you don’t always find.

Andrew Penn, PMHNP-BC

“I think your videos are excellent. You have a very soothing voice and everything is so well thought-out it makes watching the videos a true pleasure.

Meg Higgins, LCSW-C

“We played your content recently while we were driving for a road trip and it was amazing!!! The POTS, EDS, and MCAS content that we listened to was excellent as I have embarked on researching and learning about these conditions myself and was ansure how to educate my providers. This is well suited for us.”

Dr. Az del Pino, PMHNP-BC, DNP

What people are saying:

“OMFG. Jess. YOUR PROGRAM IS SO F***ING GOOD!!!”

Stephanie Olarte, Ph.D

“I’m blown away by how comprehensive this is, and I’m only through the history portion!”

Ike Lughna, LCSW

"I highly recommend this training to any mental health provider who wants a better understanding of what our trans clients face. This training was comprehensive and thorough and provided a lot of really great resources for providers and patients alike. This training will help me advocate for my patients and reduce a barrier to care. "

Christine Possemato, PMHNP-BC