Labrys Health
Services
Mental Health Care
Tina provides specialized psychiatric care for mood disorders and has deep expertise in the diagnosis and treatment of adult ADHD and autism. She works closely with neurodivergent adults, particularly those who mask symptoms or fall outside traditional diagnostic frameworks. Her practice is especially attuned to the needs of women, LGBTQ individuals, and people of color—populations often overlooked or misdiagnosed in standard mental health settings. Evaluations are comprehensive, affirming, and grounded in each person’s lived experience.
She also brings a strong understanding of the connection between hormones, mood, and attention. As a certified menopause practitioner and experienced provider of gender-affirming care, Tina integrates hormonal treatment into psychiatric care when appropriate. She offers support for PMDD, perimenopausal mood changes, and ADHD symptoms that shift across the menstrual cycle, postpartum period, or in the context of hormone therapy.
Areas of focus include:
ADHD and Autism in adults
Depression and anxiety
PMDD and hormonal mood symptoms
Trauma-related distress
OCD
Mood and focus concerns during hormonal transitions
Peri-menopause and Menopause Treatment
Perimenopausal symptoms can begin in the late 30s or early 40s and often impact daily life long before periods stop. While hot flashes are common, symptoms often go far beyond that including mood changes, sleep disruption, joint pain, bone loss, reduced libido, painful sex, brain fog, and memory issues. Hormonal fluctuations during this time can also worsen existing depression, anxiety, or ADHD.
Estrogen therapy may significantly improve quality of life during this transition. Tina has extensive experience prescribing and adjusting hormone therapy and will work with you to find the approach that fits best. Together, you’ll create a personalized plan that may include hormonal and non-hormonal options, along with lifestyle strategies, to help you feel more clear, grounded, and well through midlife and beyond.
Gender Affirming Care
Tired of having to explain your identity or educate your provider about your care needs? You’re not alone. Tina offers expert, personalized gender-affirming care that respects your lived experience. As a queer clinician with over 20 years of experience prescribing hormones, she understands how essential it is to feel seen, safe, and respected.
Hormone therapy is provided using a consent-based model no therapy letter is required to get started. Care is individualized and collaborative, guided by your goals and the pace of change that feels right for you. Whether you’re starting hormone therapy for the first time or refining an existing regimen, Tina provides thoughtful, evidence-informed support grounded in current research and extensive clinical experience.
Each treatment plan is built around your health, priorities, and lived experience. Care is closely monitored and adjusted as needed to ensure both safety and satisfaction. Tina brings deep clinical expertise and a longstanding commitment to providing affirming, individualized care to every patient.
Tina Celenza Remillard, PA-C (she/her) brings over 20 years of clinical experience to her practice, with a focus on holistic, person-centered care. She is board-certified in internal medicine with additional specialization in psychiatry, gender-affirming care, and the treatment of perimenopause and menopause symptoms.
Tina has spent her entire career providing care within the LGBTQ+ community and remains deeply committed to inclusive, individualized, and evidence-based treatment. She holds a Certificate of Added Qualifications in Psychiatry from the National Commission on Certification of Physician Assistants and is certified as a Menopause Practitioner by the Menopause Society.
In addition to her clinical work, Tina serves as a medical consultant for TransLine, a national consultation service that supports healthcare providers in delivering high-quality gender-affirming care through real-time clinical guidance and peer collaboration.
Tina is a graduate of Tulane University and The George Washington University School of Health Sciences. A former professional figure skater, she also taught individual and group skating lessons in the DC area for over 15 years. She currently lives in Washington, DC with her wife, son, and two adorable cats.
Tina Celenza Remillard, PA-C CAQ Psychiatry
