$450/month for 6 months

Your payment information will be stored on a secure server for future purchases

Please read the following consent form thoroughly before signing. 

Copyright: By agreeing to the terms and conditions, I understand that the information enclosed in this program is the private and confidential intellectual property of Jess Romeo, PMHNP-BC, MSW, and only intended for individuals with a unique login. 

I agree not to share my login information or program content with anyone in order to protect: 

  • The integrity of the program
  • The personal safety of individuals involved with content creation and presentation

This is unfortunately a necessary consideration in a political environment where gender-affirming care is under attack, and those who provide it can be subject to threats & violence. As a result, it is crucial that access to this information, and the identity of its presenters, is limited to those who understand the risks involved with sharing it more broadly, and have agreed not to do so.

Worksheets, presentation slides, office policies and other copyrighted documents are the property of Jess Romeo and Integra Training & Consultation, LLC -- and are free to use for those in the program. They cannot be shared elsewhere without the explicit written permission of Jess Romeo. I understand that if I am caught sharing logins or the intellectual property of the author(s), my account may be permanently terminated without notice and without possibility of refund.

Please discuss any questions you may have about how to share information you learn here in a manner that respects the intellectual property and the safety of its creators. 

 

Information and Education Only: This program is educational and informational in nature and is provided only as general information and is not medical or psychological advice, opinion, diagnosis, treatment or guarantee. It is not not intended to create and does not constitute any professional relationship between the user and Jess Romeo, including a collaborating provider relationship or formal supervision agreement. The information contained in this program is not comprehensive and does not include all the potential information regarding the subject matter, but is intended to serve as one resource for general and educational purposes.

HIPAA: I also understand that protected patient information may be shared for educational purposes as part of the course materials, and agree to abide by HIPAA regulations. 

Recording: I agree and understand that any group Q&A calls in which I participate are recorded and shared within the program, and I understand and agree that Jess Romeo will own these recordings.

Payment: When I sign up for this training program I will either pay upfront in full or split the total amount payable over a payment term, if this was an option available to me. I acknowledge and agree to pay the entire balance of the purchase including all monthly payments due and any finance charges added. I understand that failure to pay any due balance on my account will result in suspension of my account and I will not be able to access the training programs.

If you are dissatisfied with the course for any reason you may ask for a full refund within the first 14 days (2 weeks). No refunds are provided after 14 days.

 

Transcend: From Competence to Courage

There's No Shame In Not Knowing.

Only harm in pretending that you do.

Transcend exists for the in-between—for the clinicians who know enough to feel uneasy…

…and brave enough to want more.

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Pay Over:

3 Months  | 12 Months | 18 Months |  24 Months

You Want to Transform the Way You Practice.

Let’s be clear: Transcend is not another checkbox CEU.

It’s a mentorship space and advanced training designed to expand your clinical fluency, sharpen your ethical clarity, and deepen your presence with gender-diverse clients—especially in the moments that matter most.

This is where you build real, embodied competence. The kind clients feel immediately—and remember when they refer their best friend.

If you’re here, I imagine a few things are already true:

  • You care deeply about doing this right.

  • You’ve already picked up pieces—webinars, articles, maybe even a course or two.

  • You still feel like there’s a gap. A subtle second-guessing. A hesitation to fully claim: I know what I’m doing.

And you’re right to feel that way.

Because in trans-affirming care, the stakes are high. The margin for performative, surface-level work is narrowing. And your clients—consciously or not—can tell the difference.

That’s why I built Transcend.

To bridge the gap between intention and expertise.
Between affirming language and affirming practice.
Between “doing no harm” and doing real, reparative good.

Here’s what you’ll find inside:

📚 An advanced, self-paced curriculum

  • Deep clinical training on assessment, documentation, and care planning

  • Historical and sociopolitical grounding to contextualize your work

  • Real-world scripts, case studies, and tools—because this isn’t theoretical

🧠 Mentorship that makes you sharper

  • Intimate, facilitated consult groups where you’ll get smarter every time you show up

  • Space to bring the hard stuff—ruptures, doubts, complex cases

  • Feedback you can trust, from someone who’s both clinically trained and part of the community

🌱 A community that actually gets it

  • Not a generic Facebook group. This is a room full of clinicians who are doing the work

  • Interdisciplinary: therapists, med providers, coaches, parents of trans kids

  • Grounded in shared values and collective care

What’s different here?

Ask Stephanie—a psychologist who came in already competent, and left testifying before her state legislature on behalf of gender-affirming care.

“This wasn’t just a training. It changed the caliber of my work. I don’t doubt myself anymore. I know I’m the kind of provider my clients need—and deserve.”
— Dr. Stephanie Olarte

Ask Meg—a queer therapist who serves mostly trans clients, but used to feel isolated and unsure.

“Transcend gave me both the skill and the scaffolding. I’m writing letters I’m proud of. I’m consulting with confidence. And I’m no longer carrying this work alone.”
— Meg (they/them)

Will it ask something of you?

Yes.

You’ll be asked to reflect. To unlearn. To sit in complexity.
You’ll be challenged to grow your fluency, not just your vocabulary.
And you’ll be expected to bring your full self—your clinical acumen and your humanity.

But if you’re the kind of practitioner I think you are…
You wouldn’t want it any other way.

What you invest here will ripple outward—for years.

One letter. One conversation. One moment of attunement at exactly the right time.
That’s the difference you can make with this work.
And this is where you learn how.

Ready to build the kind of clinical competence that can’t be faked? 

When you're ready, the button's right there. I'll meet you on the inside.

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