Gender-Affirming Care Training
Trans-affirming care isn't a specialty.
It's a standard.
I'm Jess Romeo, PMHNP-BC, MSW. I built My Gender IQ because the training I found when I went looking was either a 90-minute webinar on asking for pronouns or a 400-page textbook that made experienced clinicians feel like beginners. These courses sit in the middle: clinical depth you can use, taught by people who do this work every day. Most of them carry CE/CME credit.
Start with something free you'll use this week, and get CE when you're ready.
Where are you starting from?
Pick one and I'll hand you three things, in order.
I built this so trans-affirming care becomes the standard everywhere, not a specialty a few clinicians carry.
If you're here, you're already part of that. Let me help you get good at it.
Queerest Regards, Jess Romeo, PMHNP-BC, MSW
Before you buy
Do the courses include CE?
Most do, and the hours are on each card. CE comes through Pinnacle Conference, LLC, which is jointly accredited by ACCME, ACPE and ANCC. Physicians get AMA PRA Category 1, nurses and NPs get ANCC contact hours, PAs get AAPA Category 1, social workers get ASWB ACE, psychologists get APA credit, and pharmacists, dietitians, dentists and athletic trainers get credit too. Counselors and everyone else get an AMA PRA Category 1 participation certificate, so check what your board accepts. A few lessons don't carry APA or ASWB credit, so psychologists and social workers may earn slightly fewer hours than the card shows. To claim it, you finish short pre- and post-assessments and a survey. Credit is available through August 14, 2028.
Can I pay over time?
Yes. Nearly every course has a monthly plan, and Transcend can be spread over 12 or 24 months. The monthly price is on each card, so there's no math at checkout.
How long do I keep access?
Most courses and toolkits are yours for life, and the toolkits include a year of updates. A few courses have a set access window, and it's listed on the checkout page.
Is this only about gender-affirming care?
Mostly. But trans clients don't arrive one diagnosis at a time, so there's chronic illness, neurodivergence, eating disorders and psych meds in here too. Psych Meds & the Therapist's Role is for any therapist who refers clients for medication.
Who teaches this?
I lead the curriculum, with 15 other faculty, including Rebecca Minor, Aery Maxwell, LCSW-C, and Tesiah Coleman. My OutPsych colleague Janine Michaelson, PMHNP-BC, leads Psych Meds & the Therapist's Role.

