A psychiatrist who actually gets it.
LGBTQ+ affirming medication management and psychiatric care — with providers who understand your identity as well as your mind. In person in Texas or online.
$20 per session for most people
What Is Medication Management?
Medication management is working with a licensed psychiatrist to assess, prescribe, and monitor medication that supports your mental health. It’s not about just writing a prescription — it’s an ongoing, collaborative process to find what actually works for you.
At Outspace, your psychiatrist understands that being LGBTQ+ shapes your experience of mental health in specific ways — from minority stress and identity-related anxiety to the nuances of hormone therapy interactions. You won’t have to explain your identity before you can talk about your symptoms.
Whether you’re exploring medication for the first time or looking for a psychiatrist who truly gets your experience, Outspace is built for you.
We treat the whole person, not just the symptoms.
Our psychiatrists are experienced across a wide range of mental health conditions — with deep expertise in the challenges that are unique to LGBTQ+ individuals.
Psychiatric care without the runaround.
From your first consult to ongoing support, we make it straightforward.
Book a free 15-minute consult
Tell us what you’re experiencing. We’ll match you with an LGBTQ+ affirming psychiatrist who fits your needs.
Complete your psychiatric evaluation
Your psychiatrist will conduct a thorough evaluation to understand your mental health history, symptoms, and goals before recommending any medication.
Ongoing Medication Management
Regular check-ins to monitor how you’re doing, adjust your treatment plan, and make sure your medication is working the way it should.
Better together.
Research shows that combining talk therapy with medication management leads to better outcomes for many mental health conditions. At Outspace, you don’t have to coordinate between two separate providers — your therapist and psychiatrist are already on the same team.
If you’re already seeing an Outspace therapist, adding medication management is seamless. If you’re starting with psychiatry, we can connect you with one of our therapists whenever you’re ready.
Why Outspace?
Providers who get it
Our therapists and psychiatrists don't just check a box — they're genuinely experienced in LGBTQ+ identities, experiences, and community-specific challenges.
Therapy & psychiatry, together
Get both talk therapy and medication management under one roof. No referrals to strangers, no retelling your story. Just coordinated care that actually works.
In-person & online in Texas
See us in person in Austin or Houston, or meet virtually from anywhere in Texas. Flexible scheduling so care fits your life — not the other way around.
Insurance-friendly care
We accept major insurances so LGBTQ+ affirming care doesn't have to break the bank. Most clients pay as little as $20 per session.
The people behind your care.
Licensed psychiatrists with real experience in LGBTQ+ mental health. They understand the intersection of identity and mental wellness — because it matters.
Komal Nathani
Komal is an LGBTQ+ affirming psychiatrist who works with queer, trans, and gender-expansive adolescents and adults navigating anxiety, depression, ADHD, trauma, and identity. She offers a space where your full self is welcome, and brings real understanding to the intersection of queerness, culture, and mental health.
MD Psychiatrist
Adam Butera
Adam is an LGBTQ+ affirming psychiatrist with 23 years in private practice, offering care for depression, bipolar disorder, anxiety, PTSD, OCD, addiction, and ADHD. He takes time to understand each person as a whole human being, working with adolescents, adults, and seniors across diverse backgrounds.
MD PsychiatristQuality psychiatric care that fits your budget.
We accept most major insurance plans, including Medicare, so LGBTQ+ affirming psychiatric care doesn’t have to be out of reach. Most clients pay as little as $20 per session. Without insurance, sessions start at $80.
Not sure if your plan covers medication management? Get in touch and we’ll help you check before your first appointment.
...and many more
Don’t wait to feel better.
Match with a licensed, LGBTQ+ affirming therapist or psychiatrist today — in Texas, for Texas.
Real questions. Honest answers.
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Your first appointment is a thorough conversation — your psychiatrist will ask about your mental health history, current symptoms, lifestyle, and goals. They’ll also ask about any previous medications and how they worked for you. At Outspace, your identity is part of that conversation from the start, not an afterthought.
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No referral needed. You can book directly through our website. If you’re already working with an Outspace therapist, your care will be coordinated automatically. If not, you can start with psychiatry and add therapy whenever you’re ready.
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Yes — and that’s the whole point of Outspace. Our psychiatrists have real training and experience in LGBTQ+ mental health, including gender dysphoria, minority stress, and the specific ways that identity intersects with mental wellness. You won’t have to spend your session educating your provider.
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Yes. Our psychiatrists are experienced in supporting trans and non-binary individuals, including those navigating gender dysphoria, transition-related anxiety, or the emotional weight of coming out. Medication can be one part of a broader care plan that works alongside therapy and, where applicable, hormone therapy.
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Our psychiatrists are experienced in working with patients on hormone therapy and take that into account when recommending or adjusting medications. Always share your full medication list — including HRT — during your evaluation so your provider can make the safest, most informed recommendations for you.
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Yes. Outspace offers virtual psychiatric appointments for anyone across Texas, as well as in-person sessions in Austin and Houston. Most follow-up medication management appointments work just as well online as they do in person.