Does Outro operate outside the U.S.?

Outro currently operates only in the United States. We are not licensed to provide clinical care to patients located outside the U.S. — including Canada, the U.K., and other international regions — and we do not have a specific timeline for international expansion.

If you're in Canada

While Outro is not currently operating in Canada, there are a couple of close friends of the company that offer tapering services and/or support there:

  • Monica Mina — A Nurse Practitioner who practices virtually in ON and BC. Monica is one of the most experienced clinicians in hyperbolic tapering in Canada.
  • Shawn Gill — An Ontario-based pharmacist who provides deprescribing and health coaching.

If you're outside the U.S. and Canada

We don't yet have referral partners in other countries, but the resources below are available to anyone, regardless of location.

Free resources available worldwide

  • Outro Library — Free educational resources on antidepressant tapering.
  • Outro Health Webinars — Conversations with Dr. Mark Horowitz (our scientific co-founder) and Dr. Shapiro.
  • Outro Blog — A collection of articles written by the Outro team on identifying withdrawal symptoms, safe tapering practices, and lifestyle medicine for sustainable mental wellness.
  • SurvivingAntidepressants — Peer support community with a large international membership.
  • Inner Compass Initiative: Information and advice on psychiatric drug withdrawal and tapering.
  • Royal College of Psychiatrists guidelines on stopping antidepressants.

Join the waitlist

If you'd like to be notified when Outro expands to your region, please join our waitlist. We share expansion news as it becomes available.

Did this answer your question? Thanks for the feedback There was a problem submitting your feedback. Please try again later.