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Harborside Psych

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Medication Management for Arlington, MA

Harborside is based on Cape Cod, in Yarmouth Port, Massachusetts, and delivers medication management by telehealth to people across the state, including Arlington. Care happens over video, not in a waiting room, which matters if your day is already full before it starts.

Arlington is a town of older triple-deckers, postwar side streets, and families where both parents are commuting into Boston or working long hybrid schedules. Squeezing in a mental health appointment usually means fitting it between a drop-off and a meeting, not carving out a half-day. Before you book anything, you probably want to know exactly what a first appointment looks like and how ongoing care actually runs. That is what this page covers.

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Medication Management for people in Arlington, MA

All appointments happen over secure video. You will need a smartphone, tablet, or computer with a camera, a private space where you can talk openly, and a stable internet connection. That is the whole technical requirement.

Initial evaluations typically run longer than follow-up visits, giving your prescriber time to go through your history, current symptoms, and any medications you have already tried. Follow-up appointments are shorter and are scheduled at an interval that fits your treatment, often more frequent early on and spacing out once a medication plan is settled.

If a prescription is appropriate, it is sent electronically to the pharmacy of your choice in Arlington or wherever you normally fill medications. You do not need to travel to Yarmouth Port for any part of this. The clinical team is based there; the care comes to you by video, wherever you are in Massachusetts.

Massachusetts law allows this practice to prescribe controlled medications, including stimulants used for ADHD, when clinically appropriate, using the same telehealth model.

How telehealth care actually works

Medication management at Harborside addresses conditions such as depression, anxiety, ADHD, bipolar disorder, and related mood and attention concerns. Some patients come in with a diagnosis already in hand and want a prescriber to review and adjust their current medication. Others are starting from scratch, unsure whether what they are feeling has a name, let alone a treatment. Both are appropriate reasons to book an evaluation.

Medication management is often paired with therapy, either through Harborside’s own therapy team or a therapist you already see elsewhere. The two are not mutually exclusive, and your prescriber will talk with you about what combination makes sense for your situation.

What we treat

Your first visit is an evaluation. Expect questions about your current symptoms, your medical and psychiatric history, any medications or supplements you take now, and what has or has not worked before. This is also your chance to ask questions: about side effects, about how long a medication trial typically takes to assess, about what follow-up looks like.

By the end of the appointment, you and your prescriber should have a plan, whether that means starting a medication, adjusting an existing one, ordering labs, or deciding that medication is not the right fit yet and therapy alone is a better starting point.

What the first appointment involves

Medication management and functional psychiatry at Harborside are performed by psychiatric nurse practitioners: Rachel Egan, RN PMHNP-BC, who is also the clinical director, Emily Pardue, RN PMHNP-BC, and Kirstin Ritchie, RN PMHNP-BC. Each is qualified to evaluate, diagnose, and prescribe for mental health conditions. Full bios and credentials for each clinician are on the team page.

Therapy and eating disorder work are delivered by Harborside’s licensed therapy team: Hannah Legesse, LICSW, Tori Mahoney, LMHC, Jacquelyn Duford, LCMHC ATR, and Lexie Carchedi, LCSW. If your care plan includes therapy alongside medication, you may work with one of them directly.

Who our clinicians are

Harborside is a private-pay practice and does not bill insurance directly for appointments. Current fees for an initial and a follow-up appointment are listed on the pricing page, and questions about cost can be answered before anything is booked.

What it costs

If you are ready to schedule, you can book an initial evaluation directly. If you are still deciding, reviewing the medication management service page or the Massachusetts telehealth page can help you understand how care is structured before you commit to a date. Residents in and around the Inner Metro North area, including Arlington, can also see medication management paired with therapy for conditions like generalized anxiety disorder when that combination fits.

Getting started

If you are in immediate danger, call 911. For mental health crisis support, call or text 988. Harborside does not provide emergency or after-hours care.

This page is educational and is not medical advice. It does not create a provider-patient relationship. Any treatment decision should be made with a licensed clinician who has evaluated your specific history and symptoms.

Reviewed by Rachel Egan, RN PMHNP-BC, Clinical Director. Last reviewed: {LAST_REVIEWED}.

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Frequently Asked Questions

Do I need a diagnosis already to book an appointment?

No. The first appointment includes a full evaluation, so a prior diagnosis isn’t required to get started.

Yes, with your permission. Many patients keep an existing therapist and use Harborside only for medication management.

It depends on the medication and how you’re responding to it. Some patients are seen monthly at first, then less often once things are stable.

Prescriptions are sent electronically to the pharmacy of your choice, the same as they would be after an in-person visit.

Harborside is private-pay and doesn’t bill insurance directly. A superbill is available for out-of-network reimbursement, where a plan allows it.

That’s part of ongoing management. Changes are discussed and made together at a follow-up visit, not on your own.

If you need help right now

If you are in immediate danger, call 911. For mental health crisis support, call or text 988. Harborside Psychiatrics does not provide emergency or after-hours care.

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