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Medication Management for Brookline, MA

Harborside Psychiatrics is based on Cape Cod, but the practice was built around video care so location never has to decide who you can work with. That matters in a city like Brookline, where a lot of patients have already read the research, compared a few options, and want a clinician who will talk with them like a capable adult rather than hand them a pamphlet. This page explains how medication management works for people living in Brookline, from the first appointment through ongoing follow-up.

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Medication Management for people in Brookline, MA

Brookline is dense, walkable, and full of people who split their time between Boston University, Boston College, Harvard-adjacent labs, hospital residencies, and demanding professional jobs. A lot of that work happens on a schedule that does not leave room for a mid-afternoon drive to an office and a wait in a lobby. Medication management by video fits into that reality without asking you to reorganize your week around it.

It also means you get a clinician who expects you to ask questions, look things up, and want a clear rationale for a diagnosis or a prescribing decision. That is the standard of conversation this page is describing.

How telehealth care actually works

Harborside is based in Yarmouth Port, Massachusetts, and delivers medication management to patients across the state by live video. Here is what that actually looks like in practice.

  • Technology: You need a smartphone, tablet, or computer with a camera and a stable internet connection. Sessions run through a secure video platform, and you get a link ahead of each appointment.
  • Session length: Initial evaluations typically run longer than follow-ups, since the first appointment covers history, current symptoms, and prior treatment. Follow-up appointments are shorter and focused on how a medication or dose is working.
  • Frequency: How often you’re seen depends on where you are in treatment. Someone starting or adjusting a medication is usually seen more frequently at first, then moves to a longer interval once things are stable.
  • Prescriptions: When a prescription is appropriate, it’s sent electronically to the pharmacy of your choice in Brookline or anywhere else in Massachusetts. You don’t need to pick up paperwork or call it in yourself.

The video format doesn’t change the substance of the visit. You still get a full evaluation, a clear discussion of options, and a specific plan you understand before you log off.

What we treat

Medication management at Harborside addresses common mental health conditions where medication can be part of the picture, including depression, anxiety, ADHD, bipolar disorder, and related mood and attention concerns. Some patients come in already diagnosed and looking for a new prescriber to continue or adjust an existing regimen. Others come in with symptoms they haven’t had formally evaluated yet. Both are appropriate reasons to schedule an initial appointment.

Massachusetts allows Harborside’s prescribers to work with the full range of medications used for these conditions, including stimulant medications for ADHD when clinically appropriate, so a Brookline patient isn’t limited to a narrower set of options because of state rules.

What the first appointment involves

The first appointment is an evaluation. Your clinician asks about current symptoms, how long they’ve been present, what you’ve already tried, family history, and anything happening in your life that’s relevant to your mental health. You’ll be asked directly about your goals for treatment and any concerns you have about medication. By the end of that appointment, you should have a working diagnosis, a discussion of treatment options including medication and non-medication approaches, and next steps you both agree on.

Who our clinicians are

Medication management and functional psychiatry at Harborside are performed by psychiatric nurse practitioners: Rachel Egan, RN PMHNP-BC, who is Harborside’s clinical director and a cofounder of the practice, 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 posted on the team page.

Therapy and eating disorder work at Harborside are delivered by the licensed therapy team: Hannah Legesse, LICSW, Tori Mahoney, LMHC, Jacquelyn Duford, LCMHC ATR, and Lexie Carchedi, LCSW. A patient in Brookline working with a prescriber for medication management can also be referred to this team if therapy is part of the plan.

What it costs

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 any questions about cost can be answered before you book anything.

Getting started

If you’re in Brookline and considering medication management, the next step is scheduling an initial evaluation. You can review clinician bios on the team page, check current fees on the pricing page, or reach out with questions first. There’s no requirement to have a diagnosis or a treatment plan already worked out before you call.

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Frequently Asked Questions

Do I need a diagnosis already to book an appointment?

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.

This page is educational and is not medical advice. It does not create a provider-patient relationship. [CITATION: SAMHSA or American Psychiatric Nurses Association resource on medication management for mental health conditions]

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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