Harborside is based on Cape Cod, but the practice works with clients across Cambridge and the rest of Massachusetts using video appointments. If you live in Cambridge, you have probably already read about the medication being discussed, formed a few questions, and want a clinician who will engage with those questions rather than wave them off. That is the kind of conversation medication management at Harborside is built to have.
Cambridge is a city of researchers, students, clinicians, and people who spend their days thinking carefully for a living. When it comes to their own care, many want the same rigor applied: a clear rationale for a diagnosis, an honest discussion of what a medication does and does not do, and room to ask a second or third question before agreeing to anything.
Medication management at Harborside starts from that expectation. Appointments are conversations, not scripts. You are treated as someone capable of understanding the reasoning behind a recommendation, because you are.
Harborside is based in Yarmouth Port, Massachusetts, and delivers medication management entirely by video to clients across the state, including Cambridge. You do not travel to Cape Cod, and there is no waiting room involved at any point.
Here is what the mechanics actually look like:
The video format does not mean less attention. It means the appointment happens from wherever you already are.
Medication management at Harborside addresses conditions such as depression, anxiety disorders, ADHD, bipolar disorder, obsessive-compulsive patterns, and sleep difficulties that are affecting daily functioning. It also includes ongoing management for people already on a medication regimen who need a clinician to monitor and adjust it over time, and functional psychiatry approaches that look at nutrition, sleep, and lifestyle factors alongside medication.
Every plan is built around your specific history and current symptoms, not a standard protocol applied the same way to everyone.
The first appointment is a full evaluation. Your clinician will ask about your current symptoms, your medical and psychiatric history, any medications you have tried before, and what has and has not worked. You should expect to talk about sleep, substance use, family history, and anything else relevant to an accurate diagnosis.
By the end of that appointment, you will have a working diagnosis, a discussion of treatment options including medication and non-medication approaches, and a plan for what happens next, whether that is starting a medication, adjusting one you are already on, or simply monitoring for now.
Medication management and functional psychiatry at Harborside are performed by psychiatric nurse practitioners: Rachel Egan, RN PMHNP-BC, who is also the practice’s 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 at Harborside are delivered by the licensed therapy team: Hannah Legesse, LICSW, Tori Mahoney, LMHC, Jacquelyn Duford, LCMHC ATR, and Lexie Carchedi, LCSW. Some clients work with a prescriber and a therapist together, coordinating care between the two.
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.
If you are in Cambridge and considering medication management, the first step is scheduling an initial evaluation. You can look over clinician bios, check current fees, and book an appointment online without a referral. Sessions happen on your schedule, by video, from wherever you are.
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. Care decisions should be made with a licensed clinician who knows your history.
[CITATION: National Institute of Mental Health overview of mental health medications, for readers who want a neutral clinical reference on how these medications work]
Clinical review: Rachel Egan, RN PMHNP-BC, Clinical Director. Last reviewed {LAST_REVIEWED}.
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.