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Harborside Psych

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Medication Management for Dover, MA

Harborside is based on Cape Cod, but the team built its practice around telehealth so that people across New England can get care from the same clinicians, without needing a local office nearby. In Dover, that often means a parent researching options between school pickup and a work call, trying to find something that will actually fit into a family’s schedule and won’t require another commute added to an already full week.

Dover is a small, close-knit town where a lot of households are managing high expectations at work and at home, and where privacy matters to people. Video appointments let you have a psychiatric evaluation or a medication check-in from a home office or a parked car without anyone in a waiting room knowing your business.

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Medication Management for people in Dover, MA

Care is delivered entirely by secure video. You will need a smartphone, tablet, or computer with a camera and a stable internet connection. There is no app to buy and no software to install beyond what your appointment confirmation walks you through. Harborside is based in Yarmouth Port, Massachusetts, and every clinician is licensed to see patients located in Massachusetts at the time of the appointment.

An initial medication evaluation typically runs longer than a follow-up, since it involves a full history: current symptoms, past treatment, medical background, and what you are hoping care will address. Follow-up appointments are shorter and focus on how a medication is working, whether a dose needs adjusting, and any side effects worth discussing. Most people are seen every few weeks in the early phase of care, then at longer intervals once things have settled.

If a prescription is appropriate, it is sent electronically to the pharmacy of your choice in Dover or wherever is most convenient for you. Massachusetts permits Harborside’s clinicians to prescribe controlled medications, including stimulants, when clinically appropriate, following the same evaluation and monitoring standards used for any other medication.

How telehealth care actually works

Harborside’s prescribers work with adults and adolescents dealing with anxiety, depression, ADHD, mood dysregulation, insomnia, and the kind of chronic stress that builds up over years of juggling work, school, and family demands. Medication management is also used alongside therapy for people managing obsessive-compulsive patterns, panic symptoms, or the aftereffects of a difficult stretch of life. Every plan starts from an individual evaluation rather than a preset protocol, because what helps one person’s anxiety may not fit someone else’s.

What we treat

Your first visit is a conversation, not a form to fill out and forget. Expect questions about your current symptoms, sleep, appetite, family history, prior medications or therapy, and what a typical week looks like for you. Your clinician will talk through what they are seeing and what options exist, including medication, therapy, or both. If a prescription makes sense, you will discuss what to expect, how soon it may start to have an effect, and what side effects to watch for. Nothing is decided without your input.

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 Harborside’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 available on the team page.

Therapy and eating disorder care are delivered by Harborside’s licensed therapy team: Hannah Legesse, LICSW, Tori Mahoney, LMHC, Jacquelyn Duford, LCMHC ATR, and Lexie Carchedi, LCSW. Many patients in Dover work with a prescriber and a therapist together, coordinating on one plan rather than juggling two separate providers who never speak.

Who our clinicians are

Harborside is a private-pay practice and does not bill insurance directly for appointments. Current fees for an initial evaluation and for follow-up appointments are listed on the pricing page. If you have questions about cost, you can ask before anything is scheduled.

What it costs

You can request an appointment online and choose a time that works around your schedule. Once your first visit is booked, you will receive instructions for connecting to your video session. There is no referral required to begin care with Harborside’s medication management team.

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. Care decisions should be made with a licensed clinician who has evaluated your specific situation.

[CITATION: American Psychiatric Nurses Association resource on psychiatric-mental health nurse practitioner scope of practice]

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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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