Harborside is based on Cape Cod, in Yarmouth Port, and the team delivers medication management by video to people across Massachusetts, including Hingham. That structure matters here. Hingham runs on long working days, harbour-side routines, and a lot of households with one or both adults commuting into Boston. A visit that would otherwise cost a half-day of leave, a train schedule, and a parking search becomes a session you can take from a car, a home office, or a quiet room between meetings.
This page explains what medication management with Harborside involves for someone in Hingham: how the video visits work, what conditions are addressed, who prescribes, and what it costs before you book anything.
People come to medication management for a range of reasons: a diagnosis that was never fully addressed, a medication that has stopped working the way it used to, or a first attempt to talk to a prescriber about anxiety, low mood, attention difficulties, or sleep that has been off for months. Whatever brought you here, the appointments are built around your schedule and your history, not a walk-in clinic model.
Because care is delivered by telehealth, you are not choosing between an in-person appointment near you and one further away. You are choosing a prescriber who can see you on a screen at a time that does not require rearranging your whole day.
Appointments happen over secure video, using a link sent ahead of time. You need a phone, tablet, or computer with a camera and a stable internet connection, and a private place to talk for the length of the visit. No special software or app download is required beyond what your device already supports.
The first appointment runs longer than the ones that follow, generally allowing time for a full history, current symptoms, past medication trials, and family or medical background relevant to prescribing. Follow-up appointments are shorter and focus on how a medication is working, side effects, and any adjustments. How often you are seen depends on where you are in treatment: more frequently at the start, less often once a plan is stable.
If a prescription is appropriate, it is sent electronically to the pharmacy of your choice, the same as it would be from an in-person visit. Harborside is based in Yarmouth Port, Massachusetts, and clinicians are licensed to prescribe to patients located in Massachusetts at the time of the appointment, which includes Hingham.
Medication management at Harborside covers common mental health conditions that respond to a combination of evaluation, medication, and monitoring over time. This includes anxiety and panic symptoms, depression and low mood, attention and focus difficulties including ADHD, sleep disruption, and mood symptoms that affect daily functioning. Some patients are also referred for functional psychiatry, which looks at how nutrition, sleep, and physical health factors intersect with mental health symptoms.
Every plan starts with a conversation about what you are experiencing and what you have already tried, not a checklist.
The first visit is an evaluation. Expect questions about your current symptoms, how long they have been present, what has helped or not helped before, other medications or supplements you take, and relevant family and medical history. This is also your chance to ask questions about how a medication works, what side effects to watch for, and what the follow-up schedule will look like.
By the end of the appointment, you should have a clear sense of the plan, whether that includes a new prescription, an adjustment to an existing one, or a referral to one of Harborside’s therapists for concurrent support.
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 of them are on the team page.
Therapy, including eating disorder work, is delivered by Harborside’s licensed therapy team: Hannah Legesse, LICSW, Tori Mahoney, LMHC, Jacquelyn Duford, LCMHC ATR, and Lexie Carchedi, LCSW. Many patients in Hingham combine medication management with regular therapy, and the two teams coordinate on shared patients when that is part of the plan.
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 Hingham and considering medication management, the next step is scheduling an initial evaluation. You can review the medication management service page for more detail on the process, or look at the Massachusetts telehealth page and the South Shore region page for how care is delivered across your area. If anxiety is part of what brought you here, the anxiety treatment page covers that in more depth.
Questions about fit, scheduling, or cost can be answered by phone or email before you commit to a first appointment.
This page is educational. It is not medical advice and does not create a provider-patient relationship. 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.
For general information on mental health conditions and treatment options, see the National Institute of Mental Health. [CITATION: NIMH overview page on mental health conditions and treatment, used as a neutral government health source]
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.