Skip to main content

Harborside Psych

New Clients
Contact us
(508) 876-3448

Medication Management for Medfield, MA

Harborside Psychiatrics is based on Cape Cod, in Yarmouth Port, Massachusetts, and the clinical team delivers medication management entirely by telehealth to patients across the state, including Medfield. That structure matters here in particular: Medfield is a town where a working parent squeezing an appointment between school pickup and a client call is the norm, not the exception, and video visits are built around that reality rather than around office hours designed for someone else’s schedule.

Medfield sits at the edge of a broader stretch of towns running from Lexington and Weston through Sudbury and Hopkinton toward the 495 corridor, and while those towns vary in size and feel, Medfield itself tends to draw families who value a strong school system, a quieter pace than towns closer to Boston, and a level of privacy around personal health matters. A telehealth psychiatric nurse practitioner appointment fits that preference: no waiting room, no chance of running into a neighbor, just a private video visit from home.

Find a Clinician

Medication Management for people in Medfield, MA

Every appointment at Harborside happens over secure video. You will need a smartphone, tablet, or computer with a camera and a stable internet connection. There is no app to install beyond what your clinician’s scheduling system uses, and you can take the appointment from home, your car, or a private office.

An initial evaluation typically runs longer than a follow-up, giving your clinician time to go through your history, current symptoms, and any medications you have tried before. Follow-up appointments are shorter and are scheduled at a cadence your clinician sets based on your situation, often more frequent at the start and spacing out as things stabilize.

If medication is part of your plan, prescriptions are sent electronically to the pharmacy of your choice in Medfield or anywhere else in Massachusetts. Because Harborside is a Massachusetts-based practice treating a Massachusetts resident, this includes medications that require extra regulatory steps, such as certain stimulants used for ADHD, when your clinician determines they are appropriate.

How telehealth care actually works

Medication management at Harborside addresses common concerns that bring people to a prescriber: anxiety that interferes with work or sleep, depression, ADHD in adults, mood swings, obsessive-compulsive patterns, and trauma-related symptoms. Some patients come in already knowing what they are dealing with. Others come in only knowing that something is off and want a clinician to help sort out what that is and what, if anything, medication can reasonably help with.

Medication management is often paired with therapy, either through Harborside’s own therapy team or a therapist you already see elsewhere. Your prescriber will talk with you about whether that combination makes sense for your situation.

What we treat

The first visit is a full evaluation. Your clinician will ask about your current symptoms, your health and psychiatric history, any medications or supplements you take now, and what has or has not worked in the past. You should expect to talk about sleep, appetite, work and family stress, and substance use, since all of these affect what treatment makes sense.

By the end of the appointment, you and your clinician should have a working plan. That might mean starting a medication, adjusting one you already take, holding off on medication while other things are addressed first, or a referral for therapy. You will also know when your next appointment is and what to watch for in the meantime.

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 licensed and qualified to evaluate, diagnose, and prescribe for mental health conditions. Full bios and credentials for each of them are available on the team page.

Therapy, including eating disorder-focused work, is provided by Harborside’s licensed therapy team: Hannah Legesse, LICSW, Tori Mahoney, LMHC, Jacquelyn Duford, LCMHC ATR, and Lexie Carchedi, LCSW. Depending on what you need, your care may involve a prescriber alone, a therapist alone, or both working together.

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

If you are in Medfield and thinking about medication management, the next step is booking an initial evaluation. You can review clinician availability, ask questions about fees ahead of time, and complete the first appointment from wherever is private and comfortable for you. There is no requirement to have a diagnosis already in hand or to know exactly what you want to discuss. That is what the first visit is for.

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 situation.

Contact Us

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.

Contact Us