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Functional Psychiatry for Cohasset, MA

Unlike a traditional psychiatric work-up, the functional medicine approach takes the whole person into account. Instead of starting and stopping at symptoms, Harborside uses targeted testing to look at underlying deficiencies and physiological concerns that may be contributing to how someone thinks and feels. For households in Cohasset, where the harbor and the village center anchor daily life but the workday often runs to Boston and back, this kind of care needs to fit around a commute, not compete with it.

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Functional Psychiatry for people in Cohasset, MA

Cohasset runs on routine: school drop-off, the train or the drive up Route 3A, a full day at work, and back again before dinner. There isn’t much slack in that schedule for a mid-morning appointment that eats into half a day. Functional psychiatry, as we practice it, is built to sit inside that routine rather than disrupt it. The evaluation looks beyond a symptom checklist to consider sleep, nutrition, thyroid function, inflammation, and other physiological factors that can shape mood, focus, and anxiety. The goal is a fuller picture of what’s happening in the body as well as the mind, gathered through a process that still works for someone who has a 7 a.m. call the next morning.

How telehealth care actually works

Care is delivered entirely by video. Harborside Psychiatrics is based in Yarmouth Port, Massachusetts, and works with patients across Cohasset and the rest of the state through secure telehealth sessions. All you need is a private space, a stable internet connection, and a phone, tablet, or computer with a camera.

Initial evaluations typically run longer than follow-up visits, since there’s more history and testing to cover in the first conversation. Follow-up appointments are shorter and scheduled at an interval that matches what’s being addressed, sometimes every few weeks, sometimes further apart once a plan is in place. If a prescription is part of the plan, it’s sent electronically to a pharmacy of your choosing, so there’s no separate trip involved beyond picking it up. Lab or testing orders, when relevant to a functional work-up, are also arranged so you can complete them locally.

What we treat

Functional psychiatry at Harborside is often used for people managing anxiety, depression, attention and focus concerns, mood swings, chronic fatigue tied to mental health, or symptoms that haven’t fully made sense under a standard diagnostic approach alone. It’s also relevant for people who want their care to account for factors like nutrient levels, hormonal shifts, or metabolic health alongside a standard psychiatric evaluation. This isn’t a replacement for every kind of care Harborside offers, but an added layer of assessment for people who want a broader look at what might be contributing to how they feel.

What the first appointment involves

The first visit is a conversation first. Expect questions about your history, current symptoms, sleep, diet, stress, and any medications or supplements you’re already taking. From there, your clinician may recommend targeted lab testing to check for things like thyroid irregularities, vitamin or mineral deficiencies, or other markers that can influence mental health. Once results are in, they’re reviewed together with your history to shape a plan, which may include medication, changes to diet or supplementation, referral to therapy, or a combination of these. Nothing is decided before that conversation happens.

Who our clinicians are

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, including the functional testing and treatment planning described above. Full bios and credentials for each clinician are on the team page.

Therapy is delivered by Harborside’s licensed therapy team: Hannah Legesse, LICSW, Tori Mahoney, LMHC, Jacquelyn Duford, LCMHC ATR, and Lexie Carchedi, LCSW. For patients in Cohasset whose care includes both medication and talk therapy, these two parts of the team coordinate directly so the plan holds together.

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 questions about cost can be answered before anything is booked.

Getting started

If you’re in Cohasset and thinking about whether functional psychiatry makes sense for you, the next step is a scheduled video appointment. You can find more detail on the approach on our functional psychiatry service page, learn more about telehealth eligibility across the state on our Massachusetts telehealth page, or see how we work with other South Shore communities on our South Shore region page. If anxiety is a main concern, our anxiety treatment page walks through how that’s addressed alongside a functional work-up.

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Frequently Asked Questions

Is functional psychiatry the same as functional medicine?

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 does not constitute medical advice. It does not create a provider-patient relationship. For guidance on evaluating physiological contributors to mental health, see the [CITATION: National Institute of Mental Health or similar federal health resource on integrated approaches to mental health care].

No. Whether labs make sense is decided together at the first visit, based on your history and symptoms.

Bring it to your first appointment. Existing results can often be used instead of repeating tests.

No. Labs are typically billed separately by the lab itself and may be partly covered by insurance depending on the plan.

Yes. It’s meant to work alongside an existing therapist or primary care provider, not replace them.

Functional psychiatry includes the same prescribing and monitoring, plus a review of physical health factors like sleep, nutrition, and lab markers.

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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