Unlike a traditional psychiatric work-up, a functional medicine approach takes the whole person into account. Harborside uses targeted testing to look for underlying deficiencies and physiological concerns that can drive poor mental health, rather than starting and ending with a symptom checklist. For families in Lynnfield who have built a life around stability, strong schools, and continuity, that kind of unhurried, whole-person evaluation tends to matter as much as the diagnosis itself.
People in Lynnfield often come to this work already careful about who they let into their lives, medically and otherwise. Discretion and a relationship with one clinician over time, rather than a rotating cast of providers, are part of what makes functional psychiatry a good fit here.
Harborside Psychiatrics is based in Yarmouth Port, Massachusetts, and delivers care by video to patients across the state, including Lynnfield. You do not travel to an office. You need a private space, a stable internet connection, and a computer or smartphone with a camera. Sessions happen through a secure telehealth platform, and the link is sent ahead of each appointment.
An initial functional psychiatry evaluation runs longer than a standard follow-up, because it includes a detailed history and a discussion of any lab work or targeted testing that may be relevant to your symptoms. Follow-up appointments are shorter and are scheduled at an interval your clinician sets based on where you are in care, often every few weeks at the start and less frequently once things settle. If medication is part of your plan, prescriptions are sent electronically to the pharmacy of your choice in Lynnfield or wherever is convenient for you.
Functional psychiatry at Harborside is used with adults dealing with anxiety, depression, ADHD, mood instability, sleep problems, and fatigue or low motivation that has not fully made sense in prior treatment. The approach is also used alongside more traditional psychiatric care for people who want a fuller picture of what might be contributing to how they feel, including nutritional status, hormonal patterns, and other physiological factors that standard psychiatric evaluations do not always examine.
This is not a replacement for therapy or medication management when those are indicated. It is often used together with them, as part of a broader plan built around your history and your goals.
Your first visit is a conversation, not a procedure. Your clinician will ask about your mental health history, physical health, sleep, diet, stress, and any medications or supplements you currently take. Based on that conversation, they may recommend specific lab testing to check for things like nutrient deficiencies, thyroid function, or other markers that can affect mood, energy, and concentration. Any testing is explained before it is ordered, and results are reviewed with you directly, in plain language, with time to ask questions.
From there, you and your clinician build a plan together. That might include medication, targeted supplementation, lifestyle adjustments, referral to therapy, or some combination, depending on what your evaluation and testing show.
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, and each brings a whole-person lens to functional psychiatry work. Full bios and credentials for each clinician are on the team page.
When therapy is part of your care, or when eating disorder support is needed, that work is delivered by Harborside’s licensed therapy team: Hannah Legesse, LICSW, Tori Mahoney, LMHC, Jacquelyn Duford, LCMHC ATR, and Lexie Carchedi, LCSW.
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 Lynnfield and considering functional psychiatry, the next step is scheduling an initial evaluation. You can review the approach in more detail on the functional psychiatry service page, learn more about telehealth options across the state on the Massachusetts telehealth page, or see how Harborside works with other communities on the North Shore region page. If anxiety is a primary concern for you, the anxiety treatment page has more detail on how that work fits alongside a functional approach.
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. Reviewed by Rachel Egan, RN PMHNP-BC, clinical director, {LAST_REVIEWED}.
No. It’s psychiatric care from a licensed psychiatric nurse practitioner that also reviews lab work and lifestyle factors, not a separate functional medicine practice.
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.