Unlike a traditional psychiatric work-up, a functional medicine approach takes the whole person into account. Instead of starting and stopping at a symptom checklist, Harborside uses targeted testing to look for underlying deficiencies and physiological concerns that may be contributing to how someone thinks, sleeps, and feels. For Sharon residents balancing school schedules, commutes into Boston, and the quiet expectation of having things handled, a plain accounting of what this kind of care actually involves, and what it costs, tends to matter more than a polished sales pitch.
Sharon is a settled, family-oriented town, and many residents are already careful about what they eat, how they sleep, and how they manage stress. A functional approach to psychiatric care fits that mindset. Rather than treating a mood or attention concern as an isolated issue, this approach asks what else might be going on in the body: thyroid function, nutrient levels, inflammation, sleep quality, and other physiological factors that can influence mental health. That information, combined with a standard clinical evaluation, gives a fuller picture before any treatment plan is discussed.
This is not a replacement for careful listening or clinical judgment. It is an addition to it. The goal is to understand a person’s mental health in context, not to reduce it to a single lab value.
Harborside Psychiatrics is based in Yarmouth Port, Massachusetts, and delivers care by video across the state, including to residents of Sharon. There is no local office to visit. Appointments happen over a secure video platform, and all you need is a phone, tablet, or computer with a camera, a stable internet connection, and a private space where you can talk without being overheard.
An initial evaluation typically runs longer than a follow-up, since it involves a detailed history and a discussion of any testing that might be appropriate. Follow-up appointments are shorter and are scheduled at an interval that depends on your treatment plan, often more frequent early on and spacing out over time. If medication is part of your care, prescriptions are sent electronically to the pharmacy of your choice in Sharon or anywhere else in Massachusetts. Lab testing, when it is part of the plan, is typically done through a local lab or an at-home kit, with results reviewed together at a follow-up visit.
Functional psychiatry at Harborside is used alongside standard evaluation for concerns including depression, anxiety, attention and focus difficulties, mood instability, chronic fatigue tied to mental health, and situations where standard treatment alone has not addressed the full picture. It can also be relevant for people who want to understand whether nutritional or metabolic factors are playing a role in symptoms they are already being treated for. This is not a stand-alone treatment for every condition, and it is not appropriate for every person. Whether it makes sense for you is something to work out during an evaluation, not something to assume in advance.
The first appointment is a conversation. Expect questions about your current symptoms, your health history, your sleep, your diet, and any prior treatment. Depending on what comes up, your clinician may recommend specific lab work to look for deficiencies or imbalances that could be contributing to your symptoms. From there, you and your clinician build a plan together, which may include medication, therapy, lifestyle changes, or some combination, based on what the evaluation and testing show. Nothing is decided before that conversation happens.
Medication management and functional psychiatry at Harborside are performed by psychiatric nurse practitioners. Rachel Egan, RN PMHNP-BC, is the practice’s clinical director. Emily Pardue, RN PMHNP-BC, and Kirstin Ritchie, RN PMHNP-BC, are also part of the prescribing team. Each is qualified to evaluate, diagnose, and prescribe for mental health conditions, and each brings their own approach to functional and testing-informed care. 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. Depending on your needs, your care may involve a prescriber, a therapist, or both working together.
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, and any questions about cost can be answered before you book anything.
If you’re in Sharon and curious about whether a functional approach fits your situation, the next step is scheduling an initial evaluation. You can review general information on the functional psychiatry service page, learn more about telehealth care across the state on the Massachusetts telehealth page, or see how Harborside works with residents throughout the area on the South Metro Massachusetts page. If attention or focus concerns are what brought you here, the ADHD treatment page has more detail on that specific process.
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 does not constitute medical advice. It does not create a provider-patient relationship. For guidance specific to your situation, schedule an evaluation with a Harborside clinician.
Reviewed by Rachel Egan, RN PMHNP-BC, Clinical Director, Harborside Psychiatrics. Last reviewed: {LAST_REVIEWED}.
[CITATION: National Institute of Mental Health overview of complementary and integrative approaches to mental health treatment, for general context on nutrition and physiology in 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.