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Harborside Psych

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Therapy for Medfield, MA

Medfield runs on packed after-school schedules, two working parents, and a town center that still expects you to show up for things. When a Medfield parent or professional finally looks for therapy, they are usually trying to fit it into a calendar that has no open slots, not clear one out. Harborside works with clients across Medfield the way the town actually operates: sessions by video, on a schedule built around your week rather than a clinic’s, with a clinician who adjusts approach to the person instead of running a fixed protocol.

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Therapy for people in Medfield, MA

Harborside is based in Yarmouth Port, Massachusetts, and delivers care by video to clients across the state, including Medfield. There is no in-person office to travel to. You need a private space, a phone or computer, and a stable internet connection.

  • Initial appointment: a longer session where a clinician gathers history, discusses what brought you in, and starts building a plan with you.
  • Follow-up sessions: typically 45 to 50 minutes for therapy, scheduled weekly, biweekly, or at whatever interval fits your situation and changes over time as needed.
  • Medication management, when it is part of care, is handled by a psychiatric nurse practitioner, with prescriptions sent electronically to a pharmacy of your choice near Medfield.
  • Communication between sessions happens through a secure patient portal, so you are not left waiting for a callback for routine questions.

The video format is not a scaled-down version of in-person care. It is how the practice is built, from scheduling to documentation to how clinicians follow up between sessions.

How telehealth care actually works

Clients bring in anxiety that shows up as constant low-grade worry or as sharper, harder-to-manage episodes. Depression that has flattened work, relationships, or motivation. Attention and focus difficulties that make daily structure hard to hold together, in adults and in older teens. Mood shifts that do not resolve on their own. Trauma responses that surface at unpredictable times. Disordered eating patterns that need a therapist trained in that specific work. Life transitions, grief, and relationship strain that do not need a formal diagnosis to deserve attention.

Care starts from what you are actually experiencing, not from which category it fits into first.

What we treat

The first appointment is longer than a regular session because there is more ground to cover. Your clinician will ask about what brought you in, relevant history, and what you have already tried. You will talk about goals, not in a scripted way, but as a working conversation about what you want out of care. By the end, you should have a sense of what the next several sessions look like and how often you will meet.

There is no pressure to have it all figured out before that first call. Bringing questions is part of the process, not a delay to it.

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 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 clinician are on the team page.

Therapy and eating disorder work are delivered by the licensed therapy team: Hannah Legesse, LICSW, Tori Mahoney, LMHC, Jacquelyn Duford, LCMHC ATR, and Lexie Carchedi, LCSW. Jacquelyn is also a registered art therapist, which she draws on for clients who respond better to a non-verbal approach to processing. Clients are matched with a clinician based on what they need, not assigned by default.

Who our clinicians are

Harborside is a private-pay practice and does not bill insurance directly for appointments. Current fees for an initial appointment and for follow-up sessions are listed on the pricing page. If you have questions about cost, you can ask before anything is booked.

What it costs

If you are ready to schedule, you can book an initial appointment directly online. If you are still deciding, reaching out with questions first is a normal way to start. Care in Medfield begins the same way it does anywhere else Harborside works: with a conversation, not a commitment.

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 does not constitute medical advice. It does not create a provider-patient relationship. For guidance on when therapy may be appropriate, see the [CITATION: National Institute of Mental Health overview of psychotherapies] resource on evidence-based approaches to talk therapy.

Authored with clinical review by Hannah Legesse, LICSW. Last reviewed: {LAST_REVIEWED}.

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Frequently Asked Questions

Is therapy with Harborside the same as seeing a psychiatrist?

No. Harborside’s therapists are licensed clinicians who provide psychotherapy, not psychiatric prescribers. Anyone who also wants medication management can be connected separately with one of Harborside’s psychiatric nurse practitioners.

Most clients meet weekly or every other week, depending on what’s agreed with the therapist during the first few sessions.

No. Harborside is a private-pay practice. Clients with out-of-network mental health benefits can request a superbill to submit to their insurer for possible reimbursement.

That’s a reasonable place to start. Many clients begin therapy without a specific problem in mind, and the first session is built around figuring that out together.

Yes. Finding the right therapist sometimes takes more than one try, and raising it is a normal part of the process, not something awkward.

No. Therapy is ongoing, scheduled care, not a crisis service. If you are in immediate danger, call 911. For crisis support, call or text 988.

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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