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Harborside Psych

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Therapy for Osterville, MA

Therapy at Harborside is delivered by licensed clinicians who work with each client to choose an approach that fits the person, not a fixed protocol, on a schedule built around real life rather than a clinic calendar. That matters in a village like Osterville, where the population splits into two rhythms every year: a quieter, year-round community of retirees and working families in the winter, and a fuller, faster household schedule once seasonal businesses on Wianno Avenue and around the harbor pick back up in the spring. Harborside is based on Cape Cod, in Yarmouth Port, and works with people across Osterville by video, whichever half of the year they’re in.

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Therapy for people in Osterville, MA

Osterville households tend to run on two different clocks. There’s the off-season pace, when kids are in school full-time, retired residents settle into a quieter routine, and the village feels like the small year-round community it actually is. Then there’s the season, when seasonal work stretches hours thin, house guests fill the calendar, and the people who run local businesses barely have room to breathe, let alone drive somewhere for a weekly appointment. Therapy that only works in one of those seasons isn’t much use here. Video sessions mean the same clinician and the same continuity of care whether it’s February or July.

That consistency matters for the people therapy sessions are built around: adults managing anxiety or depression, retirees adjusting to a changed pace of life, parents in seasonal-business households trying to hold a family together through a demanding summer, and anyone whose year genuinely has two very different halves.

How telehealth care actually works

Sessions happen over secure video, using a link sent ahead of the appointment. You’ll need a phone, tablet, or computer with a camera and a stable internet connection, and a private place to talk for the length of the session. A typical therapy session runs about 45 minutes, with a somewhat longer first appointment to allow time for a full intake.

How often you’re seen depends on what’s being worked on. Some people meet weekly for a period of time, others move to every other week or monthly as things settle. If medication is part of the plan, prescriptions are sent electronically to a pharmacy of your choosing, anywhere in Massachusetts, so there’s no separate trip involved on top of the appointment itself.

Harborside is based in Yarmouth Port, Massachusetts, and delivers care by video to clients across the state, including Osterville.

What we treat

Therapy at Harborside addresses a range of concerns, including anxiety, depression, mood changes, life transitions, grief, relationship stress, and disordered eating. For clients who also need medication support, our psychiatric nurse practitioners can evaluate and treat conditions including ADHD, where a controlled medication may sometimes be appropriate as part of care in Massachusetts. Not every concern needs medication, and not every plan is the same. Part of the first appointment is figuring out, together, what kind of support actually fits.

What the first appointment involves

The first session is mostly conversation. Your clinician will ask about what brought you in, your history, and what’s going on day to day. There’s no assumption that you’ll walk in with a diagnosis already named or a treatment plan already decided. By the end of the appointment, you and your clinician should have a working sense of what ongoing care looks like, whether that’s weekly therapy, medication management, or both together.

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. 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 some clients incorporate into their sessions.

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 ready to schedule, or you just want to ask a question first, reaching out doesn’t commit you to anything. You can review clinician availability, ask about fit, and decide from there whether Harborside makes sense for what you’re dealing with.

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Frequently Asked Questions

Is therapy with Harborside the same as seeing a psychiatrist?

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. For guidance on finding a mental health provider, the Substance Abuse and Mental Health Services Administration’s treatment locator is a public resource. [CITATION: SAMHSA national helpline/treatment locator, government mental health source]

Reviewed by Rachel Egan, RN PMHNP-BC, Clinical Director, Harborside Psychiatrics. {LAST_REVIEWED}

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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