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Harborside Psych

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(508) 876-3448

Therapy for Southborough, MA

In Southborough, a lot of the people who call us are parents managing two demanding jobs, a mortgage, and a kid’s schedule that runs from travel soccer to AP classes, and they are trying to figure out where their own care fits into that. Some are looking for themselves. Others are trying to find support for a teenager who has started pulling away, or a spouse who has been quietly struggling since a job change or a move. Therapy at Harborside is delivered by licensed clinicians who work with each person to choose an approach that fits their actual life, not a fixed protocol applied the same way to everyone, and sessions happen by video on a schedule built around real commitments, not around office hours in a building you have to drive to.

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Therapy for people in Southborough, MA

Harborside Psychiatrics is based in Yarmouth Port, Massachusetts, and cares for clients across the state by video. For therapy, that means a private, encrypted video session from wherever you have a laptop or smartphone, a stable internet connection, and a room where you can talk without being overheard. Most therapy sessions run about 45 to 50 minutes. How often you’re seen depends on what’s going on: some people start weekly, others every other week, and the pace is adjusted over time based on what you and your clinician agree makes sense.

If medication is part of your care, the psychiatric nurse practitioner you work with sends prescriptions electronically to whatever pharmacy is convenient for you, whether that’s in Southborough or somewhere along your commute. Follow-up medication appointments are typically shorter than therapy sessions and are scheduled separately, so therapy and medication management can run on their own timelines depending on what you need.

How telehealth care actually works

People come to therapy at Harborside for a wide range of reasons. Common ones include anxiety that shows up as racing thoughts or a tight chest before work or school events, depression that has made ordinary routines feel heavier than they used to, and the kind of chronic stress that builds up when work, parenting, and caregiving responsibilities all land at once. We also work with people navigating major life transitions, relationship strain, grief, disordered eating patterns, and attention and focus difficulties in both teens and adults. Therapy is also a place to work through things that don’t have a clean diagnostic label but are still making daily life harder than it should be.

What we treat

The first session is mostly conversation. Your clinician will ask about what brought you in, your history, what’s worked or hasn’t worked before, and what you’re hoping to get out of therapy. There’s no assumption that everyone needs the same structure or the same number of sessions. By the end of that first appointment, you and your clinician should have a working sense of what ongoing care might look like, including how often to meet and what approach seems like a reasonable starting point. That plan can shift as things become clearer.

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 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. Full bios and credentials for each of them are on the team page.

Therapy and eating disorder care are delivered by the licensed therapy team: Hannah Legesse, LICSW, Tori Mahoney, LMHC, Jacquelyn Duford, LCMHC ATR, a registered art therapist, and Lexie Carchedi, LCSW. Between them, the team draws on different clinical backgrounds and therapeutic approaches, which is part of how care gets matched to the person rather than the other way around.

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, and if you have questions about cost, you can get them answered before anything is booked.

What it costs

If you’re ready to schedule, or you just want to ask a few questions first, you can reach out through the website to set up an initial appointment. There’s no requirement to have things figured out before that first conversation. Many people calling from Southborough are doing exactly what you’re doing now: trying to decide whether this is the right next step, and that’s a reasonable thing to want to talk through before committing to anything.

Getting started

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. Decisions about your care should be made with a qualified clinician who knows your full history.

[CITATION: Link to SAMHSA or 988 Suicide & Crisis Lifeline overview page, to support the crisis resource information above]

Clinical review: 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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