Everyone on Harborside’s clinical team has an extensive background in treating eating disorders and the conditions that tend to travel alongside them, from anxiety to mood symptoms to trauma history. That depth matters, because disordered eating is rarely one thing by itself, and clients get informed care for a complex set of challenges rather than a narrow protocol. We’re based in Yarmouth Port, on Cape Cod, and Cataumet is part of the year-round Cape we know well: a village of retirees, seasonal-business owners, and families whose calendar splits into two very different halves. The quiet stretch after Labor Day looks nothing like July, and eating patterns, body image pressure, and stress often shift along with it.
Care happens over video, and it works well for eating disorder treatment when it’s structured clearly. Here’s what that looks like in practice:
Eating disorder treatment at Harborside covers a range of presentations, including restrictive eating, binge eating, purging behaviors, and body image concerns that interfere with daily life. These often occur alongside anxiety, depressive symptoms, obsessive-compulsive patterns, or a history of trauma, and treatment planning takes that overlap seriously rather than treating each piece in isolation. Care may involve therapy, medication management, or both, depending on what the evaluation shows and what you and your clinician decide together.
The first appointment is an evaluation. Your clinician will ask about eating patterns, physical health, mood, sleep, family history, and what’s been happening in your life recently. This is a conversation, not a test to pass or fail. By the end of it, you’ll have a clearer sense of what’s going on and what a reasonable plan looks like, whether that means starting therapy, discussing medication, or both. There’s no obligation to commit to anything beyond that first conversation.
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, including in the context of eating disorders. Full bios and credentials for each of them are on the team page.
Therapy and eating disorder-focused clinical work are delivered by Harborside’s licensed therapy team: Hannah Legesse, LICSW, Tori Mahoney, LMHC, Jacquelyn Duford, LCMHC ATR, a registered art therapist, and Lexie Carchedi, LCSW. Between medication management and therapy, care for eating disorders and their common comorbidities is handled by clinicians who work in this area regularly.
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’re in Cataumet and thinking about reaching out, you can start by requesting an appointment online. Someone will follow up to schedule your first evaluation and answer any logistical questions beforehand, including what to expect and what the visit will cover. You can learn more about our full eating disorder treatment services, how we work with patients across Massachusetts, or how telehealth care fits into life on Cape Cod. If anxiety is part of what you’re dealing with alongside disordered eating, our anxiety treatment page has more detail on that overlap.
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 eating disorder warning signs and levels of care, the National Eating Disorders Association offers publicly available resources. [CITATION: National Eating Disorders Association (NEDA) screening and information page, for general public education on eating disorder signs and levels of care]
Clinical reviewer: Hannah Legesse, LICSW. Last reviewed: {LAST_REVIEWED}.
Yes. Many clients start therapy for a difficult relationship with food or body image before, or without, a formal diagnosis.
Yes, when a client is already working with one. Coordination is discussed during intake and ongoing treatment.
No. Eating disorder therapy at Harborside is talk therapy. Medical monitoring, lab work, and meal planning are handled by outside providers and coordinated with as needed.
Clients who want medication management can be connected with one of Harborside’s psychiatric nurse practitioners.
No. Outpatient therapy isn’t appropriate for every situation. If a higher level of care is needed, your therapist will discuss that directly rather than continuing with weekly sessions alone.
Currently, eating disorder treatment at Harborside is available to clients located in Massachusetts and New Hampshire.