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Harborside Psych

Eating Disorder Treatment for Concord, MA

Every clinician at Harborside brings an extensive background in treating eating disorders and the conditions that so often travel with them, from anxiety and depression to trauma and obsessive-compulsive patterns. That depth matters because eating disorders are rarely one thing on their own. Getting informed care for that complexity, rather than a narrow read on food and weight alone, is what families in Concord are usually looking for when they start this search.

Concord households searching for this kind of support are frequently parents of a teenager, or adults who have managed a long-standing relationship with food quietly for years while keeping up with demanding academic, professional, or athletic schedules. Whether the concern surfaced through a pediatrician, a coach, a college counselor, or a parent’s own observation, the questions tend to be the same: what does treatment actually involve, who provides it, and how does it fit into an already full life.

Eating Disorder Treatment for people in Concord, MA

Harborside Psychiatrics is based in Yarmouth Port, Massachusetts, and delivers care by video to patients across the state, including Concord. You do not travel to an office. Appointments happen over a secure video platform from home, a dorm room, or anywhere private with a stable internet connection and a phone, tablet, or computer with a camera.

A first appointment typically runs longer than follow-ups, since it involves a full history and discussion of what has and hasn’t been tried before. Follow-up visits are shorter and scheduled at a frequency that fits the person’s needs, sometimes weekly early on, often spacing out over time. If medication is part of the plan, prescriptions are sent electronically to a pharmacy of the patient’s choosing, so picking up a prescription works the same way it would after an in-person visit.

Therapy sessions follow a similar rhythm: scheduled video appointments, consistent length, and a therapist who stays the same session to session so the work has continuity.

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How telehealth care actually works

This service addresses the range of eating disorders, including anorexia, bulimia, binge eating disorder, and patterns of restrictive or disordered eating that don’t fit neatly into a single diagnosis but still affect daily life. Care also accounts for the conditions that commonly accompany disordered eating, such as anxiety, depression, obsessive-compulsive tendencies, and trauma-related symptoms, since treating an eating disorder in isolation from these often misses part of the picture.

Treatment can involve therapy, medication management, or both, depending on what the person needs and what a clinician determines through evaluation. The goal of any plan is to address the clinical picture as it actually presents, not a generic version of it.

What we treat

The first appointment is a clinical intake conducted by video. Expect questions about eating patterns, physical health, mood, family history, and any past treatment. If the appointment is with a prescriber, that conversation also covers medical history and current medications so a safe, informed plan can be built. If the appointment is with a therapist, it focuses more on history, current stressors, and what the person hopes therapy will address.

By the end of the first session, the clinician and patient (or, for a minor, the clinician and family) should have a clear sense of next steps, including how often to meet and whether other members of the Harborside team should be involved.

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, along with Emily Pardue, RN PMHNP-BC, and Kirstin Ritchie, RN PMHNP-BC. Each is qualified to evaluate, diagnose, and prescribe for mental health conditions, including the medication needs that can accompany an eating disorder. Full bios and credentials for each of them are available on the team page.

Therapy and eating disorder-specific clinical work 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, this team draws on different clinical approaches, including art therapy as an additional option for patients who benefit from a nonverbal way into difficult material.

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 visits are listed on the pricing page, and any questions about cost can be answered before you book anything.

What it costs

If you’re ready to schedule, or you want to talk through whether Harborside is a good fit before booking, you can reach out through the website to get started. For a broader look at how this service works across the state, visit the eating disorder treatment hub, the Massachusetts telehealth page, or the MetroWest area page, which covers Concord alongside nearby towns like Lexington, Weston, Sudbury, and Hopkinton. If anxiety is part of what’s going on alongside the eating disorder, the anxiety treatment page may also be useful reading.

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. Decisions about diagnosis and treatment should be made with a qualified clinician who knows your full history.

[CITATION: National Eating Disorders Association (NEDA) or NIMH page on eating disorders, for readers seeking further general information]

Frequently Asked Questions

Does Harborside treat eating disorders that haven't been formally diagnosed?

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.

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.