Every clinician at Harborside brings an extensive background in treating eating disorders and the conditions that tend to travel alongside them, which means the person in front of you understands a complicated set of symptoms rather than one narrow diagnosis. That depth matters for a village like Cotuit, where the year splits into two very different halves: a summer population that swells the harbor and a smaller, steadier year-round community of retirees, fishing families, and small-business households who are here through the quiet months too. Harborside is based just up the road in Yarmouth Port, and we work with patients across Cotuit and the rest of the Cape by video, on a schedule built around real life on this peninsula, not a tourist season.
Cotuit’s year-round households often carry a particular kind of pressure: a short, intense earning season followed by a long stretch of routine, or an empty-nest year-round pace after decades of summer chaos. Disordered eating can develop or worsen under exactly that kind of rhythm shift, whether it shows up as a teenager struggling as the family business winds down for winter, or an adult who has quietly managed food and body concerns for years without naming them to anyone. Care here is built around understanding that context, not around treating eating disorders as an isolated symptom to manage in a vacuum.
All care at Harborside is delivered by secure video from our base in Yarmouth Port, Massachusetts. You need a smartphone, tablet, or computer with a camera, a private space, and a stable internet connection. Sessions are scheduled the same way an in-person appointment would be: an initial evaluation runs longer, typically 60 minutes, so your clinician can understand your history, current symptoms, and any related conditions. Follow-up appointments are shorter, generally 20 to 30 minutes for medication management or a full session length for therapy, depending on what you and your clinician set up.
If medication is part of your plan, prescriptions are sent electronically to the pharmacy of your choice, so you can pick it up locally in Cotuit or Osterville or wherever is convenient. Frequency of visits depends on your treatment plan. Someone newly starting medication might be seen every few weeks initially, then move to monthly or longer intervals once things are stable. Therapy frequency is set collaboratively with your therapist and can range from weekly to less frequent, based on what the work requires.
We work with anorexia, bulimia, binge eating disorder, ARFID, and disordered eating patterns that do not fit neatly into a single diagnostic category. Eating disorders are frequently intertwined with anxiety, depression, obsessive-compulsive patterns, trauma histories, and body image concerns that developed over years, and our clinicians treat the full clinical picture rather than isolating food behaviors from everything connected to them. Some patients need medication support, some need therapy, many benefit from both working together. We also work with family members and loved ones who want guidance on how to support someone in treatment, within the limits of what outpatient telehealth care can offer.
Your first appointment is a chance for your clinician to understand your eating and food history, your physical and mental health background, and what is happening in your life right now. Expect questions about eating patterns, weight history, body image, mood, anxiety, substance use, and any prior treatment. This appointment is also where you and your clinician start talking about what treatment might look like: medication, therapy, a combination, or a referral if a higher level of care is more appropriate than outpatient telehealth. Nothing is decided before you arrive. The first session is about gathering an accurate picture, not delivering a verdict.
Medication management and functional psychiatry at Harborside are performed by psychiatric nurse practitioners: Rachel Egan, RN PMHNP-BC, our clinical director and cofounder, Emily Pardue, RN PMHNP-BC, and Kirstin Ritchie, RN PMHNP-BC. Each is qualified to evaluate, diagnose, and prescribe medication for eating disorders and the conditions that often accompany them, including anxiety, depression, and OCD-spectrum symptoms. Full bios and credentials for each clinician are on our team page.
Therapy and eating disorder-focused clinical work are delivered by our 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, patients in Cotuit have access to a full range of outpatient eating disorder support delivered by video.
Harborside is a private-pay practice and does not bill insurance directly for appointments. Current fees for an initial evaluation and follow-up appointments are listed on our pricing page, and any questions about cost can be answered before you book anything.
If you are ready to talk with someone about an eating disorder, reach out to schedule an initial appointment. You can ask about clinician availability, what to expect, or how medication and therapy might work together for your situation before committing to anything. Care for patients across Cotuit is delivered by video from our Yarmouth Port base, so scheduling does not depend on driving anywhere.
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.
According to the National Eating Disorders Association, eating disorders have some of the highest mortality rates among mental illnesses, which is part of why early, informed outpatient support matters. [CITATION: NEDA statistics/overview page on eating disorder health risks and treatment]
This page is educational and is not medical advice. It does not create a provider-patient relationship. Reviewed by Rachel Egan, RN PMHNP-BC. Last reviewed {LAST_REVIEWED}.
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.