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Eating Disorder Treatment for Forestdale, MA

Every clinician at Harborside brings an extensive background in treating eating disorders and the conditions that so often travel with them, anxiety, depression, trauma histories, obsessive patterns around control and body image. That depth matters, because eating disorders are rarely simple, and care that only looks at food misses most of the picture. Forestdale is a small, tucked-away village inside Sandwich, the kind of place where neighbors know each other’s driveways and a lot of households run on a seasonal business calendar, quiet winters and packed summers. That rhythm can make disordered eating easier to hide during the busy months and harder to ignore once things slow down. Harborside Psychiatrics is based right on the Cape, in Yarmouth Port, and works with people across Forestdale by video, so care fits into a life that already has enough moving pieces.

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Eating Disorder Treatment for people in Forestdale, MA

Care happens over live video, using a secure platform you can join from a laptop, tablet or smartphone. You do not need special software, just a private space, a stable internet connection and about the same amount of time you would set aside for an in-person visit. An initial evaluation typically runs longer than a follow-up, since there is more history to cover; follow-up sessions with a prescriber are often shorter and scheduled at intervals based on your medication and how things are going. Therapy sessions generally run about 45 to 50 minutes.

If medication is part of your care, prescriptions are sent electronically to the pharmacy of your choice, so you are not driving to Yarmouth Port to pick anything up. Harborside is licensed to provide care in Massachusetts, which means video visits work the same whether you are calling in from Forestdale, from another Sandwich neighborhood, or from anywhere else in the state. Nothing about the process feels remote once you are on the call, it is simply how the appointment gets to you.

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How telehealth care actually works

Harborside works with a range of eating disorders, including anorexia, bulimia, binge eating disorder, and patterns of restrictive or disordered eating that do not fit neatly into a single diagnosis. Because eating disorders so commonly co-occur with anxiety, depression, trauma responses, and difficulties with emotional regulation, care is built to address what is actually happening for you, not just the eating behaviors on the surface. That might mean therapy focused on the thoughts and routines that keep a disorder in place, medication management for a co-occurring condition, or both working together. The goal of an evaluation is to understand your full picture before deciding what care makes sense.

What we treat

Your first appointment is a conversation, not a checklist. Expect to talk through your eating history, your relationship with food and body image, your medical and mental health background, and anything else affecting your day-to-day life. If you are meeting with a prescriber, that conversation also covers current medications, past treatment, and any physical health concerns that matter for prescribing decisions. If you are starting with a therapist, the focus is on understanding your patterns and what kind of therapeutic approach fits. Either way, this first session is where a plan for ongoing care starts to take shape, built around what you actually need rather than a standard template.

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, including the medication needs that often accompany eating disorders. Full bios and credentials for each of them are on the team page.

Therapy and eating disorder work are delivered by Harborside’s 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 can offer another way into the work for people who find that talk alone does not capture everything going on. Between the prescribing team and the therapy team, care for an eating disorder can draw on medication management, individual therapy, or a combination of both, depending on what fits your situation.

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 are ready to schedule, or you just want to ask a few questions first, reaching out is the only step required. You can request an appointment online and choose whether you would like to start with a prescriber, a therapist, or both. Someone from Harborside will help you figure out which starting point fits what you are dealing with. For a broader look at how this care works across the state, visit the Massachusetts telehealth page, the eating disorder treatment overview, or the Cape Cod region page. If anxiety is part of what you are managing alongside disordered eating, the anxiety treatment page has more detail on that side of care.

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 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 [CITATION: NEDA screening tool and treatment level information] is a useful outside resource.

Reviewed by Hannah Legesse, LICSW. Last reviewed: {LAST_REVIEWED}.

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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.

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