Every clinician at Harborside brings an extensive background in treating eating disorders and the conditions that tend to travel alongside them, from anxiety to mood concerns to trauma histories. That depth matters, because eating disorders are rarely one thing on their own. It means the person you meet with is uniquely suited to look at the full picture rather than one symptom in isolation.
In a coastal town like Hanover, where long commutes into Boston and long workdays are the norm for many households, care that fits into a real week matters just as much as the quality of the care itself. Video appointments mean no half-day lost to a drive, a waiting room, and a drive back.
Harborside is based in Yarmouth Port, Massachusetts, and delivers care by video to patients across the state, including Hanover. Sessions happen over a secure video platform. You need a phone, tablet, or computer with a camera and a private space where you can talk without being overheard. That is the extent of the technology required.
Initial appointments run longer, since there is a full history to go through, and follow-up visits are shorter, focused on how things are going and what needs adjusting. For medication management, the frequency of visits depends on where you are in care, but many people are seen monthly once things are stable, more often at the start. If a prescription is part of your plan, it is sent electronically to the pharmacy of your choice, the same as it would be from any in-person appointment.
Therapy sessions for eating disorder work are typically scheduled weekly or every other week, depending on what you and your therapist decide fits your situation.
This service addresses restrictive eating patterns, binge eating, purging behaviors, and the preoccupation with food, weight, and body image that can take over a person’s thinking well before it shows up in weight change. It also addresses the conditions that commonly appear alongside disordered eating, including anxiety, depressive symptoms, obsessive patterns, and difficulty with emotion regulation. Many people who reach out are not sure whether what they are experiencing counts as an eating disorder. That is a reasonable question to bring to an initial appointment rather than something you need to resolve on your own first.
The first appointment is a conversation, not a test to pass. Your clinician will ask about your eating patterns, your history, your physical health, and any other symptoms you have been noticing, including sleep, mood, and anxiety. If medication is part of the conversation, your clinician will walk through options, including how a medication might interact with an eating disorder specifically, since not every medication is appropriate for every presentation. By the end of the appointment, you should have a clearer sense of what care could look like and what the next steps are.
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 the medical complexity that can come with eating disorders. Full bios and credentials for each clinician 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 difficult material for people who find talk-based therapy alone limiting. Between the prescribers and the therapy team, care for an eating disorder can include medication evaluation, ongoing therapy, or both, coordinated by clinicians who are used to working together on complex cases.
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. If you have questions about cost, you can ask before anything is booked.
If you are in Hanover and considering care for yourself or a family member, the next step is scheduling an initial appointment. You can start with either a prescriber or a therapist, depending on what feels most pressing, and the team can help sort out the right starting point if you are not sure. Learn more about the full scope of this work on the eating disorder treatment page, or see how Harborside works across the state on the Massachusetts telehealth page and across the South Shore. If anxiety is part of what you are noticing alongside eating concerns, the anxiety treatment page has more detail.
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 support resources, see the [CITATION: National Eating Disorders Association or NIMH page on eating disorders, for general public-facing clinical information].
Reviewed by 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.