Every clinician at Harborside has an extensive background treating eating disorders alongside the anxiety, depression, and perfectionism that so often travel with them. That depth matters in a town like Lincoln, where the adults who end up searching for help late at night are often parents managing a lot: a demanding career, a kid in a rigorous school program, a household where things are supposed to look fine on paper. An eating disorder rarely shows up alone, and care that only addresses food misses most of what is actually happening.
Lincoln is a small, close-knit town, and many families here are weighing a decision that feels private and high-stakes at the same time. You do not need a diagnosis in hand to reach out. You need a place that treats the whole picture, not just a symptom list.
Harborside is based in Yarmouth Port, Massachusetts, and delivers care by video across the state, including to patients in Lincoln. You do not need to travel to Cape Cod, and you do not lose anything by meeting this way. Sessions happen over a secure video platform from your phone, tablet, or computer. You need a private space and a stable internet connection. That is the whole technical requirement.
An initial evaluation typically runs longer than a follow-up, giving the clinician time to understand history, current eating patterns, medical status, and any co-occurring anxiety, mood, or trauma symptoms. Follow-up appointments for medication management are usually shorter and scheduled on a cadence that fits the clinical picture, sometimes weekly at first, often spacing out over time. If a prescription is part of the plan, it is sent electronically to a pharmacy of your choice, including pharmacies in or near Lincoln, so picking up medication does not require an extra trip anywhere.
Therapy sessions run on their own schedule, separate from medication appointments, and the two teams coordinate on your care rather than working in isolation.
Eating disorder treatment at Harborside covers a range of presentations, not a single narrow profile. That includes restrictive eating patterns, binge eating, purging behaviors, and the anxious, rigid relationship with food and body that can exist even without meeting full diagnostic criteria for a specific disorder. Many people we work with also carry co-occurring anxiety, depression, obsessive-compulsive patterns, or a history of trauma, and treating those alongside disordered eating tends to matter more than treating either one alone.
We also work with adults whose eating patterns shifted during a stressful life period, like a demanding work stretch or a major transition, and with people managing a longer-standing pattern who are looking for a different kind of support than they have had before. Some patients are pursuing medication evaluation and management, some want therapy, and many benefit from both working together.
The first appointment is a conversation. Expect questions about eating patterns, weight and health history, mood, sleep, and any past treatment. If you are seeking medication management, the psychiatric nurse practitioner will also review general medical history, since eating disorders can affect the body in ways that shape prescribing decisions. If you are starting with therapy, the first session focuses on understanding your history and what you want out of treatment.
You will leave with a plan for what comes next, whether that is a follow-up medication appointment, a therapy schedule, or a combination of both. Nothing is decided without you.
Medication management and functional psychiatry at Harborside are performed by psychiatric nurse practitioners: Rachel Egan, RN PMHNP-BC, who is also 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 can accompany an eating disorder. Full bios and credentials for each clinician are on the team page.
Therapy and eating disorder-focused clinical work are delivered by the 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 be a useful avenue for patients who find that talk therapy alone does not capture everything they are working through.
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 are in Lincoln and ready to schedule, or you just have questions before deciding anything, reach out and ask. You can start with a medication evaluation, a therapy consultation, or both, and the intake process will help sort out which makes sense first. Nothing about starting the conversation commits you to a particular path.
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 disorders and general health information, see the National Institute of Mental Health [CITATION: NIMH eating disorders overview page, a government source appropriate for general education on the topic].
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.