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Eating Disorder Treatment for Littleton, MA

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 attention and focus difficulties. That depth matters because eating disorders are rarely one thing on their own, and care that only addresses food and weight often misses what is actually driving the pattern. In Littleton, where families are often juggling school schedules, sports commitments, and a fair amount of pressure around achievement, parents are frequently the ones searching for help on behalf of a teenager or young adult who is struggling quietly. Some are looking for themselves, having managed a disordered relationship with food for years without naming it. Either way, the goal is the same: a clinical team that understands the whole picture, not just the symptom that finally became visible.

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Eating Disorder Treatment for people in Littleton, MA

Harborside is based in Yarmouth Port, Massachusetts, and delivers care by video to patients across the state, which includes Littleton. You do not travel to an office. Appointments happen over a secure video platform, and all you need is a private space, a stable internet connection, and a phone, tablet, or computer with a camera.

An initial evaluation typically runs longer than a standard follow-up, giving the clinician time to understand your history, current symptoms, and any past treatment. Follow-up appointments are shorter and scheduled at an interval that fits your situation, sometimes weekly, sometimes further apart, depending on where you are in care. If medication is part of the plan, prescriptions are sent electronically to the pharmacy of your choice, so there is no separate paperwork step and no need to pick anything up in person from Harborside.

Therapy sessions follow the same video format, usually on a recurring weekly or biweekly basis, and are scheduled separately from medication management appointments when both are part of your care.

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How telehealth care actually works

Eating disorder treatment at Harborside covers a range of presentations, including restrictive eating patterns, binge eating, purging behaviors, and the anxious or perfectionistic thinking that often underlies them. Many patients also carry a co-occurring condition, such as anxiety, depression, obsessive-compulsive patterns, or attention-deficit/hyperactivity disorder, and treating these together rather than in isolation tends to give a clearer picture of what is actually happening. Care may involve nutrition-related conversation as part of the broader clinical picture, medication evaluation where appropriate, and therapy focused on the thoughts and behaviors that maintain disordered eating over time.

What we treat

Your first appointment is a full evaluation, not a quick check-in. The clinician will ask about eating patterns, physical health, mood, family history, and how things are affecting daily life, whether that is school, work, or relationships. You will have a chance to ask questions and understand what a treatment plan might look like before committing to anything. From there, next steps are discussed together, whether that means starting therapy, beginning a medication conversation, or both.

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 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 sometimes accompany an eating disorder. Full bios and credentials for each clinician are available on the team page.

Therapy and eating disorder work are delivered by the licensed therapy team: Hannah Legesse, LICSW, Tori Mahoney, LMHC, Jacquelyn Duford, LCMHC, ATR, and Lexie Carchedi, LCSW. Jacquelyn Duford is also a registered art therapist, which can be a useful addition for patients who find it hard to talk directly about food, body image, or control.

Who our clinicians are

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.

What it costs

If you are ready to schedule, or you just want to talk through whether this is the right fit before committing, reach out to start the process. There is no obligation attached to an initial inquiry, and you can ask about scheduling, fees, or what to expect before booking a first appointment.

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 disorders and warning signs, see the [CITATION: National Eating Disorders Association resource page, for general public health guidance on eating disorder warning signs and screening].

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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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