Every clinician at Harborside has an extensive background in treating eating disorders and the conditions that tend to travel alongside them: anxiety, depression, trauma, and the perfectionism that often drives restriction or bingeing in the first place. That depth means a client gets care built for a complex picture, not a single symptom treated in isolation.
Medway sits at the edge of the 495 belt, a town that has grown quickly with young families drawn by the schools and the space, alongside longtime residents who watched the town change around them. Parents here tend to be the ones making the call, often after noticing a change in a teenager’s eating, mood, or energy that they cannot quite name but cannot ignore either.
Harborside is based in Yarmouth Port, Massachusetts, and delivers care by video across the state. For a Medway household, that means no drive to another town and no time lost to traffic on Route 109. You need a private room, a stable internet connection, and a phone, tablet, or computer with a camera.
A first appointment runs longer, usually about 60 minutes, to allow time for a full history and a conversation about what has been happening and what support might help. Follow-up appointments are shorter, generally 20 to 30 minutes, and are scheduled at an interval that fits the person: weekly, every other week, or monthly, depending on where they are in care.
If medication is part of the plan, prescriptions are sent electronically to the pharmacy a Medway family already uses, whether that is in town or somewhere along their regular route. Nothing about the process requires a special pharmacy or an extra errand.
This service addresses restrictive eating, binge eating, bulimic patterns, and the anxious or obsessive thinking that often surrounds food, body image, and control. It also addresses the conditions that commonly accompany disordered eating, including anxiety, depression, and trauma responses, because treating the eating pattern alone rarely accounts for what is driving it.
Care is structured around the person in front of us, whether that is a teenager whose eating has narrowed sharply, an adult managing a longer-standing pattern, or someone whose relationship with food has shifted after a stressful year. The goal of each appointment is to understand what is happening now and what kind of support fits that.
The first session is a conversation, not a checklist. Expect questions about eating patterns, mood, sleep, medical history, and family context, along with space to describe concerns in your own words. For a younger client, a parent is typically part of this conversation, at least in part. By the end of the appointment, you should have a clearer sense of what ongoing care would look like, including whether therapy, medication management, or both are appropriate.
Medication management and functional psychiatry at Harborside are performed by psychiatric nurse practitioners: Rachel Egan, RN PMHNP-BC, who is also the 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 where medication may support eating disorder treatment alongside therapy. Full bios and credentials for each of them are 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 is also a registered art therapist, which can be a useful avenue for clients, particularly younger ones, who find it easier to work through body image and food-related distress without relying entirely on conversation.
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 ready to schedule, or you simply want to ask questions before committing to an appointment, reach out through the website. A Medway family can expect a straightforward intake process and a first appointment scheduled by video, without the wait of an in-person visit.
For a broader look at how this service works, visit the eating disorder treatment page. For an overview of care across the state, see the Massachusetts telehealth hub. Medway families are also part of our MetroWest region coverage, alongside neighboring towns from Lexington to Hopkinton.
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 when to seek evaluation, see the [CITATION: National Eating Disorders Association or NIMH resource on eating disorder screening and warning signs].
Reviewed by Lexie Carchedi, LCSW. {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.