Unlike a traditional psychiatric work-up, the functional medicine approach takes the whole person into account. Harborside uses targeted testing to assess for underlying deficiencies and physiological concerns that may be driving poor mental health, rather than starting and stopping at a symptom checklist. In a town like New Canaan, where households are used to vetting a specialist carefully and paying out of network to get the clinician who is the right fit, that distinction tends to matter. You are not choosing between options because one has an opening. You are deciding whether an approach makes sense for your own body and history, and whether the person delivering it is someone you trust to look closely.
Mood, focus, sleep, and anxiety symptoms are not always purely psychological in origin. Thyroid function, nutrient levels, hormonal shifts, sleep architecture, and inflammation can all shape how a person feels day to day. A functional approach to psychiatric care asks what else might be contributing before settling on a treatment plan, and revisits that question as new information comes in from labs or from how you respond to a first intervention. For New Canaan residents balancing demanding careers, competitive schools, and full households, that kind of thorough, unhurried evaluation is often exactly what they are looking for when they decide to invest in care outside their insurance network.
Harborside is based in Yarmouth Port, Massachusetts, and delivers care to patients across Connecticut, including New Canaan, entirely by video. There is no local office to visit, and there does not need to be one. Sessions happen over a secure video platform from wherever you have privacy and a stable internet connection, whether that is a home office, a parked car, or a quiet room after the kids are asleep. You do not need special equipment. A laptop, tablet, or smartphone with a camera is enough.
An initial appointment typically runs longer than a follow-up, since it involves a detailed history and a discussion of any lab or testing recommendations. Follow-up appointments are shorter and scheduled at an interval your clinician sets based on where you are in treatment. If medication is part of your plan, prescriptions are sent electronically to the pharmacy of your choice in New Canaan or anywhere else in Connecticut, so you are not driving to fill something at an unfamiliar location.
Functional Psychiatry at Harborside addresses conditions including anxiety, depression, ADHD, mood dysregulation, and sleep disruption, particularly when someone has already tried a conventional approach and wants their overall physical health considered alongside their mental health symptoms. This can include reviewing bloodwork, discussing nutritional status, and considering how sleep, stress hormones, or other physiological factors intersect with what you are experiencing. It is not a replacement for emergency care or for conditions that require a higher level of intervention than outpatient telehealth can provide, but for many adults it offers a more complete picture than a medication-only conversation.
Your first visit is a conversation, not a form. Your clinician will ask about your current symptoms, your medical and psychiatric history, medications and supplements you take now, sleep and eating patterns, and family history where relevant. Based on that conversation, they may recommend specific lab testing to look for nutrient deficiencies, thyroid irregularities, or other markers that can influence mental health. From there, you and your clinician build a plan together, which may include medication, lifestyle changes, referral to a therapist on the team, or a combination of these, reviewed and adjusted at your follow-up appointments.
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, and each brings her own areas of clinical focus within that shared training. Full bios and credentials for all three are available on the team page.
Therapy and eating disorder care are delivered by Harborside’s licensed therapy team: Hannah Legesse, LICSW, Tori Mahoney, LMHC, Jacquelyn Duford, LCMHC ATR, and Lexie Carchedi, LCSW. Depending on what your plan calls for, your care may involve a prescriber, a therapist, or both working together.
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.
If you are in New Canaan and considering Functional Psychiatry, the next step is scheduling an initial appointment or reaching out with questions first. There is no requirement to have your labs or history organized in advance. Your clinician will walk through what is needed once care begins. You can review the broader Functional Psychiatry service page, learn more about telehealth options across the state on the Connecticut telehealth hub, or see how care is organized for nearby towns on the Lower Fairfield County page. If anxiety is a primary concern, our anxiety treatment page covers how that work is typically structured.
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 specific to your situation, schedule an appointment with a Harborside clinician.
[CITATION: National Institute of Mental Health overview of nutrition, physical health, and mental health, to support the functional psychiatry framing with an independent government source]
Clinical review: Rachel Egan, RN PMHNP-BC, Clinical Director, Harborside Psychiatrics. Last reviewed: {LAST_REVIEWED}.
No. Whether labs make sense is decided together at the first visit, based on your history and symptoms.
Bring it to your first appointment. Existing results can often be used instead of repeating tests.
No. Labs are typically billed separately by the lab itself and may be partly covered by insurance depending on the plan.
Yes. It’s meant to work alongside an existing therapist or primary care provider, not replace them.
Functional psychiatry includes the same prescribing and monitoring, plus a review of physical health factors like sleep, nutrition, and lab markers.