A traditional psychiatric work-up starts and often stops with symptoms: what you feel, how often, how severe. Functional psychiatry starts wider. It takes the whole person into account, using targeted testing to look for underlying deficiencies and physiological concerns, things like thyroid imbalance, nutrient gaps, or metabolic issues, that may be contributing to how someone thinks and feels.
In Newtown, the people who tend to look into this approach are parents, often researching for a teenager, sometimes for themselves. Newtown households frequently have the out-of-network capacity to choose care this way, and a preference for working with one clinician over time rather than a rotating panel of providers. This page explains how that looks in practice.
Harborside is based in Yarmouth Port, Massachusetts, and delivers care by video to patients across Connecticut, including Newtown. You do not travel to an office. You need a private space, a stable internet connection, and a phone, tablet, or computer with a camera.
A first appointment with a prescriber typically runs longer than follow-ups, since it involves a full history and a discussion of what testing, if any, makes sense for your situation. Follow-up appointments are shorter and are scheduled at a pace that fits your treatment plan, sometimes every few weeks early on, spacing out as things stabilize. If medication is part of your plan, prescriptions are sent electronically to the pharmacy of your choice in Newtown or wherever is convenient for you.
Therapy sessions, when part of your care, follow a similar video format and a regular weekly or biweekly cadence, depending on what you and your therapist agree on.
Functional psychiatry at Harborside is used for people dealing with depression, anxiety, attention and focus difficulties, mood instability, and fatigue or brain fog that hasn’t responded to a symptom-only approach. It’s also relevant for people who want a more complete picture before starting or adjusting medication, particularly when physical health and mental health seem to be tangled together.
This is not a replacement for emergency or crisis care, and it is not a stand-alone lab-testing service. It’s a way of evaluating and treating mental health conditions that considers the body alongside the mind.
Your first appointment is with one of our psychiatric nurse practitioners. Expect a detailed conversation about your history, current symptoms, sleep, diet, past medications, and any relevant physical health conditions. Based on that conversation, your clinician may recommend specific lab work to check for things like thyroid function, vitamin D, B12, iron, or other markers that can influence mood and cognition.
You’ll leave the first appointment with a plan: what testing is being ordered, what happens once results come back, and what to expect from your next appointment. Nothing about this process is rushed into without explanation.
Medication management and functional psychiatry at Harborside are performed by psychiatric nurse practitioners: Rachel Egan, RN PMHNP-BC, who is also our 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 the same attention to physiological factors that functional psychiatry is built on. Full bios and credentials for each clinician are on our team page.
Therapy and eating disorder care are delivered by our licensed therapy team: Hannah Legesse, LICSW, Tori Mahoney, LMHC, Jacquelyn Duford, LCMHC ATR, and Lexie Carchedi, LCSW. Depending on your needs, your care may involve one clinician or a combination working together.
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 our pricing page, and questions about cost can be answered before anything is booked.
If you’re in Newtown and considering functional psychiatry for yourself or a family member, the next step is scheduling an initial appointment with one of our prescribers. You can find more detail on the approach itself on our functional psychiatry page, learn more about telehealth options across the state on our Connecticut telehealth page, or see what we offer nearby on our Upper Fairfield region page. If anxiety is a primary concern, our anxiety treatment page has more specifics on that condition.
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 does not constitute medical advice. It does not create a provider-patient relationship. For guidance on nutrient testing and mental health, see the [CITATION: National Institutes of Health Office of Dietary Supplements page on nutrient deficiencies and mental health, as a credible government source on the physiological factors relevant to functional psychiatry].
Reviewed by Rachel Egan, RN PMHNP-BC, Clinical Director. Last reviewed: {LAST_REVIEWED}.
No. It’s psychiatric care from a licensed psychiatric nurse practitioner that also reviews lab work and lifestyle factors, not a separate functional medicine practice.
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.