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Harborside Psych

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Medication Management for Hanover, NH

Harborside Psychiatrics is based on Cape Cod, Massachusetts, and delivers medication management by video to people across New Hampshire, including Hanover. That distance is part of the point for some Hanover households: in a small, highly educated town where a great many families have some professional connection to the college or the medical center, care that has no overlap with those institutions can feel like a relief. You do not have to think about who might be in the waiting room, or whether your prescriber knows your colleagues.

This page explains how medication management works at Harborside, what it addresses, who provides it, and what it costs, so you can decide whether it fits what you need.

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Medication Management for people in Hanover, NH

All appointments happen over live video, using a secure platform you can join from a laptop, tablet, or smartphone with a stable internet connection. You do not need to travel, and you do not need any special equipment beyond a private, quiet space and a device with a camera.

An initial evaluation typically runs longer than a follow-up visit, since it involves a full review of your history, current symptoms, and any prior treatment. Follow-up appointments are shorter and are scheduled at an interval your clinician sets based on your situation, often monthly at first and less frequently once things are more settled. If medication is part of your plan, prescriptions are sent electronically to a pharmacy of your choosing in New Hampshire, the same way they would be from an in-person visit.

Harborside is a Massachusetts-based practice, physically located in Yarmouth Port. Everything described above is delivered remotely to patients who are physically located in New Hampshire at the time of their appointment, which is a licensure requirement for telehealth care, not a preference.

How telehealth care actually works

Medication management at Harborside addresses conditions such as depression, anxiety, obsessive-compulsive patterns, mood instability, and difficulties tied to major life transitions or chronic stress. Sessions also cover general emotional and psychiatric wellbeing when someone is trying to understand symptoms that do not yet have a clear name. Care is tailored to your specific presentation and history rather than following a single fixed protocol, and your clinician will talk through options with you at each step rather than deciding for you.

What we treat

Your first visit is a structured conversation, not a form to fill out and forget. Your clinician will ask about your current symptoms, your medical and psychiatric history, any medications or supplements you take, and what has or has not helped in the past. You will have room to ask questions of your own. By the end of the appointment, you should have a working plan, whether that involves a medication, a referral for therapy, further evaluation, or a combination of these. Nothing is decided before that conversation happens.

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 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. Full bios and credentials for each clinician are available on the team page.

Therapy is delivered by Harborside’s licensed therapy team: Hannah Legesse, LICSW, Tori Mahoney, LMHC, Jacquelyn Duford, LCMHC ATR, and Lexie Carchedi, LCSW. Some Hanover patients work with a prescriber and a therapist together, and others use medication management on its own.

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, you can request an appointment online and choose a time that works with your schedule. If you are still deciding, you are welcome to reach out with questions first. Many people in Hanover find it easier to start with medication management once they know the appointment will not involve driving across town or sitting near people they might recognize. Explore the full medication management service page, learn more about care across the state on the New Hampshire telehealth page, or see how this fits into care for the Upper Valley region. If anxiety is a primary concern, the anxiety treatment page has more detail on that specific pathway.

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 does not constitute medical advice. It does not create a provider-patient relationship. For guidance on choosing a mental health provider, see the [CITATION: SAMHSA or National Institute of Mental Health consumer guidance on selecting mental health treatment] resource from a national health authority.

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Frequently Asked Questions

Do I need a diagnosis already to book an appointment?

No. The first appointment includes a full evaluation, so a prior diagnosis isn’t required to get started.

Yes, with your permission. Many patients keep an existing therapist and use Harborside only for medication management.

It depends on the medication and how you’re responding to it. Some patients are seen monthly at first, then less often once things are stable.

Prescriptions are sent electronically to the pharmacy of your choice, the same as they would be after an in-person visit.

Harborside is private-pay and doesn’t bill insurance directly. A superbill is available for out-of-network reimbursement, where a plan allows it.

That’s part of ongoing management. Changes are discussed and made together at a follow-up visit, not on your own.

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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