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Harborside Psych

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Medication Management for Londonderry, NH

Harborside Psychiatrics is based on Cape Cod, Massachusetts, and delivers care by video across New England. That reach matters for Londonderry, a town where many households already treat the Massachusetts line as part of daily life, commuting south for work while keeping their household and their kids’ schools in New Hampshire. Londonderry sits in the population center that runs from Nashua and Merrimack out through Windham, and the professional families who moved here for no state income tax tend to want care that fits a schedule already stretched across two states. Medication management from Harborside is built to work that way: appointments happen from home, a car, or an office, without adding a drive to the list of things to plan around.

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Medication Management for people in Londonderry, NH

Harborside is based in Yarmouth Port, Massachusetts, and every appointment for Londonderry patients happens over secure video. You do not need special equipment. A phone, tablet, or computer with a camera and a stable internet connection is enough. You will get a link ahead of time and join from wherever you have privacy.

An initial medication management appointment runs longer than a routine check-in, because it covers your history, current symptoms, and what you have already tried. Follow-up appointments are shorter and happen on a schedule your prescriber sets based on how you are doing, often monthly at first and spacing out over time. If a medication is recommended, the prescription is sent electronically to a pharmacy near you in New Hampshire, so you pick it up locally the same way you would after any other appointment.

Because this is telehealth, you need to be physically located in New Hampshire at the time of your appointment for a New Hampshire-licensed clinician to see you. That is a licensing requirement, not a preference, and it applies whether you are at home in Londonderry or just south of the line for the day.

How telehealth care actually works

Medication management at Harborside addresses conditions like depression, anxiety, obsessive-compulsive patterns, mood dysregulation, and the kind of chronic low-grade stress that builds up over months and starts affecting sleep, work, and relationships. Sessions also cover ongoing management for people already on a medication regimen who need monitoring, adjustment, or a second opinion on what has been prescribed elsewhere. The goal of an appointment is always to understand what you are dealing with and talk through what options exist, not to rush toward a single answer.

What we treat

Your first visit is a conversation. Your prescriber will ask about your current symptoms, your health history, anything you have tried before, and what daily life looks like right now. You do not need to prepare a formal summary. Bring what you remember and let the questions guide the rest. By the end of the appointment, you should have a clear sense of what is being recommended and why, and what the next few weeks of follow-up will look like.

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, and each brings her own approach to how she works with patients. Full bios and credentials for all three are on the team page.

Therapy and eating disorder care at Harborside are delivered by the licensed therapy team: Hannah Legesse, LICSW, Tori Mahoney, LMHC, Jacquelyn Duford, LCMHC ATR, and Lexie Carchedi, LCSW. Many patients in Londonderry work with a prescriber and a therapist together, coordinating care across both.

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 medication management appointment are listed on the pricing page, and any questions about cost can be answered before you book anything.

What it costs

If you are ready to schedule, you can book an initial appointment directly online. If you are still deciding, you are welcome to reach out with questions first. Either way, care for Londonderry residents happens the same way: by video, with a New Hampshire-licensed prescriber, on a schedule that fits around the rest of your life.

Getting started

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.

This page is educational and is not medical advice. Reading it does not create a provider-patient relationship with Harborside Psychiatrics. Content reviewed by Rachel Egan, RN PMHNP-BC, clinical director. Last reviewed: {LAST_REVIEWED}.

For general information on medication treatment for mental health conditions, see the National Institute of Mental Health. [CITATION: NIMH page on mental health medications, as a neutral government health source on medication treatment]

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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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