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Harborside Psych

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Medication Management for Portsmouth, NH

Harborside is based on Cape Cod, Massachusetts, but the practice was built around telehealth from the start, which means the team works with people across New England without asking anyone to drive to an office. That matters in Portsmouth, New Hampshire, a city of long-settled families, working harbors, and people who moved to the Seacoast on purpose for a different pace of life. Care here fits around a downtown work schedule, a ferry commute, or a household with kids in Portsmouth schools, not the other way around.

Note: this page is for Portsmouth, New Hampshire. Harborside’s New Hampshire clinicians hold licensure specific to this state, and this page does not describe care for any other Portsmouth or any other state.

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Medication Management for people in Portsmouth, NH

Appointments happen over live video, using a secure platform you access from a laptop, tablet, or smartphone. You need a private space, a stable internet connection, and about an hour set aside for the first visit. There is no waiting room and no travel, whether you are calling from home in the South End, on a break from work near Market Square, or from a house further out toward Rye or Greenland.

Harborside is physically located in Yarmouth Port, Massachusetts. The clinicians who see Portsmouth patients are licensed in New Hampshire and hold their appointments by video under that license, so location within the state is not a barrier to getting on the schedule.

A first evaluation typically runs 45 to 60 minutes. Follow-up appointments are shorter, often 20 to 30 minutes, and are scheduled at an interval your clinician sets based on how you are doing and what medication, if any, is part of your care. If a prescription is appropriate, it is sent electronically to a pharmacy of your choosing in New Hampshire, the same way a prescription would be sent after any other outpatient visit.

How telehealth care actually works

Medication management at Harborside addresses conditions like depression, anxiety, obsessive-compulsive patterns, mood instability, and disordered eating, along with the sleep disruption, low motivation, or persistent worry that often accompany them. Some patients are starting medication for the first time and want a clinician to walk them through what to expect. Others are already on a medication and want ongoing monitoring, or think an adjustment might help. Some are coming in alongside a therapist and want the medication piece to be handled by someone who will coordinate with that therapy.

Every plan starts with an evaluation of your history, your current symptoms, and what you have already tried, so that any recommendation is specific to you rather than generic.

What we treat

Medication management and functional psychiatry at Harborside are performed by psychiatric nurse practitioners: Rachel Egan, RN PMHNP-BC, who is also Harborside’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 holds active licensure in New Hampshire in order to see patients there. Full bios and credentials for all three are on the team page.

Therapy and eating disorder care, when part of a patient’s plan, are delivered by Harborside’s licensed therapy team: Hannah Legesse, LICSW, Tori Mahoney, LMHC, Jacquelyn Duford, LCMHC ATR, and Lexie Carchedi, LCSW. Medication and therapy can run together or on their own, depending on what a patient needs.

What the first appointment involves

Harborside is a private-pay practice and does not bill insurance directly for appointments. Current fees for an initial evaluation and for follow-up appointments are listed on the pricing page, and any questions about cost can be answered before you book anything.

Who our clinicians are

You can request an appointment online or reach out with questions first. New patients typically complete some intake paperwork ahead of the first video visit so the appointment time can be spent on the actual evaluation. From there, your clinician will talk with you about whether medication makes sense, what the options are, and what monitoring would look like going forward.

What it costs

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. A relationship of that kind begins only after a scheduled evaluation with a Harborside clinician.

[CITATION: NH Board of Nursing or SAMHSA resource on scope of practice for psychiatric nurse practitioners]

Getting started

Getting started is a short call or a form, not a formal referral. Someone from Harborside will confirm that medication management is a fit, answer questions about cost and scheduling, and get a first appointment on the calendar. For people in Portsmouth, NH, that first video visit is typically the same wait as anyone else in Massachusetts working with Harborside, not a longer one because the office happens to be on the Cape.

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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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