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Harborside Psych

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Medication Management for Stratham, NH

Harborside Psychiatrics is physically located on Cape Cod, Massachusetts, but the practice was built around telehealth so that people across New England can get care from the same clinical team without driving anywhere. That matters in Stratham, where people tend to be busy, deliberate about their choices, and disinclined to spend an afternoon in a waiting room for a fifteen-minute appointment.

Stratham sits close to Portsmouth, New Hampshire, and the rest of the coastal Seacoast, and the town draws a mix of longtime New Hampshire families and people who chose it on purpose for the schools, the land, and the pace of life. Whichever describes you, medication management from Harborside is delivered the same way: by video, with a New Hampshire-licensed prescriber, on a schedule that respects your time.

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Medication Management for people in Stratham, NH

All appointments happen over secure video. You will need a phone, tablet, or computer with a camera, a private space to talk, and an internet connection. That is the whole technical requirement. There is no app to configure and no in-person visit at any point in the process.

A first appointment for medication management usually runs longer than a follow-up, since it involves a full conversation about your history, your current symptoms, and what you are hoping care will address. Follow-up appointments are shorter and are scheduled at an interval your clinician recommends based on how things are going, often monthly at the start and then spaced out over time.

If a medication is prescribed, it is sent electronically to a pharmacy of your choosing near you in Stratham or wherever is convenient, the same way most prescriptions are handled today. Harborside is based in Yarmouth Port, Massachusetts, and clinicians hold the New Hampshire license required to prescribe to patients located in this state at the time of the appointment.

How telehealth care actually works

Medication management at Harborside addresses conditions such as depression, anxiety, mood dysregulation, obsessive-compulsive patterns, trauma-related symptoms, and other concerns that affect daily functioning, sleep, concentration, or relationships. Some patients come in already knowing what they think is going on. Others come in only knowing that something feels off and want a clinician to help sort through it. Both are a reasonable place to start.

An evaluation looks at your symptoms, your history, and how you are functioning day to day, and any medication decision is discussed with you rather than handed down. Because Harborside is private-pay and telehealth-based, appointments tend to be less rushed than a typical short medical visit, which gives more room to actually talk through what is happening and what the options are.

What we treat

Your first appointment is a structured conversation, not a quick check-in. Your clinician will ask about your current symptoms, when they started, what you have tried before, your medical history, and any medications you are already taking. You should expect to talk about sleep, appetite, mood, stress, and anything else relevant to how you are functioning.

By the end of the appointment, you and your clinician should have a shared understanding of what is being addressed and what the plan looks like going forward, whether that involves a medication, a referral to one of Harborside’s therapists, or both. You will also know when your next appointment should be.

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 Harborside’s clinical director and cofounder, 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 the license required to see patients in New Hampshire. Full bios and credentials for each clinician are available on the team page.

Therapy and eating disorder care at Harborside are provided by the practice’s licensed therapy team: Hannah Legesse, LICSW, Tori Mahoney, LMHC, Jacquelyn Duford, LCMHC, ATR, and Lexie Carchedi, LCSW. Medication management and therapy are often coordinated together when that fits what a patient needs.

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 in Stratham and want to schedule an appointment, you can start by reaching out through the Harborside website to check availability with a New Hampshire-licensed prescriber. You do not need a referral. Once your first appointment is set, you will receive information about how to log in for your video visit and what to have ready.

You can also look at Harborside’s broader medication management services, the New Hampshire telehealth page for details on care across the state, or the Seacoast NH page for information relevant to the coastal region around Stratham.

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 does not constitute medical advice. It does not create a provider-patient relationship. Any decisions about your care should be made with a licensed clinician who knows your full history.

[CITATION: link to SAMHSA or 988 Suicide and Crisis Lifeline for crisis resource information]

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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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