Therapy at Harborside is delivered by licensed clinicians who work with you to choose an approach that fits who you are, not a fixed protocol applied the same way to everyone. Sessions happen by video, on a schedule that fits your week rather than a waiting room’s.
Hanover is a small town where a great many households have some connection to the college or to the medical center, whether through work, research, training, or a spouse’s career. For some people here, that makes privacy genuinely important: the ability to talk with a clinician who has no overlap with your workplace, your department, or your professional community. Therapy that happens on your own screen, on your own time, and stays separate from the institutions that shape daily life in Hanover is part of what we offer, not an afterthought.
Harborside is based in Yarmouth Port, Massachusetts, and provides care to people across New Hampshire by telehealth. There is no local office to visit and no waiting room. Sessions take place over secure video, using a laptop, tablet, or smartphone with a camera and a stable internet connection. That is the only technology required.
A typical therapy session runs about 45 to 50 minutes. How often you meet depends on what you and your clinician decide fits your situation, whether that is weekly, every other week, or a different rhythm as things settle. If you are also working with one of our psychiatric nurse practitioners for medication management, any prescriptions are sent electronically to the pharmacy of your choice in New Hampshire, the same as they would be after an in-person visit.
You keep your appointments from home, your office, or anywhere private and quiet enough for a conversation. There is no commute, no drive across town, and no chance of running into someone you know in a waiting area.
People come to therapy at Harborside for a wide range of reasons. Common concerns include anxiety, depression, difficulty adjusting to a life change, relationship strain, grief, burnout, disordered eating, and the kind of chronic stress that builds up over months without a clear cause. Some people come in already knowing what they want to work on. Others come in only knowing that something feels off and they want help figuring out what that is.
Therapy here is not built around a single method applied to every diagnosis. Your clinician will talk with you about what is going on, what you have already tried, and what kind of approach makes sense, and will adjust that plan as your circumstances change.
The first appointment is mostly conversation. Your clinician will ask about what brought you in, your history, and what you are hoping is different as a result of the work. There is no assumption that you need to have this fully worked out before you book. Part of the first session is figuring that out together.
By the end of that appointment, you should have a sense of how often you will meet and what the early sessions will focus on. If medication is part of the conversation, your therapist can help coordinate a referral to one of our prescribers, though therapy and medication management are separate services with separate clinicians.
Medication management and functional psychiatry at Harborside are performed by psychiatric nurse practitioners: Rachel Egan, RN PMHNP-BC, who is also 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 on the team page.
Therapy and eating disorder work are delivered by our licensed therapy team: Hannah Legesse, LICSW, Tori Mahoney, LMHC, Jacquelyn Duford, LCMHC ATR, and Lexie Carchedi, LCSW. Jacquelyn Duford is also a registered art therapist, which she draws on with clients for whom that approach is a good fit. Each therapist brings their own areas of focus, and part of getting started is matching you with the clinician whose approach fits what you are looking for.
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. If you have questions about cost, you can ask before anything is booked.
Getting started begins with a short conversation about what you are looking for and which clinician on the therapy team might be the right fit. From there, you schedule a first appointment by video at a time that works for you. There is no referral required and no local paperwork to manage. If you are in Hanover and thinking about calling, you do not need to have it all figured out first. That is what the first appointment is for.
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. For guidance on finding a mental health provider and understanding your options, see the [CITATION: SAMHSA national helpline and treatment locator, a federal resource for finding mental health care].
Reviewed by Hannah Legesse, LICSW. {LAST_REVIEWED}.
No. Harborside’s therapists are licensed clinicians who provide psychotherapy, not psychiatric prescribers. Anyone who also wants medication management can be connected separately with one of Harborside’s psychiatric nurse practitioners.
Most clients meet weekly or every other week, depending on what’s agreed with the therapist during the first few sessions.
No. Harborside is a private-pay practice. Clients with out-of-network mental health benefits can request a superbill to submit to their insurer for possible reimbursement.
That’s a reasonable place to start. Many clients begin therapy without a specific problem in mind, and the first session is built around figuring that out together.
Yes. Finding the right therapist sometimes takes more than one try, and raising it is a normal part of the process, not something awkward.
No. Therapy is ongoing, scheduled care, not a crisis service. If you are in immediate danger, call 911. For crisis support, call or text 988.