Therapy at Harborside is delivered by licensed clinicians who work with each client to choose an approach that fits the person, not a fixed protocol applied the same way to everyone. Sessions happen by video, on a schedule built around your week rather than a clinic’s.
Stratham sits inside the Portsmouth, New Hampshire orbit, a town of long-settled families alongside people who chose the Seacoast on purpose, for the pace and the quality of life it offers. That mix tends to produce clients who want a direct say in how their care is structured and who are used to making deliberate choices rather than accepting whatever is nearest. Therapy built around your actual schedule and your actual concerns, not a generic slot, tends to fit that approach well.
Harborside is based in Yarmouth Port, Massachusetts, and works with clients across New Hampshire, including Stratham, entirely by video. You do not travel to an office. You need a private space, a stable internet connection, and a phone, tablet, or computer with a camera.
The mechanics are simple by design. The goal is to keep the logistics out of the way of the actual work.
Therapy at Harborside addresses a range of concerns, including anxiety, depression, mood changes, grief and loss, life transitions, relationship strain, eating and body image concerns, and the kind of chronic stress that builds up over months or years without a single obvious cause. Some clients come with a clear diagnosis they want support managing. Others come because something feels off and they want help figuring out what that is and what to do about it.
Your first conversation with a clinician is where this gets defined more specifically, based on what you bring to it rather than a checklist.
The first appointment is largely conversation. Your clinician will ask about what brought you in, your history, what has and has not helped before, and what you are hoping is different on the other side of this work. There is no assumption that you already know how to describe the problem clinically. Plain language is fine.
By the end of that first session, you and your clinician should have a working sense of how often you will meet and what the early sessions will focus on. That plan can change as you go. It is a starting point, not a contract.
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 within New Hampshire. Full bios and credentials for each clinician are on the team page.
Therapy and eating disorder work are delivered by Harborside’s 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 brings into sessions where it fits a client’s needs. Clients working with a therapist and a prescriber at the same time have both parts of their care coordinated as one plan.
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.
If you are ready to schedule, or you just want to ask a few questions first, reach out through Harborside’s contact page. Someone will walk you through availability, what to expect, and whether therapy or a combination of therapy and medication management makes sense based on what you describe. There is no obligation attached to that first conversation, and you can bring whatever questions you have about how any of this works for someone in Stratham specifically.
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 evidence-based mental health treatment options, see [CITATION: SAMHSA or NIMH resource on finding mental health treatment].
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.