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Eating Disorder Treatment for Londonderry, NH

Everyone on the Harborside clinical team has an extensive background in treating eating disorders and the conditions that tend to travel alongside them, anxiety, depression, trauma, body image concerns. That depth matters, because eating disorders are rarely one thing on their own. It means a client in Londonderry gets care from clinicians who are uniquely suited to a set of challenges that is almost always more complicated than food and weight alone.

Londonderry sits in the part of New Hampshire that runs from Nashua and Merrimack out toward Windham, the state’s population center and home to a lot of families who cross the Massachusetts line for work every day. No state income tax is part of what draws professional households here, and many of them are used to managing care and logistics across two states already. Harborside works the same way: care is delivered by video, licensed for New Hampshire, without asking you to add a commute to an already full schedule.

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Eating Disorder Treatment for people in Londonderry, NH

Harborside is based in Yarmouth Port, Massachusetts, and sees patients across New Hampshire by telehealth. There is no physical office to visit in Londonderry. Sessions happen over secure video, using a laptop, tablet, or smartphone with a camera and a stable internet connection. That is the whole technology requirement.

A typical first appointment runs longer than a follow-up, giving the clinician time to understand your history and current concerns. Follow-up sessions with a prescriber are generally shorter and scheduled at an interval that fits the clinical picture, sometimes weekly at first, often spacing out over time. Therapy sessions with a licensed clinician typically run a standard clinical hour, on a weekly or biweekly cadence depending on what you and your therapist agree on.

If medication is part of your care plan, prescriptions are sent electronically to a pharmacy you choose near your home in Londonderry, the same way a prescription from any other clinician would be. You pick it up locally. Nothing about the video format changes how the prescription reaches you.

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How telehealth care actually works

This service addresses eating disorders across a range of presentations, restrictive eating patterns, binge eating, bulimic behaviors, and other disordered eating that affects daily functioning, health, or peace of mind. Eating disorders very often coexist with anxiety, depression, obsessive thinking, or a history of trauma, and treatment here is built to address that overlap rather than treat food behaviors as an isolated symptom. Care can include ongoing medication management, individual therapy, or both together, depending on what the clinical picture calls for.

What we treat

The first appointment is mostly conversation. Expect questions about your eating patterns, your physical and mental health history, any prior treatment, and what has brought you to reach out now. If you are meeting with a prescriber, that conversation informs an evaluation and diagnosis and, if appropriate, a plan for ongoing medication management. If you are meeting with a therapist, the first session is about understanding your situation well enough to set a direction for the work together. Either way, nothing is decided before you have had a chance to ask your own questions.

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 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. 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 adds a creative, expressive option for clients whose relationship with food or body image is hard to put fully into words.

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 appointment are listed on the pricing page, and questions about cost can be answered before anything is booked.

What it costs

If you are considering care for yourself or someone in your household in Londonderry, the next step is simply reaching out to schedule an initial appointment. You can indicate whether you are looking for medication management, therapy, or a conversation about which makes sense first. From there, scheduling is handled by video, on a timeline that works for your calendar rather than a commute.

Getting started

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 does not constitute medical advice. It does not create a provider-patient relationship. For guidance on eating disorders and warning signs, the [CITATION: National Institute of Mental Health overview of eating disorders, for general public health guidance] is a useful outside resource.

Reviewed by Lexie Carchedi, LCSW. Last reviewed: {LAST_REVIEWED}.

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Frequently Asked Questions

Does Harborside treat eating disorders that haven't been formally diagnosed?

Yes. Many clients start therapy for a difficult relationship with food or body image before, or without, a formal diagnosis.

Yes, when a client is already working with one. Coordination is discussed during intake and ongoing treatment.

No. Eating disorder therapy at Harborside is talk therapy. Medical monitoring, lab work, and meal planning are handled by outside providers and coordinated with as needed.

Clients who want medication management can be connected with one of Harborside’s psychiatric nurse practitioners.

No. Outpatient therapy isn’t appropriate for every situation. If a higher level of care is needed, your therapist will discuss that directly rather than continuing with weekly sessions alone.

Currently, eating disorder treatment at Harborside is available to clients located in Massachusetts and New Hampshire.

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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