Harborside Psychiatrics is physically located on Cape Cod, Massachusetts, but the practice was built to work by video across New England, which means the distance between Yarmouth Port and Yarmouth, ME has no bearing on the quality of care you can receive. That matters for a town like Yarmouth, where a lot of residents moved north from Portland proper, or from further south, for more space and a slower pace, and don’t want their care to feel like an afterthought squeezed between two demanding schedules and a commute.
This page describes how medication management works for people in Yarmouth: what happens in an appointment, who provides the care, and what it costs to get started.
Harborside is based in Yarmouth Port, Massachusetts. Every appointment for a Yarmouth, ME patient happens over live video, using a secure platform that runs from a laptop, tablet, or smartphone. You don’t need special equipment, just a private space and a stable internet connection.
An initial evaluation typically runs longer than a follow-up, because your clinician needs time to understand your history, your current symptoms, and what you’re hoping care will change. Follow-up appointments are shorter and are scheduled at an interval that fits your situation, sometimes every few weeks, sometimes more spread out, depending on where you are in treatment.
If a prescription is appropriate, it’s sent electronically to the pharmacy of your choice in Yarmouth or anywhere nearby. You pick up medication the way you always have. Nothing about the telehealth format changes that part of the process.
Because Maine licensure rules govern what can be prescribed to patients located in the state, care here does not include stimulant medications, ADHD medications, benzodiazepines, or other controlled substances, regardless of diagnosis. Your clinician will talk with you directly about what treatment options are available to you.
Medication management at Harborside addresses conditions like persistent anxiety, depression, mood instability, sleep disruption tied to a mental health condition, and the kind of chronic stress response that stops responding to willpower alone. Many patients come in already knowing something is off but unsure whether medication makes sense for them versus therapy, or both together. Part of the first appointment is sorting that out honestly, without a predetermined answer.
Some patients are also interested in functional psychiatry, which looks at nutrition, sleep, movement, and other physiological factors alongside standard evaluation and prescribing. That approach is part of how our nurse practitioners think about care, not a separate add-on service.
Your first visit is a full evaluation. Expect to talk through your current symptoms, relevant medical and mental health history, any medications you’ve tried before, and what’s going on in your life right now that’s contributing to how you feel. Your clinician will ask direct questions and expects direct answers, because the plan that comes out of that conversation depends on accurate information.
By the end of the appointment, you should have a clear sense of what your clinician recommends, whether that includes medication, a referral to one of Harborside’s therapists, or both, and what the next few weeks look like.
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 available on the team page.
Therapy is delivered by Harborside’s licensed therapy team: Hannah Legesse, LICSW, Tori Mahoney, LMHC, Jacquelyn Duford, LCMHC ATR, and Lexie Carchedi, LCSW. Some patients work with a prescriber alone, others combine medication management with regular therapy, and your clinician can help you decide which fits your situation.
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. If you have questions about cost, you can ask before anything is booked.
If you’re ready to schedule, or you want to talk through whether medication management is the right starting point before you commit to anything, reach out and someone from Harborside will walk you through the process. You can also read more about medication management as a service, or learn more about telehealth care across the state on the Maine telehealth page and for the wider Greater Portland area. If anxiety is a primary concern for you, our anxiety treatment page has more detail on that specific approach.
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 evaluating mental health care options, the [CITATION: National Institute of Mental Health or SAMHSA resource on choosing a mental health provider] is a useful independent source.
Reviewed by Rachel Egan, RN PMHNP-BC, Clinical Director, Harborside Psychiatrics. Last reviewed: {LAST_REVIEWED}.
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.