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Functional Psychiatry for Falmouth, ME

Unlike a traditional psychiatric work-up, functional psychiatry takes the whole person into account. Instead of starting and ending with a symptom checklist, Harborside uses targeted testing to look for underlying deficiencies and physiological concerns that may be contributing to how you feel. For many people who have moved to Falmouth over the past decade for the coastline, the schools, and a slower pace within reach of Portland, that kind of thorough, unhurried evaluation fits how they already think about their own health. You made a deliberate choice about where to live. It makes sense to be just as deliberate about how your mental health is actually assessed.

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Functional Psychiatry for people in Falmouth, ME

Falmouth has changed a great deal in a short amount of time. Longtime residents and newer arrivals from Portland’s more expensive neighborhoods now share the same roads, the same schools, and often the same concerns: a demanding job, a mortgage that took real planning, and a desire to handle health decisions with the same care they bring to everything else. Functional psychiatry appeals to people who want to understand the biological factors, not just the diagnostic label, behind symptoms like fatigue, low mood, or difficulty concentrating.

This approach does not replace a standard mental health evaluation. It adds to it. Bloodwork and other targeted testing can surface issues such as nutrient deficiencies, thyroid irregularities, or metabolic patterns that affect mood and cognition. Addressing what testing finds, alongside a full clinical picture, is part of how a Harborside prescriber builds a treatment plan that reflects more of what is actually going on in your body.

How telehealth care actually works

Harborside is based in Yarmouth Port, Massachusetts, and delivers care to Falmouth by video. You do not travel anywhere for an appointment. You need a private space, a stable internet connection, and a phone, tablet, or computer with a camera. Sessions are held through a secure telehealth platform, and a link is sent to you ahead of time.

An initial appointment typically runs longer than a follow-up, since it involves a full history, a discussion of symptoms and goals, and a review of any testing that is recommended. Follow-up appointments are shorter and are scheduled at a frequency that depends on your situation, often more frequent early on and spacing out over time. If medication is part of your plan, prescriptions are sent electronically to a pharmacy of your choosing near you in Falmouth, the same way they would be from an in-person visit.

Lab work, when it is part of your care, is typically drawn at a local lab or collection site convenient to you, with results reviewed together during a scheduled appointment.

What we treat

Functional psychiatry at Harborside is used alongside standard care for concerns such as persistent low mood, anxiety, fatigue that does not resolve with rest, brain fog, sleep disruption, and mood symptoms that seem tied to hormonal or metabolic changes. It is a way of asking whether something physiological is contributing to a mental health picture, in addition to the psychological and situational factors that are always part of the conversation. It is not a stand-alone alternative to therapy or medication management when those are indicated, and your clinician will talk with you about how the pieces fit together for your specific concerns.

What the first appointment involves

Your first appointment is a conversation. Your clinician will ask about your current symptoms, your health history, your sleep, your diet, and anything that has already been tried. From there, they may recommend specific lab testing based on what your history suggests could be relevant. There is no set panel that everyone receives. Testing is chosen to match your presentation, not applied as a routine.

Once results are back, you and your clinician review them together and talk through what, if anything, they suggest about next steps. That might include changes to diet or supplementation, a referral for therapy, medication management, or simply continued monitoring. You leave the appointment with a plan you understand, not a printout you have to interpret on your own.

Who our clinicians are

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, and each brings her own areas of clinical focus to functional and integrative approaches. Full bios and credentials for each clinician are on the team page.

When therapy is part of your care, it is delivered by Harborside’s licensed therapy team: Hannah Legesse, LICSW, Tori Mahoney, LMHC, Jacquelyn Duford, LCMHC ATR, and Lexie Carchedi, LCSW. Jacquelyn is also a registered art therapist. Depending on your needs, your prescriber may recommend working with one of these clinicians alongside your medication management care.

What it costs

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.

Getting started

If functional psychiatry sounds like a fit for what you are dealing with, the next step is to book an initial appointment. You will be asked some background information ahead of time so your first session can focus on your history and your goals rather than paperwork. There is no obligation to continue past a first appointment if you decide the approach is not right for you.

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Frequently Asked Questions

Is functional psychiatry the same as functional medicine?

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. Reading it does not create a provider-patient relationship with Harborside Psychiatrics. Care decisions should be made with a qualified clinician who knows your full history.

For general background on integrative and nutrition-related approaches to mental health, see [CITATION: National Institutes of Health Office of Dietary Supplements or NIH resource on nutrition and mental health, for general public background on the biological factors functional psychiatry considers].

Reviewed by Rachel Egan, RN PMHNP-BC, Clinical Director, Harborside Psychiatrics. Last reviewed: {LAST_REVIEWED}.

No. Whether labs make sense is decided together at the first visit, based on your history and symptoms.

Bring it to your first appointment. Existing results can often be used instead of repeating tests.

No. Labs are typically billed separately by the lab itself and may be partly covered by insurance depending on the plan.

Yes. It’s meant to work alongside an existing therapist or primary care provider, not replace them.

Functional psychiatry includes the same prescribing and monitoring, plus a review of physical health factors like sleep, nutrition, and lab markers.

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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