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Functional Psychiatry for Yarmouth, ME

Unlike a traditional psychiatric work-up, a functional medicine approach takes the whole person into account. Instead of starting and stopping with symptoms, Harborside uses targeted testing to look for underlying deficiencies and physiological concerns that may be contributing to how someone feels day to day. For the professionals and families who have moved to Yarmouth in recent years, drawn by the coast, the schools, and a slower pace than they left behind, that kind of thorough, unhurried look at what’s actually driving a mental health concern tends to fit how they already think about their own health.

This is a population that tends to research decisions carefully before making them, whether that’s a move north from Boston or a choice about who manages their care. Functional psychiatry rewards that instinct. It asks more questions before it reaches for an answer.

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Functional Psychiatry for people in Yarmouth, ME

Harborside is based in Yarmouth Port, Massachusetts, and delivers care to patients across Maine, including Yarmouth, entirely by telehealth. You do not travel anywhere. You need a private space, a stable internet connection, and a phone, tablet, or computer with a camera. Sessions happen through a secure video platform, and you’ll get a link ahead of each appointment.

An initial evaluation typically runs longer than a follow-up, giving your clinician time to take a full history and talk through the functional testing that might be relevant to your situation. Follow-up appointments are shorter and happen on a schedule your clinician sets based on your needs, often monthly at first and then spaced out as things settle into a routine. If medication is part of your plan, prescriptions are sent electronically to the pharmacy of your choice near you in Yarmouth, so pickup works the same way it would with any other prescriber.

Because controlled substances cannot be prescribed to patients in Maine, medication management here focuses on non-controlled options and on the functional testing and lifestyle factors that functional psychiatry is built around.

How telehealth care actually works

Functional psychiatry at Harborside is often a fit for people dealing with persistent low mood, anxiety that doesn’t have an obvious trigger, chronic fatigue that overlaps with mental health symptoms, sleep that’s been off for months, or a sense that something is affecting mood and thinking that hasn’t been fully explained by prior care. It can also be useful alongside ongoing therapy, as an added layer of assessment rather than a replacement for it.

The goal of an evaluation is to build a fuller picture of what might be contributing to how you feel, including nutritional, hormonal, and other physiological factors that a standard intake often doesn’t cover. From there, your clinician talks with you about what testing and treatment options make sense for your situation.

What we treat

The first appointment is mostly conversation. Your clinician will ask about your current symptoms, your medical and mental health history, sleep, diet, stress, and anything else relevant to a full picture of your health. Based on that conversation, they may recommend specific lab work or functional testing to look for deficiencies or imbalances that could be part of what you’re experiencing. You’ll leave the first appointment with a sense of what’s being assessed and what the next steps look like, rather than a fixed plan handed to you on the spot.

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, and each brings their own approach to functional testing and care planning. Full bios and credentials for all three are 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 in Yarmouth work with a prescriber and a therapist together as part of one coordinated plan.

Who our clinicians are

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, and questions about cost can be answered before you book anything.

What it costs

If you’re in Yarmouth and considering functional psychiatry, the next step is scheduling an initial evaluation by video. There’s no requirement to have prior test results or a referral. You can bring whatever history you already have, and your clinician will help sort out what’s relevant and what testing, if any, makes sense from there. For more on how the service works across the state, see the functional psychiatry service page, the Maine telehealth page, and the Greater Portland region page. If anxiety is part of what’s bringing you in, the anxiety treatment page has more detail on that side of care.

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 is not medical advice. It does not create a provider-patient relationship. For guidance on when to seek a full evaluation for mood or physical symptoms, see the [CITATION: NIMH or similar government health source on mental health basics] for general background.

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

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Frequently Asked Questions

Is functional psychiatry the same as functional medicine?

No. It’s psychiatric care from a licensed psychiatric nurse practitioner that also reviews lab work and lifestyle factors, not a separate functional medicine practice.

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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