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Harborside Psych

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Medication Management for South Burlington, VT

Harborside Psychiatrics is physically located on Cape Cod, Massachusetts, but the practice was built around telehealth so that people across New England can get care from the same small team of clinicians, wherever they happen to live. For South Burlington, a well-educated, professional community that anchors much of Chittenden County and the greater Burlington area, that means access to prescribers who are willing to slow down and explain their reasoning, not rush through a fifteen-minute visit.

South Burlington residents tend to be thoughtful about their health care choices and want a provider relationship that treats them as a partner in decisions, not a passive recipient of a prescription. Vermont law does not permit us to prescribe controlled medications, including stimulants or benzodiazepines, but a substantial range of psychiatric medication management is available and delivered entirely by video.

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Medication Management for people in South Burlington, VT

Care happens over live video, using a secure platform you access from a computer, tablet, or smartphone with a camera and a stable internet connection. There is no waiting room and no commute. You log in from home, from your office during a lunch break, or from anywhere private with a decent connection.

An initial medication management appointment typically runs longer than a follow-up, because your prescriber needs time to take a full history, discuss your symptoms, and talk through options before recommending anything. Follow-up appointments are shorter and scheduled at an interval your prescriber sets based on how you are doing, often more frequent at the start of care and spaced out over time.

If a medication is appropriate, your prescriber sends it electronically to a pharmacy of your choosing near South Burlington, the same way most prescriptions are handled today. You pick up your medication locally. The clinical relationship, the conversation, and the decision-making all happen by video with a clinician based at Harborside’s office in Yarmouth Port, Massachusetts.

How telehealth care actually works

Medication management at Harborside addresses conditions such as depression, anxiety, obsessive-compulsive patterns, mood instability, trauma-related symptoms, and sleep difficulties that are affecting daily functioning. Some patients come in already diagnosed and looking for a second opinion on their current medication plan. Others are unsure what is going on and want a clinician to help sort through symptoms methodically.

Medication is often paired with therapy, and your prescriber can talk with you about whether that combination makes sense for your situation. We are not going to promise a particular outcome or a timeframe. What we can describe is the process: a careful evaluation, an honest conversation about options, and ongoing monitoring adjusted as needed.

What we treat

Your first visit is a comprehensive evaluation. Your prescriber will ask about your current symptoms, your health history, any medications or supplements you take now, family history, and what has or has not worked for you before. This is also your chance to ask questions: about how a medication works, what side effects to watch for, or how long a typical trial period runs.

By the end of the appointment, you and your prescriber will have a plan, whether that means starting a medication, adjusting an existing one, holding off and monitoring, or referring you toward therapy alongside or instead of medication. You will know what to expect at your next appointment before you log off.

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 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, and each brings her own approach to patient care within that scope. Full bios and credentials for each clinician are available on the team page.

Therapy and eating disorder care are delivered by Harborside’s licensed therapy team: Hannah Legesse, LICSW, Tori Mahoney, LMHC, Jacquelyn Duford, LCMHC ATR, and Lexie Carchedi, LCSW. Many patients in South Burlington work with a prescriber and a therapist together, coordinated as one care team.

Who our clinicians are

Harborside is a private-pay practice and does not bill insurance directly for appointments. Current fees for an initial appointment and for follow-up appointments are listed on the pricing page, and any questions about cost can be answered before you book anything.

What it costs

If you are in South Burlington and thinking about medication management, the next step is scheduling an initial evaluation. You can look over clinician bios, review current fees, and book a time that works for your schedule, all before your first appointment. There is no requirement to have a diagnosis already worked out. That is part of what the first visit is for.

Getting started

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.

This page is educational and does not constitute medical advice. It does not create a provider-patient relationship. Reviewed by Rachel Egan, RN PMHNP-BC, Clinical Director. Last reviewed: {LAST_REVIEWED}.

For general information on how telehealth is used in behavioral health care, see the American Psychiatric Nurses Association [CITATION: APNA resource on telepsychiatric/telehealth nursing practice, to support the description of telehealth care above].

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Frequently Asked Questions

Do I need a diagnosis already to book an appointment?

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.

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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