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Harborside Psych

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Medication Management for Williston, VT

Harborside Psychiatrics is physically based on Cape Cod, Massachusetts, but the team delivers care by video to patients across New England, including Vermont. That matters for a town like Williston, where many residents work in Burlington or for the region’s larger employers, keep demanding schedules, and want a medication appointment that does not require a drive across the county and back, and that gives them time to actually talk.

Williston sits in the middle of the state’s population center, and the people who live here tend to be well educated, professional, and used to asking questions before they commit to a plan. Vermont law does not permit controlled medications, including stimulants and benzodiazepines, to be prescribed to patients in this state, and Harborside does not prescribe them here. What we do offer is a careful, unhurried approach to the medications that are available, delivered over video from clinicians who take the time to explain what they’re recommending and why.

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Medication Management for people in Williston, VT

Every appointment happens over secure video. You’ll need a phone, tablet, or computer with a camera and microphone, a reasonably stable internet connection, and a private room where you can talk without being overheard. There’s no waiting room, no drive, and no need to take a half day off work.

An initial appointment typically runs longer than a follow-up, since it involves a full review of your history, current symptoms, and any past treatment. Follow-up visits are shorter and are spaced based on your situation. Someone starting a new medication is usually seen more often at first, then less frequently once things have settled into a routine.

Harborside is based in Yarmouth Port, Massachusetts. Our clinicians are licensed to see patients located in Vermont at the time of their appointment, which means you can be at home, at work, or anywhere else in the state during your visit. When a prescription is appropriate, it’s sent electronically to a pharmacy near Williston, or anywhere else in Vermont, so pickup works the same way it would after any other appointment.

How telehealth care actually works

Medication management at Harborside addresses conditions like persistent anxiety, depression, mood instability, obsessive-compulsive patterns, and sleep disruption tied to a mental health condition. We also work with patients navigating major life transitions, chronic stress, or symptoms that have not responded well to a prior approach.

Each plan starts with a conversation about what you’re experiencing, what you’ve already tried, and what matters to you in day-to-day life. From there, a clinician will talk through the medication options available under Vermont’s prescribing rules and build a plan around your specific situation rather than a general protocol.

What we treat

Medication management and functional psychiatry at Harborside are performed by psychiatric nurse practitioners: Rachel Egan, RN PMHNP-BC, who serves as 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 a distinct area of focus to the work. Full bios and credentials for each clinician are available on the team page.

Therapy and eating disorder care at Harborside are delivered by our licensed therapy team: Hannah Legesse, LICSW, Tori Mahoney, LMHC, Jacquelyn Duford, LCMHC ATR, and Lexie Carchedi, LCSW. Depending on your needs, a therapist and a prescriber may work together as part of your care.

What the first appointment involves

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.

Who our clinicians are

If you’re in Williston and thinking about medication management, the next step is simple: reach out, and we’ll schedule an initial appointment. We’ll send any intake paperwork ahead of time so your first visit can focus on your history and what you’re hoping to address, not forms.

You can also review our medication management services, learn more about telehealth care across Vermont, or see how we work with patients throughout Chittenden County. If anxiety is part of what brought you here, our anxiety treatment page has more detail on that specific approach.

What it costs

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

[CITATION: Link to SAMHSA or Vermont Department of Mental Health resource on telehealth or state prescribing regulations, to support the claim about Vermont’s controlled substance rules]

Getting started

Getting started is a short call or a form, not a formal referral. Someone from Harborside will confirm that medication management is a fit, answer questions about cost and scheduling, and get a first appointment on the calendar. For people in Williston, VT, that first video visit is typically the same wait as anyone else in Massachusetts working with Harborside, not a longer one because the office happens to be on the Cape.

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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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