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Harborside Psych

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Medication Management for East Greenwich, RI

Harborside Psychiatrics is based on Cape Cod, in Yarmouth Port, Massachusetts, but the team works with patients across New England using video visits, which means the practice is fully available to people living in East Greenwich and the rest of South County and the west bay, from Narragansett and South Kingstown down to North Kingstown. This part of Rhode Island tends to draw a settled, professional population, a coastal seasonal rhythm, and proximity to the university community in Kingston, and care that fits into that life needs to happen on a laptop between meetings, not in a waiting room. Rhode Island law does not permit our clinicians to prescribe controlled medications, including stimulants or benzodiazepines, to patients located in the state, so this page describes the medication management we do provide here: ongoing evaluation and prescribing for conditions like depression, anxiety, and related concerns, using non-controlled medications.

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Medication Management for people in East Greenwich, RI

Every appointment happens by secure video, using a link sent ahead of time. You will need a phone, tablet, or computer with a camera and a stable internet connection, and a private place to talk. There is no office to travel to and no waiting room, because the practice itself is based in Yarmouth Port, Massachusetts, and delivers care to Rhode Island patients entirely through telehealth.

An initial medication evaluation typically runs longer than a follow-up, since it involves a full review of your history, current symptoms, and any medications you have already tried. Follow-up appointments are shorter and are scheduled at an interval your clinician recommends based on how you are doing, often every few weeks at first and then further apart as things settle into a routine. If a prescription is appropriate, it is sent electronically to a pharmacy of your choosing in East Greenwich or wherever is convenient for you, the same way most prescriptions are handled today.

Between appointments, you can message your clinician through the patient portal with questions or updates, so that changes in how you are feeling do not have to wait for the next scheduled visit.

How telehealth care actually works

Medication management at Harborside addresses common mental health concerns that affect adults and, in some cases, adolescents, including persistent low mood, anxiety, panic symptoms, obsessive thinking patterns, mood instability, and difficulty sleeping tied to a mental health condition. It also includes ongoing medication support for people already on a treatment plan who need someone to monitor how it is working, adjust dosing, or think through side effects. Because controlled medications are not part of what we prescribe in Rhode Island, this service is built around non-controlled options and a clinical conversation about what is realistic for your situation, not a single medication as the whole plan.

What we treat

The first visit is a conversation, not a checklist. Your clinician will ask about your current symptoms, your health and treatment history, anything you have tried before and how it went, and what your daily life looks like right now. You should expect to talk about sleep, work or school, relationships, and anything that feels connected to how you are functioning day to day. By the end of that first session, you and your clinician should have a shared sense of what the plan is, whether that involves a medication, a referral to therapy, or both, and what the next appointment will focus on.

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 the practice’s clinical director, Emily Pardue, RN PMHNP-BC, and Kirstin Ritchie, RN PMHNP-BC. Each of them is qualified to evaluate, diagnose, and prescribe for mental health conditions, and each holds board certification as a psychiatric mental health nurse practitioner. Full bios and credentials for all three are on the team page.

Therapy and eating disorder care at Harborside are delivered by the licensed therapy team: Hannah Legesse, LICSW, Tori Mahoney, LMHC, Jacquelyn Duford, LCMHC ATR, and Lexie Carchedi, LCSW. Many patients in East Greenwich work with a prescriber for medication and a therapist for ongoing talk-based work at the same time, coordinated as one 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 any questions about cost can be answered before you book anything.

What it costs

If you are ready to schedule, you can request an appointment online and choose a time that works with your schedule. If you are still deciding whether medication management is the right next step, you are welcome to reach out with questions first. There is no obligation attached to asking, and getting a clear answer about what care with Harborside would look like does not require committing to anything.

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 is not medical advice. Reading it does not create a provider-patient relationship with Harborside Psychiatrics or with any individual clinician. For guidance on what to expect from a prescriber-patient relationship and mental health treatment generally, see the Substance Abuse and Mental Health Services Administration [CITATION: SAMHSA, federal public health source, general mental health treatment information].

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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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