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Eating Disorder Treatment for Barnstable Village, MA

Every clinician at Harborside brings an extensive background in treating eating disorders and the conditions that often travel with them, from anxiety and depression to trauma histories and medical complications. That depth matters, because eating disorders are rarely just about food, and a household in Barnstable Village trying to figure out what’s going on with a spouse, a parent, or a teenager deserves a clinical team that already understands the whole picture. Harborside Psychiatrics is based right on the Cape, in Yarmouth Port, and we work with patients across Barnstable Village who are living the year-round version of Cape life, not the summer postcard. That means retired couples adjusting to a quieter routine, families running seasonal businesses whose stress load shifts hard from July to January, and households near the courthouse and the Old King’s Highway where daily life doesn’t slow down just because the tourists have gone home. Eating disorders can develop or worsen in any of those circumstances, and they don’t announce themselves the way a broken bone does.

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Eating Disorder Treatment for people in Barnstable Village, MA

Care happens by live video, using a secure platform you can join from a laptop, tablet, or smartphone with a working camera and a stable internet connection. There’s no separate app to buy and no waiting room to sit in. You log in from home, from a private office, or from your car during a lunch break, and the appointment starts on schedule.

Initial evaluations typically run longer than follow-up visits, since a prescriber or therapist needs time to understand your history, current symptoms, and any medical concerns tied to eating and weight. Follow-up appointments with a psychiatric nurse practitioner are usually shorter and happen on a schedule based on your treatment plan, sometimes every few weeks, sometimes monthly once things are more settled. If medication is part of your plan, prescriptions are sent electronically to whatever pharmacy you use in Barnstable Village or nearby, the same way a prescription would be sent from any other clinician’s office. Therapy sessions run on their own separate cadence, set between you and your therapist. Harborside is based in Yarmouth Port, Massachusetts, and every part of this, evaluation, medication management, and therapy, is delivered by video to patients located in Massachusetts.

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How telehealth care actually works

We work with anorexia, bulimia, binge eating disorder, and the less clearly labeled patterns that still disrupt someone’s relationship with food, body, and control, including restrictive eating that doesn’t fit a textbook diagnosis and disordered eating that developed alongside another health condition. Eating disorders frequently overlap with anxiety, depression, obsessive-compulsive patterns, trauma, and body image concerns, and care is built to address that overlap rather than treat eating as an isolated problem. For some patients, medication management addresses co-occurring anxiety, depression, or attention difficulties that make recovery-oriented work harder to sustain. For others, the primary work is therapeutic: understanding triggers, building a different relationship with food and body, and addressing the thought patterns that keep an eating disorder in place. Most people end up with some combination of the two.

What we treat

The first appointment is a conversation, not a checklist. Expect questions about your eating patterns, your medical history, any prior treatment, and how food, weight, and body image show up in your day-to-day life. If you’re seeking medication management, the psychiatric nurse practitioner will also ask about mood, sleep, anxiety, and any medications you’re currently taking. If you’re starting with therapy, your therapist will spend this time understanding what’s brought you in now and what you’re hoping care will address. Either way, you’ll leave with a clearer sense of what the next few appointments look like and who you’ll be working with going forward.

What the first appointment involves

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, including the medication needs that often accompany an eating disorder. Full bios and credentials for each of them are on the team page.

Therapy and eating disorder-focused clinical work are delivered by our licensed therapy team: Hannah Legesse, LICSW, Tori Mahoney, LMHC, Jacquelyn Duford, LCMHC ATR, a registered art therapist, and Lexie Carchedi, LCSW. Between medication management and therapy, care for a Barnstable Village patient can be built around whichever combination fits their situation.

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 visits are listed on the pricing page, and any questions about cost can be answered before you book anything.

What it costs

If you’re ready to schedule, or you just want to talk through whether Harborside is a fit before committing to an appointment, reach out and someone can walk you through next steps. You can also review our full eating disorder treatment services, learn more about telehealth care across Massachusetts, or see how we work with patients throughout the Cape region.

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 eating disorder warning signs and general treatment information, see the [CITATION: National Institute of Mental Health overview of eating disorders, for general public health context].

Reviewed by Lexie Carchedi, LCSW. Last reviewed: {LAST_REVIEWED}.

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Frequently Asked Questions

Does Harborside treat eating disorders that haven't been formally diagnosed?

Yes. Many clients start therapy for a difficult relationship with food or body image before, or without, a formal diagnosis.

Yes, when a client is already working with one. Coordination is discussed during intake and ongoing treatment.

No. Eating disorder therapy at Harborside is talk therapy. Medical monitoring, lab work, and meal planning are handled by outside providers and coordinated with as needed.

Clients who want medication management can be connected with one of Harborside’s psychiatric nurse practitioners.

No. Outpatient therapy isn’t appropriate for every situation. If a higher level of care is needed, your therapist will discuss that directly rather than continuing with weekly sessions alone.

Currently, eating disorder treatment at Harborside is available to clients located in Massachusetts and New Hampshire.

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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