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Eating Disorder Treatment for Bow, NH

Everyone on the Harborside clinical team has an extensive background in treating eating disorders and the conditions that tend to travel with them, from anxiety to mood concerns to difficult relationships with control and body image. That depth matters because eating disorders are rarely one thing on their own, and care that only looks at food and weight tends to miss what is actually driving the behavior.

Bow is a small, well-off town with a strong sense of its own identity, a large share of state-government and professional households, and families whose weeks are already full. Many people here are not looking for a program that asks them to rearrange their schedule around a clinic. They want care that fits into a life that is otherwise working, delivered by clinicians who take the clinical picture seriously.

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Eating Disorder Treatment for people in Bow, NH

Harborside is based in Yarmouth Port, Massachusetts, and delivers care by video to patients across New Hampshire, including Bow. You do not travel to an office. 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 receive a link ahead of each appointment.

A first appointment with a prescriber typically runs longer than follow-up visits, since it involves a full review of your history and current concerns. Follow-up medication appointments are shorter, and how often you’re seen depends on where you are in care, not on a fixed schedule. Therapy sessions are generally scheduled weekly or every other week, depending on what you and your therapist agree makes sense.

If medication is part of your care, prescriptions are sent electronically to the pharmacy of your choice near Bow, so pickup works the same way it would after any other appointment.

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How telehealth care actually works

Eating disorder care at Harborside addresses restrictive eating, binge eating, purging behaviors, and the anxious or compulsive thinking about food, weight, and body shape that often accompanies these patterns. Many people seeking this kind of support are also dealing with anxiety, depression, obsessive thinking, or the aftereffects of stress and trauma, and treatment is built to look at those pieces together rather than in isolation.

Care may involve therapy, medication management, or both, depending on what a full evaluation shows. Some people need ongoing support for years. Others need a shorter period of focused care during a difficult stretch. The plan is shaped around your history and your current situation, not a standard template.

What we treat

Your first appointment is a conversation, not a checklist. A clinician will ask about your eating patterns, your relationship with food and your body, your medical history, and anything else affecting your daily life, including sleep, mood, and stress. If you are starting with a prescriber, this includes a review of any past treatment and current medications. If you are starting with a therapist, the focus is on understanding your history and what you want out of care.

By the end of the appointment, you should have a clearer sense of what ongoing care would look like, whether that means regular therapy, medication management, or a combination of both moving forward.

What the first appointment involves

Medication management and functional psychiatry are performed by psychiatric nurse practitioners Rachel Egan, RN PMHNP-BC, who is Harborside’s clinical director, along with Emily Pardue, RN PMHNP-BC, and Kirstin Ritchie, RN PMHNP-BC. Each is qualified to evaluate, diagnose, and prescribe for mental health conditions. Full bios and credentials for each clinician are available on the team page.

Therapy and eating disorder work are carried out by Harborside’s licensed therapy team: Hannah Legesse, LICSW; Tori Mahoney, LMHC; Jacquelyn Duford, LCMHC, ATR; and Lexie Carchedi, LCSW. Jacquelyn is also a registered art therapist, which offers an additional avenue for patients who find it hard to talk directly about food, body image, or control. Between the prescribing and therapy teams, patients in Bow have access to clinicians who bring real depth to this specific area of care.

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 this is the right fit before committing to anything, you can reach out to Harborside directly. Care for Bow residents is delivered entirely by video, and you can start with either a prescriber or a therapist depending on what your situation calls for. For more on how eating disorder care works at Harborside more broadly, visit the eating disorder treatment service page. If you’re looking into other options across the state, the New Hampshire telehealth page and the Capital Area NH regional page have more detail, and our anxiety treatment page covers a condition that frequently overlaps with disordered eating.

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 disorders from a national clinical body, see the [CITATION: National Eating Disorders Association or APA clinical practice guideline on eating disorders].

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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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