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Eating Disorder Treatment for Carlisle, MA

Everyone on the Harborside clinical team has an extensive background in treating eating disorders and the conditions that tend to travel alongside them, anxiety, mood disorders, trauma, obsessive-compulsive patterns. That depth matters because eating disorders rarely show up alone, and a plan that only addresses food and weight tends to miss the rest of what a person is carrying. In Carlisle, where families are often stretched thin between academic expectations, competitive athletics, and long commutes into Boston, parents are frequently the ones noticing changes first and searching for a clinician who can look at the whole picture, not just one symptom.

Harborside works with people across Carlisle whose eating and body image concerns are layered with school stress, perfectionism, or family history that has never been fully addressed. Care is built around that complexity rather than around a single diagnosis on a form.

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Eating Disorder Treatment for people in Carlisle, MA

Harborside Psychiatrics is based in Yarmouth Port, Massachusetts, and delivers care by secure video across the state, including to people living in Carlisle. There is no local office to drive to and no waiting room. You need a private space, a stable internet connection, and a phone, tablet, or computer with a camera.

A typical initial evaluation runs about 45 to 60 minutes. Follow-up medication management appointments are usually shorter, often 20 to 30 minutes, and are scheduled at an interval your prescriber sets based on your situation, commonly every few weeks at first and spacing out over time. Therapy sessions for eating disorder work are generally 45 minutes and occur on a weekly or biweekly basis depending on what the treatment plan calls for.

If medication is part of your care, prescriptions are sent electronically to the pharmacy of your choice near Carlisle, the same way a prescription from an in-person office would be. You do not need to travel to Yarmouth Port for any part of this. The entire relationship, from evaluation through ongoing care, happens over video.

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How telehealth care actually works

Harborside’s eating disorder work covers a range of presentations, not only the most visible ones. This includes restrictive eating patterns, binge eating, cycles of restriction and overeating, and preoccupations with food, weight, or body image that interfere with daily life, school, or relationships. Many people we work with also carry co-occurring anxiety, depression, obsessive-compulsive tendencies, or a history of trauma, and treatment is built to address these together rather than treating the eating pattern in isolation.

We also work with people whose relationship with food has changed gradually, for example after a period of dieting, a medical event, or a stretch of high stress, and who are not sure whether what they are experiencing rises to the level of a formal diagnosis. You do not need a diagnosis in hand to reach out.

What we treat

The first appointment is a clinical evaluation. Your clinician will ask about your eating patterns, physical health, mood, family and school or work life, and history, including anything that has been tried before. For younger patients, a parent or guardian is typically part of this conversation, at least in part. The goal of this session is to understand the full picture, not just the eating behavior on the surface, and to start building a plan that reflects what you actually need, whether that is medication management, therapy, or both working together.

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 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 medical and nutritional complexity that can come with eating disorders. Full bios and credentials for each of them are on the team page.

Therapy and eating disorder-focused clinical work are delivered by the 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, Harborside is set up to address both the physical and emotional dimensions of an eating disorder in one coordinated 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. If you have questions about cost, you can ask before anything is booked.

What it costs

If you are ready to move forward, the next step is scheduling an initial evaluation. You can also reach out first with questions about whether Harborside is a fit for what you or a family member in Carlisle is dealing with before committing to an appointment. Care is delivered entirely by video, so there is no travel involved at any stage.

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. It does not create a provider-patient relationship. Eating disorders can involve serious medical risk, and if you are concerned about a physical health emergency, seek immediate in-person care.

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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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