Every clinician at Harborside brings an extensive background in treating eating disorders and the conditions that so often travel with them, from anxiety to mood concerns to trauma histories. That depth means people get informed, coordinated care for a set of challenges that rarely show up alone. For households in Harvard, where large properties and long driveways already mean a life organized around not driving into Boston or even into Worcester for routine appointments, video care simply fits. You keep the privacy and continuity you’ve built your life around, and you get a clinical team that understands the layered nature of disordered eating rather than treating it as a single, isolated issue.
Harborside Psychiatrics is based in Yarmouth Port, Massachusetts, and delivers care by video to patients across the state, including Harvard. 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 telehealth platform, and the link is sent to you ahead of time.
A first appointment with a prescriber typically runs longer than a follow-up, since it involves a full review of your history, eating patterns, medical background, and any related concerns like anxiety or mood symptoms. Follow-up medication appointments are shorter and scheduled at a frequency your prescriber sets based on your situation, often monthly at first and adjusted from there. Therapy sessions for eating disorder work generally run about 45 to 50 minutes on a weekly or biweekly basis, depending on what you and your therapist decide.
If medication is part of your care, prescriptions are sent electronically to a pharmacy near you in Harvard or a neighboring town, the same way they would be from an in-person visit. Between appointments, you can message your care team through a secure patient portal for non-urgent questions.
We work with adults and adolescents dealing with restrictive eating, binge eating, purging behaviors, and the anxious or perfectionistic thinking patterns that frequently underlie them. This includes concerns that meet criteria for anorexia, bulimia, binge eating disorder, and other feeding and eating disturbances that don’t fit neatly into one category. We also treat the conditions that commonly co-occur, including anxiety, depression, obsessive-compulsive patterns, and trauma-related symptoms, since eating disorders rarely exist without company. Care is tailored to where you are, whether you’re managing a longstanding pattern or noticing early changes in how you relate to food and your body.
Your first visit is a structured conversation, not a test to pass. A member of our team will ask about your eating history, current patterns, physical health, and any past treatment. For therapy intakes, expect questions about mood, relationships, and how eating fits into your daily life. For prescriber intakes, expect a review of medical history and a discussion of whether medication has a role in your care. From there, we talk through what ongoing sessions could look like, how often you’d be seen, and who on the team you’d be working with. There’s room to ask questions before committing to anything further.
Medication management and functional psychiatry at Harborside are performed by psychiatric nurse practitioners: Rachel Egan, RN PMHNP-BC, who is also our 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 sometimes accompany eating disorder care. Full bios and credentials for each of them are on our team page.
Therapy and the day-to-day work of eating disorder treatment are carried out by our 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 can offer another way into the work for people who find that talk alone doesn’t reach everything. Together, this team covers both the medical and the therapeutic sides of eating disorder care under one practice.
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 our pricing page, and any questions about cost can be answered before you book anything.
If you’re in Harvard and thinking about reaching out, you can start by reviewing our eating disorder treatment page for more on how we approach this work, or the Massachusetts telehealth page for details on care across the state. Patients from the Central MA area, including Harvard, work with us this way regularly. When you’re ready, you can request an appointment online, and someone from our team will follow up to match you with the right clinician for your situation, whether that’s a prescriber, a therapist, or both.
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 specific to your situation, please schedule an appointment.
Reviewed by Hannah Legesse, LICSW. Last reviewed: {LAST_REVIEWED}.
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.