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Eating Disorder Treatment for Holliston, MA

Every clinician at Harborside has extensive experience treating eating disorders and the anxiety, depression, OCD, and trauma that so often travel alongside them. That depth matters because eating disorders are rarely just about food. They tend to arrive with other things attached, and care that only addresses one piece tends to miss the point. In Holliston, a lot of that searching falls to parents watching a middle or high schooler pull away from meals, or an adult juggling a demanding job and a packed family calendar who has quietly struggled for years without naming it. Holliston’s mix of youth sports, competitive academics, and busy two-career households means eating disorders often show up wrapped in perfectionism and a full schedule, not in obvious crisis. Care that understands that context, and can move at the pace a real family’s week allows, tends to fit better than a generic referral.

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Eating Disorder Treatment for people in Holliston, MA

Harborside is based in Yarmouth Port, Massachusetts, and delivers care entirely by video to patients across the state, which includes Holliston. There is no local office to drive to and no waiting room. You need a private space, a phone, tablet, or computer, and a stable internet connection. Sessions happen through a secure video platform, and the link is sent ahead of each appointment.

Initial evaluations typically run longer than follow-up visits, since the clinician needs time to understand your history, current eating patterns, medical status, and any other symptoms before building a plan. Medication follow-ups with a psychiatric nurse practitioner are usually shorter and scheduled on a cadence that reflects how you’re doing, sometimes every few weeks at first, often spacing out from there. Therapy sessions run on a regular weekly or biweekly rhythm depending on what’s clinically appropriate.

If medication is part of the plan, prescriptions are sent electronically to a pharmacy of your choosing near Holliston, the same way an in-person provider would send one. Massachusetts permits Harborside’s prescribers to manage a full range of psychiatric medications, including controlled substances when clinically indicated, as part of an eating disorder treatment plan.

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How telehealth care actually works

This service covers a range of disordered eating presentations, including restrictive eating, binge eating, bulimic patterns, and the more diffuse but still serious struggles that don’t fit neatly into a single category. Eating disorders frequently coexist with anxiety, depression, obsessive-compulsive patterns, trauma histories, and body image concerns, and Harborside’s clinicians are trained to look at that whole picture rather than treating symptoms in isolation. Care may involve nutrition-informed conversation, cognitive and behavioral approaches, medication management when appropriate, and attention to the medical monitoring an eating disorder sometimes requires in coordination with other providers.

What we treat

The first appointment is an evaluation, not a commitment to a fixed program. A clinician will ask about eating patterns, weight and health history, mood, family history, and how things are affecting daily life, school, or work. You’ll have a chance to describe what’s been happening in your own words. By the end of the session, you should have a clearer sense of what care might look like, whether that’s therapy, medication management, or both, and how often you’d be seen going forward.

What the first appointment involves

Medication management and functional psychiatry for eating disorders 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, including the medication needs that sometimes accompany an eating disorder. Full bios and credentials for each of them are on the team page.

Therapy and the day-to-day work of eating disorder treatment are delivered 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 can be a useful additional approach for patients who find it hard to put body image or food-related distress into words. Together, this group brings the kind of layered, cross-trained experience that eating disorder care in Holliston often calls for.

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 scheduled.

What it costs

Reaching out starts with a short intake call to gather basic information and match you with the right clinician type, either a therapist, a psychiatric nurse practitioner, or both. From there, you’ll schedule your first video appointment. Families in Holliston coordinating care for a teenager, and adults managing this on their own, both go through the same first step.

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 does not constitute medical advice. It does not create a provider-patient relationship. For guidance on eating disorder symptoms and when to seek care, see the [CITATION: National Institute of Mental Health overview of eating disorders, for general public health guidance].

Reviewed by Hannah Legesse, LICSW. 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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