Every clinician at Harborside has an extensive background in treating eating disorders alongside the anxiety, depression, trauma, and mood conditions that so often travel with them. That depth matters because eating disorders rarely show up alone, and care that only looks at food misses most of what’s actually happening. We work with patients across Marstons Mills who want a clinical team already comfortable with that complexity.
Marstons Mills lives differently depending on the season, and most residents know it. There’s the summer version of the Cape, and then there’s the year-round version: retirees managing routines through the winter, families running seasonal businesses that boom for three months and go quiet for nine, kids in Barnstable schools whose parents are stretched thin come Labor Day. Harborside Psychiatrics is based in Yarmouth Port, on the Cape, and we built this practice around exactly that rhythm.
Care happens over video, from wherever you are in Marstons Mills. You’ll need a smartphone, tablet, or computer with a camera and a stable internet connection. Sessions are held through a secure telehealth platform, and you’ll get a link ahead of each appointment.
Initial appointments run longer than follow-ups, giving your clinician time to understand your history, current eating patterns, and any co-occurring concerns before building a plan. Follow-up visits are shorter and scheduled at whatever interval fits your care, whether that’s weekly therapy sessions or medication check-ins every few weeks. If medication is part of your plan, prescriptions are sent electronically to a pharmacy you choose near Marstons Mills, so pickup is local even though the appointment isn’t.
Harborside Psychiatrics is based at 411 Main St, Yarmouth Port, Massachusetts. There’s no office to drive to for these appointments. The clinical relationship, the record-keeping, and the coordination between your prescriber and therapist all happen the same way they would in person, just through a screen.
We work with anorexia, bulimia, binge eating disorder, and disordered eating patterns that haven’t necessarily met full diagnostic criteria but are still affecting someone’s health and daily life. We also see a lot of overlap with anxiety, depression, obsessive-compulsive patterns, trauma history, and body image concerns that developed alongside or independent of the eating disorder itself.
Treating the eating disorder without addressing what sits underneath it, or beside it, tends to leave gaps. Our approach looks at the full clinical picture: what’s driving the behaviors, what’s maintaining them, and what needs to happen medically and therapeutically at the same time.
Your first visit is a clinical intake. Expect questions about your eating history, physical health, mood, family history, and what’s brought you to seek care now. If you’re meeting with a prescriber, that conversation includes a review of any current or past medications and a discussion of whether medication management makes sense as part of your care. If you’re starting with a therapist, the focus is on understanding your patterns and beginning to build a working relationship.
Many people receiving eating disorder care benefit from both a prescriber and a therapist working in coordination, and Harborside is set up for that kind of collaborative care from the start.
Medication management and functional psychiatry at Harborside are performed by psychiatric nurse practitioners: Rachel Egan, RN PMHNP-BC, who is also the practice’s 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 psychiatric aspects of eating disorders. Full bios and credentials for each clinician are available on the team page.
Therapy and eating disorder counseling 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 them, this team brings direct clinical experience with eating disorders and the anxiety, trauma, and mood conditions that frequently accompany them.
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. If you have questions about cost, you can ask before booking anything.
If you’re ready to schedule, you can book directly through our site. If you’re not sure whether what you’re dealing with counts as an eating disorder or is serious enough to bring to a clinician, that’s a reasonable thing to ask about during a scheduling call. You don’t need a diagnosis in hand before reaching out. Patients across Marstons Mills often start with a single intake appointment and build the rest of the plan from there, with a prescriber, a therapist, or both.
If you are in immediate danger, call 911. If you are experiencing a mental health crisis, call or text 988 to reach the Suicide and Crisis Lifeline. 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. For guidance on the medical seriousness of eating disorders, the National Institute of Mental Health’s overview of eating disorders is a reliable starting point. [CITATION: NIMH eating disorders overview, used to support clinical seriousness without making outcome claims]
Reviewed by Lexie Carchedi, LCSW. 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.