Every clinician at Harborside brings an extensive background in treating eating disorders and the anxiety, depression, and perfectionism that so often travel alongside them. That depth matters, because eating disorders are rarely just about food. In Southborough, where school schedules run tight around sports, music, and AP courses, and where a lot of parents hold themselves and their kids to a high standard, disordered eating can hide behind a label like ‘disciplined’ or ‘healthy’ for a long time before anyone names it. It’s often a parent in Southborough who first notices the change in a teenager’s eating, mood, or energy, and who starts looking for a clinician who can address the whole picture, not just a symptom list.
Harborside is based in Yarmouth Port, Massachusetts, and delivers care to patients across the state by live video. For a family in Southborough, that means an appointment happens from home, a car during a lunch break, or a quiet room at school, rather than a drive out to an office.
You need a private space, a stable internet connection, and a laptop, tablet, or phone with a camera. Sessions are scheduled at a set time, the same as an in-person visit would be, and typically run about the length you’d expect for the type of appointment: longer for an initial evaluation, shorter for a follow-up medication check or a standard therapy hour.
If medication is part of the plan, prescriptions are sent electronically to a pharmacy of your choosing in Southborough or wherever is convenient. Follow-up frequency depends on the clinical picture. Someone newly starting a medication or in active eating disorder treatment may be seen more often at first, then move to a longer interval once things are more settled. Your clinician will talk through what that schedule looks like for your specific situation.
Eating disorder treatment at Harborside addresses anorexia, bulimia, binge eating disorder, and patterns of restrictive or disordered eating that don’t fit neatly into a single diagnosis but are still affecting someone’s health and daily life. Many people we work with are also managing anxiety, depression, obsessive-compulsive patterns, trauma history, or ADHD, and treatment accounts for how those conditions interact with eating behavior rather than treating each one in isolation. Medication management, when appropriate, is handled with the same attention to the whole clinical picture, including how eating disorder symptoms and other conditions influence each other over time.
The first appointment is an evaluation. Your clinician will ask about eating patterns, physical health, mood, family history, and how symptoms are affecting school, work, or relationships. If you’re seeking care for a teenager, a parent is typically part of this conversation, at least in part. From there, the clinician talks through what treatment could look like: whether medication management makes sense, whether therapy is indicated, and how often you’d be seen. Nothing is decided before that conversation happens, and you’re welcome to ask questions about the process itself before committing to a plan.
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 medication needs that can come up alongside an eating disorder. Full bios and credentials for each clinician are on the team page.
Therapy and eating disorder work are delivered by the 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 another route into treatment for patients who find that a useful complement to talk therapy. Across the team, the shared thread is direct experience with the layered nature of eating disorders and the conditions that often 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 the pricing page, and if you have questions about cost, you can ask before anything is booked.
If you’re in Southborough and considering care for yourself or your teenager, the next step is scheduling an initial evaluation. You can review clinician backgrounds and the broader scope of eating disorder treatment Harborside offers, or look at the Massachusetts telehealth page for how video care works across the state. Families in nearby communities within the MetroWest region often ask similar questions about scheduling and what to expect, and the process is the same wherever you’re located in Massachusetts.
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 specific to your situation, schedule an appointment or consult a qualified clinician.
[CITATION: National Institute of Mental Health page on eating disorders, for general public information on symptoms and health risks]
Clinically 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.