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Eating Disorder Treatment for Stratham, NH

Every clinician at Harborside brings an extensive background in treating eating disorders and the conditions that tend to travel with them, so a client dealing with restriction, bingeing, purging, or a complicated relationship with food and body is met with informed, coordinated care rather than a single narrow lens. That depth matters for a town like Stratham, part of the Portsmouth, New Hampshire area and the wider Seacoast, where residents tend to be affluent, culturally engaged, and independent-minded, whether they are long-settled families or people who chose this stretch of coastal New Hampshire deliberately for its pace and quality of life. People here often want a provider who can move past surface symptoms and address the anxiety, mood, or perfectionism that frequently sits underneath an eating disorder, without a lot of hand-holding through the basics.

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Eating Disorder Treatment for people in Stratham, NH

Harborside is based in Yarmouth Port, Massachusetts, and delivers care to clients across New Hampshire, including Stratham, entirely by video. You do not need special equipment. A laptop, tablet, or smartphone with a camera, a private room, and a stable internet connection are enough. Sessions happen through a secure telehealth platform, and you will get a link ahead of each appointment.

A first evaluation typically runs longer than a follow-up, giving your clinician time to understand your eating history, physical health, and any co-occurring anxiety, depression, or trauma. Follow-up medication appointments are shorter and are scheduled based on clinical need, sometimes every few weeks at the start of care and spaced out as things stabilize. If medication becomes part of your plan, prescriptions are sent electronically to the pharmacy of your choice in New Hampshire, so you pick it up locally the way you would with any other prescription. Therapy sessions run on a separate, regular cadence set between you and your therapist.

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How telehealth care actually works

Eating disorder treatment at Harborside covers a range of presentations: restrictive eating patterns, binge eating, purging behaviors, and the more diffuse but still serious struggles with body image and food that do not fit neatly into a single diagnosis. These concerns rarely show up alone. Anxiety, depressive symptoms, obsessive thinking, trauma history, and difficulty regulating emotion are common alongside disordered eating, and care is built to address that overlap rather than treat the eating pattern in isolation. The goal of an evaluation is to understand the full picture, physical, emotional, and behavioral, before deciding on a plan.

What we treat

Your first appointment is a conversation, not a checklist. Expect questions about your eating patterns and how they developed, your physical health and any related medical concerns, your mood and anxiety history, and what has or has not helped before. If you are meeting with a prescriber, the discussion will also cover any medications you have tried and what medication management might reasonably involve going forward. If you are starting with a therapist, the first session is about understanding your history and beginning to shape a course of therapy that fits how you think and what you are ready for. Either way, you leave with a clearer sense of next steps, not a diagnosis handed to you cold.

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 clinic’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, and each brings specific experience with the medical and psychiatric complexity that eating disorders often involve. Full bios and credentials for each clinician 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, and Lexie Carchedi, LCSW. Jacquelyn is also a registered art therapist, which offers an additional route into treatment for clients who find that verbal therapy alone does not capture everything they are working through. Together, this team is positioned to address disordered eating alongside the anxiety, mood, and trauma symptoms that so often accompany it.

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, and any questions about cost can be answered before you book anything.

What it costs

If you are in Stratham and considering eating disorder treatment, you can start by reviewing the team page and the pricing page, then reaching out to schedule an initial evaluation. That first appointment is where a plan for either medication management, therapy, or both begins to take shape, based on what you actually need rather than a fixed program.

For more on our broader approach, visit the eating disorder treatment hub, our New Hampshire telehealth page, or the Seacoast NH regional page. If anxiety is part of what you are dealing with alongside disordered eating, our anxiety treatment page may also be useful.

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 is not medical advice. It does not create a provider-patient relationship. For guidance on the medical seriousness of eating disorders, see the National Institute of Mental Health’s overview of eating disorders [CITATION: NIMH eating disorders overview page, a federal health authority resource on symptoms and medical risk].

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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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