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Eating Disorder Treatment for Sudbury, MA

Everyone on the Harborside clinical team has an extensive background in treating eating disorders and the anxiety, depression, and perfectionism that so often travel alongside them. That depth matters in a town like Sudbury, where the pressure to perform well in school, in sports, and socially can start early and rarely lets up. Parents here are frequently the ones making the first call, often after noticing a change in eating habits, exercise, or mood that they cannot quite name but cannot ignore either.

Sudbury families tend to research before they act, and they tend to want a clinician who can speak to the whole picture: the eating pattern itself, but also the anxiety or family stress underneath it. Harborside’s therapy and prescribing team is built around that kind of layered, informed care.

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Eating Disorder Treatment for people in Sudbury, MA

Harborside is based in Yarmouth Port, Massachusetts, and delivers care to patients across the state by video. For a Sudbury household, that means no drive on Route 20 or across to the Pike during rush hour. You need a private space, a stable internet connection, and a laptop, tablet, or phone with a camera.

Initial appointments typically run longer, often 45 to 60 minutes, so the clinician can take a full history of eating patterns, medical status, mood, and family context. Follow-up appointments are shorter and scheduled at a pace that fits the situation, sometimes weekly at the start, spacing out as things stabilize. Therapy sessions for eating disorder work generally run 45 to 50 minutes and follow a regular cadence set collaboratively with your therapist.

If medication is part of the plan, prescriptions are sent electronically to a pharmacy of your choosing, including any pharmacy in or near Sudbury. Massachusetts permits telehealth prescribing of a full range of psychiatric medications, including controlled substances where clinically appropriate, so nothing about being seen by video limits what can be prescribed.

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How telehealth care actually works

Harborside’s eating disorder work addresses a range of presentations, including restrictive eating, binge eating, bulimic patterns, and the anxious or perfectionistic thinking that frequently underlies disordered eating in teenagers and adults alike. Body image concerns, food-related anxiety, and the effect of eating patterns on mood, sleep, and concentration are all part of the clinical picture we look at.

Because eating disorders rarely show up alone, care is designed to look at co-occurring anxiety, depression, obsessive-compulsive patterns, and trauma history where relevant, rather than treating the eating behavior in isolation.

What we treat

The first appointment is a conversation, not a checklist. Your clinician will ask about eating patterns and their onset, medical history, family dynamics, school or work stress, and any prior treatment. For younger patients, a parent is usually part of this first conversation, at least in part. You will leave with a clearer sense of what care might look like: whether therapy, medication management, or both make sense, and how often you would be seen going forward.

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 practice’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 those that co-occur with eating disorders. Full bios and credentials for each of them 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, who is also a registered art therapist; and Lexie Carchedi, LCSW. Between medication management and therapy, patients have access to a team that looks at eating disorders from more than one angle at once.

Who our clinicians are

Harborside is a private-pay practice and does not bill insurance directly for appointments. Current fees for an initial appointment 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 ready to schedule, you can book directly through the website. If you are still deciding whether this is the right fit, or whether therapy, medication management, or both make sense for your situation, you can reach out with questions first. There is no pressure to commit before you have the information you need.

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 specific to your situation, please schedule an appointment.

[CITATION: National Institute of Mental Health page on eating disorders, for general public information on symptoms and treatment approaches]

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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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