Every clinician at Harborside has an extensive background in treating eating disorders and the anxiety, depression, trauma, or perfectionism that so often travels alongside them. That depth matters in a town like Wellesley, where a lot of the calls we get come from parents who have already noticed something is wrong but aren’t sure whether it’s disordered eating, a stress response to school and college pressure, or something else entirely. In a community built around high-achieving schools, competitive athletics, and a lot of scrutiny on grades and appearance, an eating disorder can hide in plain sight for a long time before anyone names it out loud.
Harborside is based in Yarmouth Port, Massachusetts, and delivers care by video to patients across the state. Nothing about that changes what an appointment covers, but it does change how it fits into a family’s week.
You’ll need a private space, a stable internet connection, and a laptop, tablet, or smartphone with a camera. Initial evaluations typically run longer than follow-up visits, since there’s more history to cover. After that, appointment frequency depends on what’s needed. Someone newly starting medication management might be seen every few weeks at first, then move to a monthly check-in once things settle. Therapy sessions are usually weekly or every other week, depending on the clinician’s recommendation and what the person in care wants.
If medication is part of the plan, prescriptions are sent electronically to whatever pharmacy you use, whether that’s in Wellesley or wherever the patient happens to be that week. You don’t need to drive anywhere to pick up a paper script, and you don’t need to take a morning off work or school for an in-person visit.
Eating disorders rarely show up alone. We work with restrictive eating, binge eating, purging behaviors, and the rigid food rules and body image preoccupation that can develop even without meeting full criteria for a diagnosis. We also treat the conditions that commonly accompany disordered eating: anxiety, depression, obsessive-compulsive patterns, and the kind of chronic stress that builds up in academically demanding households. For adolescents and young adults, we pay close attention to how school performance, sports, and family dynamics interact with eating behavior, since those pieces are often tangled together and need to be addressed as a whole rather than one at a time.
The first visit is mostly about listening. Your clinician will ask about eating patterns, weight history, mood, sleep, family history, and anything medical that’s already been ruled in or out. If you’re seeking care for a teenager, a parent is usually part of this conversation, at least initially. From there, the clinician will talk through what treatment could look like: therapy alone, medication management alone, or both together, depending on what the evaluation points to. There’s no obligation to commit to anything beyond that first conversation.
Medication management and functional psychiatry at Harborside are performed by psychiatric nurse practitioners Rachel Egan, RN PMHNP-BC, who serves as 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 medical complications and co-occurring symptoms that often accompany eating disorders. Full bios and credentials for each of them are on the team page.
Therapy and eating disorder-specific work are delivered by our 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 entry point for patients, especially younger ones, who find it hard to talk directly about food and body image at first.
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 our pricing page. If you have questions about cost, we’re glad to answer them before you book anything.
If you’re a Wellesley parent trying to figure out whether what you’re seeing at home warrants a call, that uncertainty is common and it’s a reasonable place to start from. You can request an appointment through our intake process, and a member of our team will help match you with the right clinician based on age, symptoms, and whether medication management, therapy, or both make sense. You do not need a referral to reach out.
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 Eating Disorders Association or NIMH resource on eating disorder screening and warning signs]
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.