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Functional Psychiatry for Auburn, NH

Unlike a traditional psychiatric work-up, the functional medicine approach takes the whole person into account. Instead of matching symptoms to a diagnosis and stopping there, Harborside uses targeted testing to look for underlying deficiencies and physiological concerns that may be contributing to how someone feels and functions. For a lot of Auburn households, that whole-person view fits how life already works here: many people commute across the state line into Massachusetts for work, keep one foot in each state’s rhythm, and chose New Hampshire in part for its lack of a state income tax and the room it gives a family to build something on their own terms. A care model that looks at sleep, nutrition, stress load, and body chemistry alongside mood makes sense to people who are already thinking about their health in a practical, cross-border way.

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Functional Psychiatry for people in Auburn, NH

Harborside is based in Yarmouth Port, Massachusetts, and delivers care to patients across New Hampshire by video. You do not travel anywhere, and there is no waiting room. Appointments happen through a secure video platform that you can join from a laptop, tablet, or smartphone with a stable internet connection, from home, from a car during a lunch break, or anywhere you have privacy.

An initial functional psychiatry evaluation typically runs longer than a standard follow-up, since it involves a detailed history and a conversation about testing that may be appropriate for your situation. Follow-up appointments are shorter and are scheduled at a pace that reflects your treatment plan, whether that means every few weeks at the start or spaced further apart over time. If medication is part of your plan, prescriptions are sent electronically to the pharmacy of your choice in Auburn or anywhere else in New Hampshire. Lab work, when ordered, is typically done at a local lab or through an at-home collection kit, with results reviewed together in a follow-up visit.

How telehealth care actually works

Functional psychiatry at Harborside is used with adults dealing with concerns like persistent low mood, anxiety, brain fog, fatigue that does not resolve with rest, and mood symptoms that have not responded the way someone hoped to prior treatment. The approach is also used by people who simply want a more complete picture before starting or continuing medication, one that accounts for factors like nutrient status, thyroid function, sleep quality, and other physiological contributors that can influence how a person feels day to day. It is not a replacement for therapy or for medication management when those are appropriate. It is a way of asking a broader set of questions before deciding what care makes sense.

What we treat

Your first appointment is a conversation. Expect questions about your mental health history, physical health history, sleep, diet, stress, and any symptoms that have not made sense to you or to previous providers. Based on that conversation, your clinician may recommend specific lab testing to check for things like nutrient deficiencies, thyroid irregularities, or other markers relevant to mood and cognition. You will leave the first visit with a clear sense of what, if any, testing is recommended and what the next appointment will cover once results are in.

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 Harborside’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 the functional lens described above into how they work with patients. Full bios and credentials for each clinician are on the team page.

Therapy and eating disorder care at Harborside are delivered by the licensed therapy team: Hannah Legesse, LICSW, Tori Mahoney, LMHC, Jacquelyn Duford, LCMHC ATR, and Lexie Carchedi, LCSW. Depending on what you and your clinician decide, functional psychiatry and therapy can run alongside each other as part of the same overall plan.

Who our clinicians are

Harborside is a private-pay practice and does not bill insurance directly for appointments. Current fees for an initial and a follow-up appointment 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 Auburn and thinking about functional psychiatry, the first step is scheduling an initial evaluation. You can ask questions about the process, what testing might involve, and how appointments are scheduled before you commit to anything. For a broader look at how this service works across New Hampshire, visit the functional psychiatry service page, the New Hampshire telehealth hub, or the Southern NH region page. If you are weighing this approach against a specific concern, 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 specific to your situation, schedule an appointment with a Harborside clinician.

[CITATION: National Institute of Mental Health overview of mental health conditions and treatment, to support the general clinical descriptions on this page]

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Frequently Asked Questions

Is functional psychiatry the same as functional medicine?

No. It’s psychiatric care from a licensed psychiatric nurse practitioner that also reviews lab work and lifestyle factors, not a separate functional medicine practice.

No. Whether labs make sense is decided together at the first visit, based on your history and symptoms.

Bring it to your first appointment. Existing results can often be used instead of repeating tests.

No. Labs are typically billed separately by the lab itself and may be partly covered by insurance depending on the plan.

Yes. It’s meant to work alongside an existing therapist or primary care provider, not replace them.

Functional psychiatry includes the same prescribing and monitoring, plus a review of physical health factors like sleep, nutrition, and lab markers.

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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