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Functional Psychiatry for Bow, NH

Unlike a traditional psychiatric work-up, the functional medicine approach takes the whole person into account. Harborside uses targeted testing to assess for underlying deficiencies and physiological concerns that may be driving poor mental health, rather than starting and stopping at a symptom checklist. For a town like Bow, where households tend to be settled and schedules tend to be full with state-government work, professional commitments, and community life, care that respects your time and looks at the fuller picture of your health tends to matter more than convenience alone.

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Functional Psychiatry for people in Bow, NH

People in Bow are often managing a lot at once: a demanding job in or around Concord, a household with its own rhythm, and a strong sense of community identity that comes with wanting to show up reliably for the people around you. When mental health symptoms appear, the instinct is often to look for a fast answer that fits into an already full week. Functional psychiatry does not skip steps, but it also does not require you to restructure your life to get started. The evaluation considers physiological factors alongside symptoms, so that what gets recommended is based on a more complete picture of what may be contributing to how you feel.

How telehealth care actually works

Harborside is based in Yarmouth Port, Massachusetts, and delivers care by video to patients across New Hampshire, including Bow. You do not travel to an office. Appointments happen over a secure video platform, and all you need is a private space, a stable internet connection, and a computer, tablet, or smartphone with a camera.

A typical initial appointment runs longer than a follow-up, since it involves a detailed history and a discussion of any testing that may be relevant to your evaluation. Follow-up appointments are shorter and are scheduled at an interval your clinician determines based on your situation, often every few weeks at first and less frequently as things settle into a routine. If medication is part of your care plan, prescriptions are sent electronically to the pharmacy of your choice in New Hampshire, so picking up a prescription works the same way it would after any other appointment.

What we treat

Functional psychiatry at Harborside is used for people dealing with mood symptoms, anxiety, low energy, sleep disruption, brain fog, and other concerns where a physiological contributor may be part of the picture. It is also used alongside ongoing therapy for people managing longer-standing mental health conditions who want their care to account for nutritional, metabolic, or other physical factors that can affect mood and functioning. This approach does not replace a full psychiatric evaluation. It adds a layer of testing and assessment to it.

What the first appointment involves

Your first appointment is a conversation. Your clinician will ask about your symptoms, your health history, your sleep, your diet, and any patterns you have noticed over time. Depending on what comes up, they may recommend lab testing to check for things like nutrient deficiencies, thyroid function, or other physiological markers that can influence mental health. From there, your clinician builds a plan that may include medication, referral to the therapy team, lifestyle recommendations, or a combination, based on what the evaluation and any testing show.

Who our clinicians are

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. Full bios and credentials for each clinician are available on the team page.

Therapy and eating disorder work 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 your plan of care, you may work with a prescriber, a therapist, or both.

What it costs

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 questions about cost can be answered before anything is booked.

Getting started

If you are considering functional psychiatry, the first step is scheduling an initial appointment. You can review the functional psychiatry service page for more detail on how the approach works, or visit the New Hampshire telehealth page and the Capital Area region page to see how care is delivered to patients near Bow. If anxiety or mood symptoms are part of what brought you here, the anxiety treatment page has more information on how that is addressed alongside a functional approach.

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Frequently Asked Questions

Is functional psychiatry the same as functional medicine?

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 functional and integrative approaches to mental health, see the [CITATION: National Center for Complementary and Integrative Health overview of nutrition and mental health, or similar federal health source].

Reviewed by Rachel Egan, RN PMHNP-BC. Last reviewed: {LAST_REVIEWED}.

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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