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Functional Psychiatry for Cape Elizabeth, ME

Unlike a traditional psychiatric work-up, a functional approach takes the whole person into account. Instead of starting and stopping at symptoms, Harborside uses targeted testing to look for underlying deficiencies and physiological concerns that may be contributing to how someone thinks and feels. For the professionals and families who have made Cape Elizabeth home over the past decade, often trading a longer commute or a smaller mortgage for the coastline and the pace of life here, this kind of thorough, unhurried assessment tends to match how they already approach their own health decisions.

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Functional Psychiatry for people in Cape Elizabeth, ME

Cape Elizabeth has grown into one of the more sought-after communities on the Portland side of Casco Bay, and the people who live here are often deliberate about the choices they make, from where they send their kids to school to who they trust with their health. Functional psychiatry appeals to that same instinct: rather than treating a mood or anxiety concern as an isolated issue, this approach considers sleep, nutrition, thyroid function, and other physiological factors that can influence mental health. Because Maine restricts prescribing of certain controlled medications through telehealth, Harborside’s work here focuses on non-controlled medication management alongside this broader diagnostic lens, paired with therapy when it is a good fit.

How telehealth care actually works

Harborside is based at 411 Main St in Yarmouth Port, Massachusetts, and delivers care to patients in Maine entirely by video. You do not need specialized equipment: a smartphone, tablet, or computer with a camera and a stable internet connection is enough. Sessions take place through a secure video platform, and you will get a link ahead of each appointment.

An initial evaluation typically runs longer than a follow-up, giving your clinician time to go through your history, current concerns, and relevant lab work if functional testing is part of your plan. Follow-up appointments are shorter and are scheduled at a cadence that fits your situation, often more frequent early on and spacing out over time. If medication is part of your care, prescriptions are sent electronically to the pharmacy of your choice in Cape Elizabeth or nearby, the same way they would be from an in-person visit.

What we treat

Functional psychiatry at Harborside is used for concerns such as persistent low mood, anxiety, difficulty concentrating, chronic fatigue tied to mental health, and situations where someone has tried a more conventional approach and wants a clinician who also looks at physiological contributors like nutrient levels or hormonal patterns. It is not a replacement for emergency care, and it is not a fit for every condition, but for many people it offers a way to understand what else might be going on before, or alongside, a medication conversation.

What the first appointment involves

Your first visit is a conversation, not a checklist. Your clinician will ask about your current symptoms, your health history, sleep and eating patterns, stress, and anything else relevant to how you are feeling. If functional testing makes sense for your situation, your clinician will explain what is being ordered and why, and how the results will factor into your plan. You will leave the appointment with a clear sense of next steps, whether that is medication, testing, therapy, or a combination.

Who our clinicians are

Medication management and functional psychiatry at Harborside are performed by psychiatric nurse practitioners: Rachel Egan, RN PMHNP-BC, who co-founded the practice and serves as 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 her own areas of focus to the work. Full bios and credentials for each clinician are on the team page.

When therapy is part of a patient’s plan, it is delivered by Harborside’s 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 she draws on where it fits a patient’s needs.

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 in Cape Elizabeth and thinking about whether functional psychiatry makes sense for you, the next step is scheduling an initial appointment. You can review clinician backgrounds, look at current fees, and book directly online. There is no referral required to get started.

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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. Reviewed by Rachel Egan, RN PMHNP-BC, Clinical Director. 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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