Is functional psychiatry different from regular psychiatric care?

Yes. A standard psychiatric evaluation focuses on symptoms and history. Functional psychiatry adds targeted lab testing to look for physiological factors, such as nutrient deficiencies or thyroid irregularities, that can contribute to mood, anxiety or attention symptoms. It's used alongside, not instead of, standard evaluation and treatment.

Do I need to travel to Yarmouth Port for appointments?

No. All appointments, including the initial evaluation, are conducted by live video. Harborside's office is in Yarmouth Port, but care for people in Centerville is delivered entirely by telehealth.

Will I need lab work done locally?

If your prescriber orders testing, they'll typically direct you to a lab or explain how a sample can be collected near you in Centerville. Results are then reviewed together in a follow-up appointment.

Can Harborside prescribe medication, including for ADHD, in Massachusetts?

Yes. Harborside's psychiatric nurse practitioners are qualified to evaluate, diagnose and prescribe medication, including controlled medications when clinically appropriate, for patients located in Massachusetts.

Does Harborside accept insurance?

Harborside is a private-pay practice and does not bill insurance directly. Fees for appointments are listed on the pricing page, and you can ask questions about cost before scheduling.

What is medication management in psychiatry?

Medication management is a psychiatric service that involves evaluating medications, monitoring effectiveness, adjusting treatment plans, and supporting overall mental health care.

Does Harborside Psychiatry provide medication management in Centerville, MA MA?

Yes, Harborside Psychiatry provides personalized medication management services for individuals seeking psychiatric care in Centerville, MAssachusetts.

How does psychiatric medication management work?

Psychiatric medication management includes reviewing your symptoms, discussing treatment options, monitoring progress, and making adjustments when needed.

Functional Psychiatry for Centerville, MA

A traditional psychiatric work-up usually starts and ends with symptoms: what you feel, how often, how bad. Functional psychiatry starts wider. It looks at sleep, nutrition, thyroid function, inflammation, hormone shifts and nutrient levels, because any of these can drive or worsen anxiety, depression, fatigue and brain fog. Harborside uses targeted lab testing alongside a clinical evaluation to look for the physiological pieces that a symptom checklist alone can miss.

Centerville’s year has two different rhythms. There’s the stretch when Craigville Beach and the village center fill with summer traffic and seasonal payroll, and there’s the quieter half, when the same households are managing retirement, year-round work, or a business that just went from full tilt to nearly silent. Harborside is based in Yarmouth Port, just up the road, and works with people in Centerville through both halves of that year, by video, on whichever schedule the season allows.

Functional Psychiatry for people in Centerville, MA

Every appointment happens over live video. You need a private space, a phone, tablet or computer, and a stable internet connection. That’s it. No drive to an office, no waiting room.

An initial evaluation with a prescriber typically runs longer than a follow-up, since it covers your history, current symptoms, and the lab-based piece of a functional approach. Follow-up medication appointments are shorter and happen on a schedule your prescriber sets based on what you’re being treated for and how you’re responding. If a prescription is appropriate, it’s sent electronically to a pharmacy of your choosing, so you can pick up medication near home in Centerville rather than near the practice.

Therapy sessions run separately from medication appointments and follow a regular weekly or biweekly cadence, depending on what you and your therapist decide works.

Harborside is based at 411 Main Street in Yarmouth Port, Massachusetts, and delivers this care by telehealth to patients across the state.

How telehealth care actually works

Functional psychiatry at Harborside is used for anxiety, depression, ADHD, mood instability, chronic fatigue and stress-related conditions where a person’s history suggests something physiological might be contributing, not just psychological. That can mean a thyroid panel, a look at vitamin D or B12 levels, an assessment of blood sugar regulation, or a review of how sleep and inflammation might be tangled up with mood. It’s not a replacement for standard psychiatric care. It’s an added layer of information that can shape a more precise treatment plan, including medication choices when medication is part of the picture.

What we treat

The first visit is a conversation first: your history, your current symptoms, what you’ve already tried, and what a typical day and night look like for you. From there, your prescriber will talk through whether lab testing makes sense for your situation and what it would look at. If testing is ordered, results usually come back before your next appointment, and that data becomes part of how your plan is built, alongside the clinical picture. Nothing here happens in a single visit. It’s a start, not a full diagnosis delivered on day one.

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, 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 that same training to how they interpret lab results and build a functional treatment plan. Full bios and credentials for each of them are on the team page.

Therapy and eating disorder care are delivered by Harborside’s licensed therapy team: Hannah Legesse, LICSW, Tori Mahoney, LMHC, Jacquelyn Duford, LCMHC ATR, and Lexie Carchedi, LCSW. Someone in Centerville might see a prescriber for medication and lab-informed care, a therapist for ongoing weekly work, or both at once, depending on what’s needed.

Who our clinicians are

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 the pricing page, and any questions about cost can be answered before you book anything.

What it costs

If you’re in Centerville and thinking about functional psychiatry, the next step is scheduling an initial evaluation with one of Harborside’s prescribers. You can also start with a therapist if that’s the more pressing need right now, and add medication or lab-based evaluation later if it turns out to be relevant. Learn more about the approach on the functional psychiatry service page, see how Harborside works across the state on the Massachusetts telehealth page, or check the Cape Cod region page for how this looks across nearby towns. If anxiety is the main concern, the anxiety treatment page covers that condition specifically.

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 on your specific situation, schedule an appointment with a Harborside clinician.

[CITATION: National Institute of Mental Health or SAMHSA resource on integrated/functional approaches to mental health treatment, to support the clinical framing of this page]

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

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.

Do I need labs done before my first appointment?

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

What if I already have recent bloodwork?

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

Is lab work included in the appointment fee?

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

Can I do this alongside therapy I'm already in?

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

How is this different from medication management?

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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