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Functional Psychiatry for Greenwich, CT

Unlike a traditional psychiatric work-up, the functional medicine approach takes the whole person into account. Instead of starting and ending with a symptom checklist, Harborside uses targeted testing to look for underlying deficiencies and physiological concerns that may be contributing to how someone thinks, sleeps, concentrates or regulates mood. In Greenwich, where households are used to vetting specialists carefully and paying out of network for the clinician who is the right fit rather than the one who happens to be available, this kind of thorough, evidence-based look at the whole picture is often exactly what people are looking for. You are not choosing us because no one else exists. You are deciding whether this approach makes sense for you, and that deserves a straight answer.

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Functional Psychiatry for people in Greenwich, CT

People come to functional psychiatry for different reasons. Some have tried standard medication management and felt the picture was incomplete. Some want a prescriber who checks nutrient levels, thyroid function, and other physiological markers before or alongside a medication conversation. Some simply want a more complete evaluation before deciding on a treatment path. Greenwich residents are often already comfortable coordinating specialty care and reading labs closely themselves, and this approach is built for exactly that kind of engaged, informed patient.

Functional psychiatry at Harborside does not replace good clinical judgment with a battery of tests. It adds a layer of information that a standard intake often skips: whether a vitamin D level, an iron panel, thyroid function, or another physiological factor might be part of what someone is experiencing. That information gets folded into a plan that still includes, where appropriate, medication, therapy, or both.

How telehealth care actually works

Harborside Psychiatrics is based in Yarmouth Port, Massachusetts, and delivers care by video to patients across Connecticut, including Greenwich. You do not travel for appointments. You need a private space, a stable internet connection, and a phone, tablet, or computer with a camera.

An initial functional psychiatry evaluation typically runs longer than a standard follow-up, since it covers history, current concerns, and a discussion of what testing might add useful information. Any lab work is arranged through standard outpatient labs near you, and results are reviewed together in a follow-up session. Follow-up medication appointments are generally shorter and scheduled at an interval that depends on your situation, sometimes every few weeks at the start, often further apart once things are stable. If a prescription is appropriate, it is sent electronically to the pharmacy of your choice, including pharmacies in Greenwich or anywhere else in Connecticut that is more convenient for you.

What we treat

People pursue functional psychiatry for concerns including anxiety, depression, attention and focus difficulties, chronic fatigue tied to mood, sleep disruption, and mood instability where a physiological contributor is suspected but has not been fully explored. It can be a starting point or a second opinion for someone already in treatment elsewhere. The goal of the first conversation is to understand what you are experiencing and whether a functional approach, a more conventional approach, or some combination makes sense for you.

What the first appointment involves

The first appointment is a conversation, not a procedure. Expect questions about your mental health history, current symptoms, sleep, diet, medical history, and any medications or supplements you already take. Your clinician will explain what lab testing, if any, might be useful given what you describe, and why. Nothing is ordered without your understanding of what it is checking and how it might inform your care. By the end of the appointment you should have a clear sense of next steps, whether that is scheduled testing, a therapy referral, a medication discussion, 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 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 into how they approach evaluation and testing. Full bios and credentials for each clinician are 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 what your evaluation surfaces, your prescriber may recommend therapy alongside medication management or functional testing, and can coordinate that referral within the practice.

What it costs

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.

Getting started

If you are considering functional psychiatry, the next step is scheduling an initial evaluation by video. There is no local office to visit and no travel involved, whether you are in central Greenwich, Cos Cob, Riverside, or elsewhere in Lower Fairfield County. You can ask questions about the approach, testing, or cost before committing to anything. Explore the broader functional psychiatry service page for more on how this approach works generally, or the Connecticut telehealth page and the Lower Fairfield County page for more on care across the region. If anxiety is a primary concern, the anxiety treatment page has more detail on how that is approached.

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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, Harborside Psychiatrics. 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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