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. In Hampstead, a town of commuters who cross the Massachusetts line every day for work and families who chose New Hampshire in part for the absence of a state income tax, that whole-person view fits a population used to managing a lot at once: long drives, two-state schedules, and the pressure that comes with dual-state professional life.
Care is delivered by video, which means the distance between Hampstead and anywhere else stops being a factor in whether you can get this kind of evaluation.
Harborside is based in Yarmouth Port, Massachusetts, and works with patients across Hampstead by telehealth. Appointments happen over secure video from wherever you are, whether that’s a home office in Hampstead center or a break room during a workday in Nashua or Salem. You need a private space, a stable internet connection, and a phone, tablet, or computer with a camera.
A first appointment for functional psychiatry typically runs longer than a standard visit, because it involves a detailed history and a discussion of what testing might make sense for you. Follow-up appointments are shorter and are scheduled at a cadence that fits your situation, often monthly at first and then spaced out. If a medication is part of your plan, prescriptions are sent electronically to the pharmacy you choose near you in Hampstead, so pickup works the same way it would after any other appointment.
Functional psychiatry at Harborside is used alongside standard evaluation for concerns like persistent low mood, anxiety that doesn’t resolve on its own, fatigue that overlaps with mood or focus complaints, and situations where someone has tried a conventional approach and wants a fuller picture before moving forward. The idea is to look at contributing factors like nutrition, sleep, and lab markers alongside the psychiatric history, so that a treatment plan accounts for physiology as well as symptoms. This is not a replacement for a standard evaluation. It’s an added layer of assessment for people who want one.
Your first appointment starts with a conversation about what’s brought you in, your health history, and your goals. From there, your clinician will talk through which lab work or testing might be relevant to your situation and what it looks for. Nothing is ordered without your understanding of why. Once results are back, you and your clinician review them together and build a plan that may include lifestyle changes, medication, referral to one of Harborside’s therapists, or some combination of those.
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 on the team page.
Therapy and eating disorder work are delivered by Harborside’s licensed therapy team: Hannah Legesse, LICSW, Tori Mahoney, LMHC, Jacquelyn Duford, LCMHC ATR, and Lexie Carchedi, LCSW. Depending on your plan, functional psychiatry may be paired with ongoing therapy from this team.
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.
If you’re in Hampstead and considering functional psychiatry, the next step is scheduling an initial appointment. You can look over the full functional psychiatry service page, learn more about how Harborside works across the state on the New Hampshire telehealth page, or see other towns Harborside serves in the region on the Southern NH page. If anxiety is a primary concern alongside physiological factors, the anxiety treatment page has more detail on that side of care.
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 in mental health care, see the National Center for Complementary and Integrative Health [CITATION: NIH-affiliated federal resource on integrative approaches to mental health, supports the functional/whole-person framing without making outcome claims].
Reviewed by Rachel Egan, RN PMHNP-BC, Clinical Director, Harborside Psychiatrics. Last reviewed: {LAST_REVIEWED}.
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.