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Harborside Psych

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How Telehealth Works

Harborside Psychiatrics is a private-pay practice offering medication management and therapy by video, for people across Massachusetts and other parts of New England. Our psychiatric nurse practitioners and licensed therapists work with adults managing anxiety, depression, mood conditions, eating disorders, and other mental health concerns. Every appointment happens by telehealth, from wherever you are.

This page walks through what that actually looks like: the platform, what to expect in a first session, what you need on your end, how prescriptions and pharmacies work, and which of our services reach which state.

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Who We Work With

We work with patients across Massachusetts and, depending on the service, several other New England states. Two kinds of care are available:

  • Medication management, provided by our psychiatric nurse practitioners
  • Therapy, provided by our licensed therapy team, including specialized support for eating disorders

Which service is available in your state depends on licensure. The table further down spells this out.

Our Clinicians

Medication management and functional psychiatry are performed by psychiatric nurse practitioners:

  • Rachel Egan RN PMHNP-BC,
clinical director and cofounder
  • Emily Pardue RN PMHNP-BC
  • Kirstin Ritchie RN PMHNP-BC

Each is qualified to evaluate, diagnose, and prescribe for mental health conditions.

Therapy, including eating disorder care, is delivered by our licensed therapy team:

  • Hannah Legesse LICSW
  • Tori Mahoney LMHC
  • Jacquelyn Duford LCMHC ATR
  • Lexie Carchedi LCSW

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

How to Start

  • Reach out through the website or call.
  • We confirm your state and match you with the right clinician for what you're looking for.
  • You book your first appointment online and complete intake paperwork ahead of time.
  • You meet with your clinician by video at the scheduled time.

The Telehealth Platform

Appointments happen through a secure, HIPAA-compliant video platform. You’ll receive a link by email before each session. No separate app download is required for most visits — you join from a browser on a computer, tablet, or phone.

What you need on your end:

  • A stable internet connection
  • A private space where you can talk openly
  • A camera and microphone, built into most laptops and phones
  • A government-issued photo ID for your first appointment

What a First Session Looks Like

Your first appointment runs longer than a routine follow-up. Your clinician will ask about what brought you in, your health history, current symptoms, and what you’re hoping to get out of care. For medication management, this includes a full psychiatric evaluation. For therapy, this includes understanding your goals and how you’d like to work together.

By the end of the first session, you’ll typically have a working plan: what the next few appointments will focus on, how often you’ll meet, and, if medication is part of the plan, what’s being considered and why.

Prescriptions and Pharmacies

If medication is part of your care, your prescriber sends it electronically to the pharmacy of your choice. You don’t need to do anything on your end beyond confirming which pharmacy you use. Follow-up appointments are where dosing, side effects, and any adjustments get discussed.

If You Need a Higher Level of Care

Telehealth medication management and outpatient therapy aren’t the right fit for every situation. If your clinician determines that you need a higher level of care than we provide, such as inpatient treatment, a partial hospitalization program, or intensive outpatient care, they will talk with you directly and help you understand your options for getting connected to that level of support.

Harborside does not provide emergency or after-hours care. See the crisis information at the bottom of this page.

Where Each Service Is Available

Licensure determines where each type of care can be delivered. Here’s the current breakdown:

Service MA CT RI NH VT ME
Therapy Available Available Available Available Available Available
Medication management Available Available Available Available Available Available
Controlled medication management Available Available Not available Not available Not available Not available

If you’re not sure what this means for your situation, ask before booking. We’re glad to walk through it with you.

Private Pay

Harborside is a private-pay practice and does not bill insurance directly for appointments. Current fees for an initial appointment and a follow-up appointment are listed on our pricing page, and any questions about cost can be answered before you book anything.

Frequently Asked Questions

Do I need a special app for telehealth appointments?
No. Most visits happen through a link sent to your email, opened in a web browser.
Your clinician will attempt to reconnect through the same link. If the connection can’t be restored, they’ll follow up by phone to reschedule or finish the conversation.

Yes, as long as you have a private space and a stable connection.

No. Harborside is private-pay. Fees are listed on our pricing page.
Ask us before booking and we’ll walk you through what’s currently available.
Current fees for initial and follow-up appointments are on our pricing page.

If you need help right now

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.

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