Harborside Psychiatrics is based on Cape Cod, Massachusetts, and delivers care by telehealth to patients across New England, including New Hampshire. Amherst sits near the center of the state’s population corridor, part of a stretch that runs from Nashua and Merrimack out through Windham and Londonderry, where many households work across the state line in Massachusetts and are used to a life that does not stop at a town or a state border. No state income tax has drawn a lot of professional families to this part of New Hampshire, and those same families often want mental health care that fits the same rhythm as everything else in their week: scheduled, direct, and not dependent on where an office happens to sit.
Medication management at Harborside means working with a psychiatric nurse practitioner to evaluate what you are experiencing, arrive at a diagnosis, and decide whether medication has a role in your care. It is not a one-time prescription and it is not a walk-in service. It is an ongoing clinical relationship, conducted by video, where dosing and side effects and how you are actually feeling get reviewed on a regular schedule.
For people in Amherst, that means you can be seen from home, from an office in Nashua, or from wherever your day happens to put you, without adding a drive to an appointment on top of everything else on your calendar.
Every appointment happens over a secure video platform. You will need a smartphone, tablet, or computer with a camera and a stable internet connection, and a private place to talk for the length of the session. There is no separate app to buy and nothing to install beyond a link sent ahead of time.
An initial medication evaluation runs longer than a routine visit, typically 45 to 60 minutes, because it covers your history, current symptoms, past treatment, and any medications you are already taking. Follow-up appointments are shorter, generally 20 to 30 minutes, and happen on a schedule your clinician sets based on your situation, often monthly at first and spaced out over time.
If a prescription is part of your plan, it is sent electronically to the pharmacy of your choice in Amherst or anywhere in New Hampshire, the same way a prescription from an in-person clinician would be. Harborside Psychiatrics is physically located at 411 Main St, Yarmouth Port, Massachusetts, and the video format is what allows the practice to work with patients in New Hampshire without a New Hampshire office.
Harborside’s psychiatric nurse practitioners work with adults dealing with depression, anxiety, mood changes, sleep disruption, and the kind of chronic stress that starts to affect work and relationships. Medication management is also used alongside therapy for people managing eating disorders, and for people navigating a difficult life transition where symptoms have started to interfere with day-to-day functioning. Every plan starts with a conversation about what you are dealing with, not a checklist.
The first appointment is mostly listening, on both sides. Your clinician will ask about your current symptoms, when they started, what you have tried before, and what your goals are for treatment. You will talk through your health history, including any medications or supplements you currently take. By the end of the appointment, you should have a clearer sense of what your clinician thinks is going on and what the options look like, whether that means starting a medication, adjusting one, or deciding medication is not the right fit yet.
Medication management and functional psychiatry at Harborside are performed by psychiatric nurse practitioners: Rachel Egan, RN PMHNP-BC, who is Harborside’s clinical director and a cofounder of the practice, 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 their own areas of focus to the work. Full bios and credentials for all three 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. Some patients in Amherst work with a prescriber alone, and others combine medication management with therapy from one of these clinicians.
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.
If you are in Amherst and thinking about medication management, the next step is scheduling an initial evaluation. You can look through Harborside’s medication management services or the New Hampshire telehealth page for more on how care works across the state, including for people in the Southern NH region. If depression is part of what brought you here, the depression treatment page covers how that specific care is structured.
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.
This page is educational and does not constitute medical advice. It does not create a provider-patient relationship. Reviewed by Rachel Egan, RN PMHNP-BC, Clinical Director. Last reviewed: {LAST_REVIEWED}.
Yes, with your permission. Many patients keep an existing therapist and use Harborside only for medication management.
It depends on the medication and how you’re responding to it. Some patients are seen monthly at first, then less often once things are stable.
Prescriptions are sent electronically to the pharmacy of your choice, the same as they would be after an in-person visit.
Harborside is private-pay and doesn’t bill insurance directly. A superbill is available for out-of-network reimbursement, where a plan allows it.
That’s part of ongoing management. Changes are discussed and made together at a follow-up visit, not on your own.