Harborside is physically located on Cape Cod, but the team delivers medication management by video to clients across New England, including Belmont. That distinction matters if you live in a town where clinical fit and quality of care carry more weight than proximity, and where you expect a prescriber to have real time to think about your case rather than rush through it.
Many of the people we work with from Belmont are managing their own care alongside a parent’s, a partner’s, or a college-age child’s, and they are looking for a practice that treats all of it carefully. That is the kind of coordination this page is written for.
Harborside is based in Yarmouth Port, Massachusetts, and every medication management appointment happens over secure video. You do not need special equipment, just a private space, a stable internet connection, and a laptop, tablet, or smartphone with a camera and microphone.
A first appointment typically runs longer than a follow-up, since your prescriber needs time to take a full history, understand what has and hasn’t worked before, and talk through your current symptoms and goals. Follow-up visits are shorter and are scheduled at an interval that fits your situation, often monthly at first and spaced out as things stabilize.
If medication is part of your plan, prescriptions are sent electronically to the pharmacy of your choice in Belmont or wherever is most convenient for you. You never need to travel to Yarmouth Port, and there is no waiting room. You log in from home, work, or wherever you have privacy, at the appointment time you’ve scheduled.
Our psychiatric nurse practitioners work with adults and, in some cases, adolescents navigating anxiety, depression, bipolar disorder, ADHD, OCD, and the kind of persistent sleep or mood disruption that interferes with work, relationships, or daily functioning. Medication management is also used alongside therapy for people managing eating disorders, trauma-related symptoms, and other conditions where a combined approach makes sense.
Every plan starts with an evaluation of your specific symptoms, history, and any medications you’re already taking. There is no single protocol applied to everyone. Some people need medication alone; many benefit from medication paired with the therapy services Harborside also offers.
Your first visit is a clinical intake. Expect to talk about your current symptoms, past treatment, any medications or supplements you take now, relevant family and medical history, and what you’re hoping care will address. Your prescriber uses this to build a working diagnosis and a plan, which may include starting or adjusting medication, ordering labs, or recommending therapy in addition to medication management.
You’ll leave the first appointment with a clear next step and a sense of what follow-up will look like, including how soon you’ll be seen again.
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 available 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. Many Belmont clients work with a prescriber and a therapist together, with both clinicians coordinating on the same plan.
Harborside is a private-pay practice and does not bill insurance directly for appointments. Current fees for an initial appointment and for follow-up visits are listed on the pricing page, and any questions about cost can be answered before you book anything.
If you’re ready to schedule, you can book an initial appointment directly, or reach out with questions first. Belmont clients typically complete a short intake form, choose an appointment time, and meet with their prescriber by video from wherever they are.
To learn more about how this fits with Harborside’s broader approach in Massachusetts, visit the medication management service page, the Massachusetts telehealth hub, or the Inner Metro West MA regional page. If anxiety is part of what you’re addressing, our page on anxiety treatment may also be useful.
This page is educational and does not constitute medical advice. It does not create a provider-patient relationship. Decisions about your care should be made with a qualified clinician who knows your full history.
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.
According to the National Institute of Mental Health, ongoing medication management, when appropriate, works best when combined with regular monitoring and open communication with your prescriber. [CITATION: NIMH overview page on mental health treatment, used to support general education on medication management]
Reviewed by Rachel Egan, RN PMHNP-BC, Clinical Director, Harborside Psychiatrics. Last reviewed: {LAST_REVIEWED}.
No. The first appointment includes a full evaluation, so a prior diagnosis isn’t required to get started.
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.