Harborside is based on Cape Cod, but the team delivers medication management by video to people across Massachusetts, including Canton. Canton is a town built around steady routines: commuter trains into Boston, youth sports schedules, town meetings where people actually know each other’s names. An appointment that fits into an early morning before work or a lunch break, without a drive into the city or a waiting room, tends to matter more here than a fancy office ever would.
This page explains how medication management works at Harborside, what it treats, who provides it, and what it costs.
Care is delivered entirely by secure video. Harborside is physically located at 411 Main St, Yarmouth Port, Massachusetts, and clinicians see patients across the state, including in Canton, from that base. You do not travel there. You do not need a local office. You need a private space, a phone or computer with a camera, and a stable internet connection.
A first appointment typically runs longer than a follow-up, since it covers your history, current symptoms, past medication trials, and any relevant medical background. Follow-up appointments are shorter and focus on how a medication is working, side effects, and whether any adjustment makes sense. How often you’re seen depends on your situation: some people are seen monthly at first, then move to a less frequent schedule once things stabilize.
When a prescription is appropriate, it’s sent electronically to the pharmacy of your choice, including pharmacies in and around Canton. You pick up medication locally the same way you always have. The only thing that changes is where the appointment itself happens.
Medication management at Harborside addresses common mental health conditions: depression, anxiety and panic, ADHD, bipolar disorder, and insomnia related to a mental health condition, among others. Appointments also cover ongoing medication support for people already diagnosed and looking for a new clinician, as well as evaluation for people who haven’t been formally diagnosed but want an honest conversation about what they’re experiencing. Massachusetts licensure allows the team to discuss the full range of medication options relevant to these conditions, including stimulant medications where clinically appropriate.
Not every condition calls for medication alone, and a clinician will talk with you about whether therapy, medication, or both fit your situation.
Expect to talk through your current symptoms, what you’ve already tried, any medications you’re taking now, and relevant medical or family history. The clinician will ask direct questions and give you space to explain what’s actually going on in your day-to-day life. By the end of the appointment, you’ll have a plan: that might be starting a medication, adjusting one you’re already on, or a decision that medication isn’t the right next step. You’ll also know what to expect for follow-up scheduling.
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. Full bios and credentials for each clinician are on the team page.
Therapy and eating disorder care are provided by Harborside’s licensed therapy team: Hannah Legesse, LICSW, Tori Mahoney, LMHC, Jacquelyn Duford, LCMHC ATR, and Lexie Carchedi, LCSW. Depending on what you’re working through, your clinician may recommend combining medication management with therapy from this team.
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. If you have questions about cost, you can ask before you book anything.
If you’re in Canton and considering medication management, the next step is scheduling an initial appointment. You’ll fill out some background information beforehand so the first session can focus on your care rather than paperwork. From there, your clinician will work with you on a plan and a follow-up schedule that fits your life.
You can learn more about medication management broadly on the medication management service page, see how Harborside works across the state on the Massachusetts telehealth page, or check the South Metro Massachusetts region page for towns nearby. If anxiety is part of what brought you here, the anxiety treatment page has more detail on how that’s addressed.
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 medication safety and mental health conditions generally, see the [CITATION: National Institute of Mental Health page on mental health medications, as a neutral government source on medication classes and general safety information].
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.