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Harborside Psych

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Medication Management for Dedham, MA

Harborside Psychiatrics is physically located on Cape Cod, but the practice was built to reach patients by video across New England, including Dedham. That distinction matters here. Dedham is a town of settled neighborhoods and long-standing family routines, where people tend to want a straight answer about what care involves and what it costs before they commit to anything. This page is written with that in mind: plain information about how medication management works, who provides it, and what happens at each step, so you can decide whether to call.

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Medication Management for people in Dedham, MA

Harborside is based in Yarmouth Port, Massachusetts, and all care is delivered by secure video. You do not need any special equipment. A smartphone, tablet, or computer with a camera and a stable internet connection is enough. Appointments are scheduled at a set time, much like an in-person visit, and take place through a private telehealth platform rather than a general video call app.

An initial evaluation typically runs longer than a follow-up, since it involves a full review of your history, current symptoms, and any medications you have tried. Follow-up appointments are shorter and are scheduled at an interval your prescriber sets based on your situation, often every four to twelve weeks once things are stable. If a medication is prescribed, it is sent electronically to a pharmacy of your choosing near you in Dedham, the same way a prescription would be sent from any clinician’s office.

Massachusetts law permits Harborside’s psychiatric nurse practitioners to prescribe the full range of medications used in outpatient mental health care, including controlled substances such as stimulants, when clinically appropriate. That prescribing happens after a full evaluation and is reviewed at each follow-up visit.

How telehealth care actually works

Medication management at Harborside addresses common concerns like anxiety, depression, ADHD, bipolar disorder, obsessive-compulsive patterns, and sleep difficulties. It also covers more complex presentations that involve several overlapping symptoms, and situations where someone has tried medication before without a clear plan behind it. The goal of an evaluation is to understand your symptoms, history, and daily life well enough to build a treatment plan that makes sense for you, not to apply a standard protocol to everyone who walks through the (virtual) door.

What we treat

Your first visit is a full evaluation, not a quick medication check. Expect questions about your current symptoms, past treatment, family history, physical health, and what daily life looks like right now. Your prescriber uses this to arrive at a working diagnosis and to talk through options with you, including medication, therapy referral, or both. You will leave the appointment with a plan, which may include a prescription, a recommendation to start therapy, further evaluation, or a combination of these. Nothing is decided without your input.

What the first appointment involves

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 and cofounder; 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 her own areas of focus to the work. Full bios and credentials for all three are on the team page.

Therapy and eating disorder care at Harborside are delivered by the licensed therapy team: Hannah Legesse, LICSW; Tori Mahoney, LMHC; Jacquelyn Duford, LCMHC ATR; and Lexie Carchedi, LCSW. Many patients in Dedham combine medication management with therapy from this team, though either can stand on its own.

Who our clinicians are

Harborside is a private-pay practice and does not bill insurance directly for appointments. Current fees for an initial evaluation and for follow-up visits are listed on the pricing page. If you have questions about cost, you can ask before you book anything.

What it costs

If you are ready to schedule, or if you just want to ask a few questions first, reaching out is the next step. You can review the medication management service page for more detail on what to expect, or look at the Massachusetts telehealth page for information specific to the state. Patients across the South Metro Boston area, including Dedham, are welcome to reach out to see whether Harborside is a fit. If anxiety is a primary concern for you, our anxiety treatment page walks through how that work is approached here.

Getting started

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 how mental health medications are evaluated and regulated, see the U.S. Food and Drug Administration’s overview of mental health medications [CITATION: FDA resource on mental health medications, used to support the medication section with a neutral government source].

Reviewed by Rachel Egan, RN PMHNP-BC, Clinical Director, Harborside Psychiatrics. Last reviewed: {LAST_REVIEWED}.

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Frequently Asked Questions

Do I need a diagnosis already to book an appointment?

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.

If you need help right now

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.

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