Harborside Psychiatrics is based on Cape Cod, Massachusetts, and delivers care by telehealth to clients across New England, including Connecticut. That structure works well for a town like Easton. Many of the households we hear from here are researching on behalf of someone else – a parent looking into care for a teenager, or a parent who has decided it is finally time to look into care for themselves. Easton tends to be more family-oriented and less commuter-paced than the towns closer to the shoreline, and the families who reach out often have the flexibility to choose a clinician based on fit rather than convenience, and a preference for staying with one prescriber over time rather than being passed between providers.
Medication management at Harborside is built around that kind of continuity. You see the same psychiatric nurse practitioner appointment after appointment, and your treatment plan is adjusted based on how you are actually doing, not on a rotating schedule.
Harborside is based in Yarmouth Port, Massachusetts, and every appointment is conducted by secure video. You do not travel anywhere, and there is no waiting room. You need a private space, a stable internet connection, and a phone, tablet, or computer with a camera.
Initial evaluations typically run longer than follow-up appointments, since the clinician needs time to understand your history, current symptoms, and any medications you have already tried. Follow-up visits are shorter and are scheduled at a frequency that matches where you are in treatment – often more frequent early on, then spaced out as things stabilize. If a prescription is appropriate, it is sent electronically to the pharmacy of your choice near Easton, the same way an in-person prescriber would send it.
Between appointments, you can message your clinician through a secure patient portal with questions or updates. This is not a substitute for scheduled care, but it means you are not left guessing if something changes.
Medication management at Harborside addresses conditions such as anxiety, depression, ADHD, bipolar disorder, obsessive-compulsive patterns, and sleep difficulties that interfere with daily functioning. Many people come to us already carrying a diagnosis and looking for a clinician to manage it going forward. Others come in without a diagnosis, only a sense that something is wrong, and the first appointment is where that gets sorted out.
Because Connecticut allows for a full range of prescribing options, medication management here can include controlled medications when clinically appropriate, such as stimulant medication for ADHD, alongside non-controlled options. Every medication decision is based on an individual evaluation, not a standard protocol.
The first appointment is a full evaluation, not a quick check-in. Your clinician will ask about your current symptoms, your health history, any medications or treatment you have tried before, and what matters most to you in daily life. This is also your chance to ask questions about how the clinician approaches medication, what side effects to watch for, and how decisions get made together over time.
By the end of that first visit, you and your clinician should have a working plan: whether medication makes sense right now, what the options are, and what the next few weeks look like. Nothing is decided without your input.
Medication management and functional psychiatry at Harborside are performed by psychiatric nurse practitioners Rachel Egan, RN PMHNP-BC, who is also the practice’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 on the team page.
Therapy and eating disorder work are delivered by the licensed therapy team: Hannah Legesse, LICSW, Tori Mahoney, LMHC, Jacquelyn Duford, LCMHC ATR, and Lexie Carchedi, LCSW. Some Easton clients work with a prescriber alone; others combine medication management with therapy from one of these clinicians, coordinated as part of the same plan of care.
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 ready to schedule, you can book an initial appointment through our website, or reach out first if you have questions about fit or logistics. Once you are scheduled, you will receive instructions for the video platform and a short set of intake forms to complete beforehand, so the first appointment can focus on you rather than paperwork.
To learn more about how medication management fits with other services, visit the medication management overview, our Connecticut telehealth page, or the Upper Fairfield region page. If anxiety is a primary concern, our anxiety treatment page has more detail on what that care involves.
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, see the [CITATION: National Institute of Mental Health page on mental health medications, for general public health information on medication classes and safety].
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.