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Harborside Psych

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Medication Management for Harvard, MA

Harborside Psychiatrics is based on Cape Cod, and the team delivers medication management by telehealth to people across New England, including Harvard. Harvard is a spread-out town of large lots, stone walls, and long driveways, and a lot of households here already run their lives around not driving into Boston or even into Worcester for routine appointments. Video care fits that pattern. You get evaluated, diagnosed, and prescribed for by a licensed psychiatric nurse practitioner from wherever you already are, without adding a commute to your week.

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Medication Management for people in Harvard, MA

Harborside is based in Yarmouth Port, Massachusetts, and every appointment happens over secure video. You do not need to travel to Cape Cod, or anywhere, to be seen.

  • What you need: a smartphone, tablet, or computer with a camera and a stable internet connection, plus a private place to talk for the length of the appointment.
  • Session length: initial evaluations run longer, typically 45 to 60 minutes, so your prescriber has time to understand your history. Follow-up appointments are shorter, usually 20 to 30 minutes, and are focused on how a medication is working and whether anything needs adjusting.
  • How often you’re seen: follow-up frequency depends on your situation and your medication. Some people are seen monthly at first, then spread out to every two or three months once things are stable.
  • Prescriptions: when a prescription is appropriate, it’s sent electronically to the pharmacy of your choice near Harvard, so you pick it up the same way you would any other prescription.

How telehealth care actually works

Our psychiatric nurse practitioners work with adults dealing with anxiety, depression, panic symptoms, attention and focus difficulties, mood swings, insomnia, and the kind of chronic stress that starts to affect sleep, work, and relationships. Medication management is often paired with therapy, and for some patients it stands on its own. The goal of an evaluation is to understand what’s going on and talk through what options exist, including medication, so you can make an informed decision about your own care.

What we treat

Your first appointment is a full evaluation. Your prescriber will ask about your current symptoms, your health history, any medications or supplements you’re already taking, and what you’ve tried before. This is also where you ask questions. By the end of the appointment, you and your prescriber talk through what, if anything, is being recommended, and what the follow-up schedule will look like. Nothing is decided without you.

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 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 of them 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. Many patients in Harvard work with a prescriber and a therapist together, coordinating the two sides of their care.

Who our clinicians are

Harborside is a private-pay practice and does not bill insurance directly for appointments. Current fees for an initial and a follow-up appointment are listed on the pricing page, and questions about cost can be answered before anything is booked.

What it costs

If you’re in Harvard and thinking about medication management, the next step is to book an initial evaluation. You can learn more about how the service works generally on the medication management page, see how Harborside supports care across the state on the Massachusetts telehealth page, or check the Central Massachusetts regional page for nearby towns we also work with. If anxiety is a specific concern, the anxiety treatment page has more detail on how that’s approached.

Getting started

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 is not medical advice. It does not create a provider-patient relationship. Reviewed by Rachel Egan, RN PMHNP-BC, Clinical Director. Last reviewed: {LAST_REVIEWED}.

[CITATION: Substance Abuse and Mental Health Services Administration (SAMHSA) or American Psychiatric Nurses Association resource on medication management and telehealth mental health care, to support the clinical claims on this page]

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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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