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Harborside Psych

Medication Management for Holliston, MA

Harborside Psychiatrics is physically located on Cape Cod, Massachusetts, and uses telehealth to deliver care to people across New England. For Holliston, that means a psychiatric nurse practitioner who understands what a household juggling a Pop Warner schedule, a mortgage in a town with rising property values, and a commute toward the Pike actually needs from a med visit: appointments that fit around practices and pickups, not around a waiting room. Holliston parents are often the ones making the call, sometimes for a teenager, sometimes for themselves, usually while trying to figure out how to fit one more thing into a week that is already full.

Medication Management for people in Holliston, MA

Harborside is based in Yarmouth Port, Massachusetts, and every appointment happens over live video. You do not travel for it. You need a smartphone, tablet, or computer with a camera and a private space to talk, whether that is a home office, a parked car, or a bedroom with the door closed.

A first appointment for medication management typically runs longer than the visits that follow, since your clinician needs time to understand your history, current symptoms, and what you have already tried. Follow-up appointments are shorter and are scheduled at whatever interval makes sense for the medication and how you are responding to it, sometimes every few weeks at the start, often spacing out from there.

If a medication is prescribed, it is sent electronically to a pharmacy you choose near your home in Holliston, the same way a prescription would arrive from any other clinician. Refills and questions between appointments are handled through a secure messaging system, so you are not left waiting for the next visit to raise a concern.

How telehealth care actually works

Medication management at Harborside addresses the conditions that most often bring adults, teenagers, and college students to a prescriber: anxiety, depression, ADHD, bipolar disorder, obsessive-compulsive disorder, and sleep difficulties that will not resolve on their own. Some people come in already diagnosed and looking for a clinician who will manage an existing medication carefully. Others come in unsure of what is happening, only that something feels off, and want a clinical evaluation before anything is decided.

Medication is rarely the whole picture. Your clinician will talk with you about whether therapy alongside medication makes sense for your situation, and Harborside’s therapy team is available for that piece of care when it is needed.

What we treat

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 cofounder, 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. Depending on what you need, your care may involve one clinician or a combination working together.

What the first appointment involves

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

Who our clinicians are

Booking begins online. You will fill out some background information before your first appointment so your clinician has context going in, then you meet by video at the scheduled time. From Holliston, that means no drive, no parking, and no time off work beyond the appointment itself. If medication management is one part of a larger plan that includes therapy, Harborside can help coordinate that from the start.

What it costs

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. It is not medical advice and does not create a provider-patient relationship. For general information on mental health conditions and treatment, see the National Institute of Mental Health [CITATION: NIMH overview page on mental health conditions and treatment options, as a neutral government health source].

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

Getting started

Getting started is a short call or a form, not a formal referral. Someone from Harborside will confirm that medication management is a fit, answer questions about cost and scheduling, and get a first appointment on the calendar. For people in Holliston, MA, that first video visit is typically the same wait as anyone else in Massachusetts working with Harborside, not a longer one because the office happens to be on the Cape.

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.