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Harborside Psych

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Medication Management for Lincoln, MA

Harborside is based on Cape Cod, but the practice delivers medication management by video to people across Massachusetts, including Lincoln. That distance matters less than it used to, because the appointment happens wherever you are, on a schedule that fits around your life.

Lincoln is a small town with a lot going on beneath the surface, a lot of it invisible to neighbors: land trust trails and a two-acre zoning history sit alongside real pressure on families to keep pace at Lincoln School and, later, at Lincoln-Sudbury. Parents here are often the ones making the call, sometimes for a teenager and sometimes for themselves, after months of deciding whether things are bad enough to warrant it. There is no minimum threshold. A first conversation is often just that: a conversation.

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Medication Management for people in Lincoln, MA

Harborside is headquartered in Yarmouth Port, Massachusetts, and every clinical appointment happens over secure video. You will need a smartphone, tablet, or computer with a camera and a stable internet connection, and a private place to talk for about the length of the session. There is nothing else to set up.

  • Initial evaluation: a longer first appointment where a prescriber reviews your history, current symptoms, and any prior treatment or medication, and talks through what options make sense.
  • Follow-up visits: shorter appointments, typically scheduled every few weeks at first and spaced out over time, used to check how a medication is working and adjust as needed.
  • Prescriptions: when medication is appropriate, it is sent electronically to the pharmacy you choose, so you can pick up locally in Lincoln or wherever is most convenient.

Video care does not mean less attention. It means the appointment fits into a Tuesday morning or a lunch break instead of requiring a drive, a waiting room, and time off work.

How telehealth care actually works

Harborside’s prescribers work with adults and, depending on the clinician’s scope, adolescents dealing with anxiety, depression, ADHD, mood instability, sleep disruption tied to a mental health condition, and related concerns that affect daily functioning. This includes evaluating whether medication is a reasonable part of care at all, since it isn’t always the right next step, and, when it is, discussing which class of medication fits the symptoms, your health history, and what you’re already trying to manage. The goal of any visit is a clear, honest conversation about what a medication does, what it does not do, and what to watch for.

What we treat

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 handled by Harborside’s licensed therapy team: Hannah Legesse, LICSW, Tori Mahoney, LMHC, Jacquelyn Duford, LCMHC ATR, and Lexie Carchedi, LCSW. Some patients in Lincoln work with a prescriber alone, and others combine medication management with therapy, coordinated between clinicians as needed.

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 visits are listed on the pricing page, and any questions about cost can be answered before you book anything.

Who our clinicians are

Getting started begins with scheduling an initial evaluation. You will fill out some background information ahead of time so the first appointment can focus on you rather than paperwork, then meet by video with a prescriber to talk through what you’re dealing with and whether medication management makes sense as part of your care. From there, follow-up appointments are scheduled at whatever interval your prescriber recommends.

What it costs

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 does not constitute medical advice. It does not create a provider-patient relationship. Any decisions about medication should be made with a qualified clinician who knows your full history.

[CITATION: link to SAMHSA or National Institute of Mental Health page on medication treatment for mental health conditions, for general public education on treatment options]

Clinical reviewer: Rachel Egan, RN PMHNP-BC, Clinical Director. 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 Lincoln, 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.

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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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