Harborside Psychiatrics is physically based on Cape Cod, in Yarmouth Port, and uses telehealth to bring medication management to people across New England. For Marstons Mills, that means working with a practice that already understands year-round Cape life, not just the version of the Cape that shows up in July and August.
Marstons Mills is a village of retirees, seasonal-business owners, and families whose calendar splits into two very different halves. The quiet months bring their own weight, and the busy ones bring a different kind of strain on sleep, mood, and attention. Harborside works with people through both.
Care is delivered entirely by video, from Harborside’s base in Yarmouth Port, Massachusetts. You do not need special equipment: a smartphone, tablet, or computer with a camera and a private place to talk is enough. Appointments are held through a secure video platform, and you receive a link ahead of time.
A first appointment typically runs longer than later visits, since it involves a full review of your history, current symptoms, and goals for treatment. Follow-up appointments are shorter and are scheduled at an interval that fits your situation, whether that is every few weeks while a medication is being adjusted or further apart once things are steady.
If a prescription is appropriate, it is sent electronically to the pharmacy you choose, including pharmacies in and around Marstons Mills. You pick up medication locally the same way you would with any other prescriber.
Medication management at Harborside addresses conditions such as anxiety, depression, attention and focus difficulties, mood instability, and sleep disruption, along with other concerns that affect daily functioning. Appointments focus on understanding your symptoms, reviewing any medications you are already taking, and discussing options in plain language. Treatment plans are individualized and reviewed over time rather than set once and left alone.
The first visit is a conversation, not a test. Expect questions about your current symptoms, your health history, any medications or supplements you take, and what has or has not been useful in the past. You and your clinician talk through options together, including the possibility of no medication at all if that is the right call. Any prescription decisions are explained, including what to expect and what to watch for.
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, 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 care are delivered by Harborside’s licensed therapy team: Hannah Legesse, LICSW, Tori Mahoney, LMHC, Jacquelyn Duford, LCMHC ATR, and Lexie Carchedi, LCSW. Some Marstons Mills patients work with a prescriber alone, others combine medication management with therapy, depending on what is being addressed.
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.
If you are ready to schedule, or you have questions first, you can reach out through Harborside’s intake process to find a time that works. There is no obligation involved in asking questions before you book. Marstons Mills patients are seen by video, using the same scheduling process as anyone else across the practice’s Massachusetts coverage area.
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 when medication may be appropriate for anxiety or depression, see the National Institute of Mental Health’s overview of mental health medications [CITATION: NIMH resource on mental health medications, to support the medication management content with a neutral government source].
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.