Harborside Psychiatrics is based on Cape Cod, Massachusetts, and delivers medication management by telehealth to clients across New England, including Monroe, Connecticut. In a town where a parent is often the one making the call, sometimes for a teenager and sometimes to look after their own workload and stress, what matters most is a clinician who stays consistent from one appointment to the next, not a different name in the chair every few months.
Monroe is an inland suburb behind the Fairfield County shoreline, more oriented around family life and school schedules than the commuter towns to the south. Households here often have the flexibility to choose a private-pay model built around continuity, and that is the model Harborside is set up to offer.
Every appointment happens over secure video, from wherever you are in Connecticut. You need a private space, a phone or computer with a camera, and a stable internet connection. That is the whole technical requirement.
An initial evaluation typically runs longer than a follow-up, giving the clinician time to go through your history, current concerns, and any prior treatment. Follow-up appointments are shorter and scheduled on a cadence that depends on what is being treated and how recently a medication or dose changed, sometimes every few weeks at the start and further apart once things are stable.
If a prescription is appropriate, it is sent electronically to a pharmacy of your choosing in Monroe or anywhere else in Connecticut. Harborside is based in Yarmouth Port, Massachusetts, and the clinical team is licensed to treat patients located in Connecticut at the time of the appointment.
Medication management at Harborside addresses common concerns including anxiety, depression, ADHD, bipolar disorder, insomnia, and mood or attention concerns that show up differently at different ages, from a teenager struggling to keep up at school to an adult managing a demanding job. Evaluation and prescribing also extend to functional psychiatry, looking at nutrition, sleep, and other contributing factors alongside medication where appropriate. Every treatment plan is based on an individual evaluation, not a standard protocol applied to a diagnosis on paper.
The first appointment is an evaluation, not a prescription handed over on the spot. Expect questions about your current symptoms, medical and psychiatric history, any medications you have tried, sleep, and daily functioning. If you are booking on behalf of a teenager, a parent is typically part of that first conversation. By the end of the appointment, you and the clinician will have a plan, which may or may not include medication, along with a clear sense of what happens next and when you will be seen again.
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 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. Medication management and therapy can work alongside each other when that fits your situation.
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.
You can request an appointment online or reach out with questions first if you are not sure medication is the right step yet. Someone from Harborside will confirm scheduling and answer logistical questions, including which clinician has availability and what to expect from the intake process, before your first video visit.
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 specific to your situation, schedule an appointment with a Harborside clinician.
Reviewed by Rachel Egan, RN PMHNP-BC. 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.