Harborside Psychiatrics is based on Cape Cod, Massachusetts, and delivers medication management by video to clients across New England, including Connecticut. New Canaan households are used to choosing a specialist on fit and credentials rather than on who happens to be nearby, and are comfortable paying out of network when that specialist is the right one. This page describes how that works for medication management specifically: what the appointments look like, what conditions are treated, who prescribes, and what it costs.
You are reading this because something is not working the way it should, and you want a clinician who can evaluate what is going on and prescribe if that is the right course of action. You are not looking for the nearest option. You are looking for someone who knows the medications well, explains the reasoning, and is available for the follow-up conversations that make a prescription actually work over time.
Harborside works with adults across New Canaan for exactly that kind of care. Everything happens by video, on a schedule that does not require blocking off a morning for a drive into a waiting room.
Harborside is based in Yarmouth Port, Massachusetts. Clinicians see patients across Connecticut by secure video, not in person. Here is what that means in practice.
Connecticut allows a wide range of prescribing by video, including for stimulant medications used to treat ADHD and other controlled substances when clinically appropriate. Your clinician will explain what applies to your specific situation, including any requirements around periodic check-ins for certain medication classes.
Medication management at Harborside covers the conditions that most commonly bring adults to a prescriber: anxiety, depression, ADHD, bipolar disorder, obsessive-compulsive patterns, sleep problems, and the kind of persistent low mood or irritability that has started to affect work, relationships, or daily functioning. It also includes ongoing management for people already on a medication regimen who want a clinician who will pay attention to it over time, and functional psychiatry approaches that look at nutrition, sleep, and lifestyle factors alongside prescribing. If you are not sure whether what you are dealing with fits, that is a reasonable thing to ask about before your first appointment.
The first session is a conversation, not a checklist. Your clinician will ask about your current symptoms, what you have tried before, your medical history, and what you are hoping will change. If medication makes sense, you will talk through options together, including how they work, what to expect in the first few weeks, and what side effects to watch for. Nothing is prescribed without that discussion. If medication is not the right fit yet, or not the only piece, your clinician may talk with you about therapy, either through Harborside’s therapy team or elsewhere.
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 a cofounder of the practice, Emily Pardue, RN PMHNP-BC, and Kirstin Ritchie, RN PMHNP-BC. Each is qualified to evaluate, diagnose, and prescribe for mental health conditions, and each brings her own areas of focus within that work. 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. Many patients in New Canaan work with a prescriber and a therapist together, coordinated as part of the same practice.
Harborside is a private-pay practice and does not bill insurance directly for appointments. Current fees for an initial appointment and for follow-up appointments are listed on the pricing page. If you have questions about cost, you can ask them before anything is booked.
You can request an appointment directly, and someone from Harborside will follow up to confirm details and answer any questions about scheduling or fees before your first session. There is no referral required. If you are already working with a therapist or another clinician, Harborside can coordinate with them once you have signed a release allowing that communication.
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. For guidance on medication safety and mental health conditions, see the National Institute of Mental Health’s overview of mental health medications [CITATION: NIMH page on mental health medications, government source for general medication education].
Reviewed by Rachel Egan, RN PMHNP-BC, Clinical Director, Harborside Psychiatrics. Last reviewed: {LAST_REVIEWED}.
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.