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Harborside Psych

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Medication Management for Shelburne, VT

Harborside Psychiatrics is based on Cape Cod, Massachusetts, and delivers medication management by telehealth to people across New England, including Shelburne. Many of the people we work with here are professionals who commute into Burlington or work remotely for organizations based there, and who want a prescriber who explains the reasoning behind a recommendation rather than rushing through it. Vermont law does not permit our practice to prescribe stimulant medications or benzodiazepines, so this page focuses on the medication management we are able to provide for depression, anxiety, and related conditions.

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Medication Management for people in Shelburne, VT

Shelburne sits close enough to Burlington that a lot of residents split their week between the two, and close enough to Lake Champlain that many people here care about having time outdoors, not just time in a waiting room. That combination shows up in what people ask for from a mental health prescriber: someone who will sit with the full picture of a busy life before suggesting a medication, and who will follow up consistently rather than treating an initial visit as the end of the conversation.

Our approach to medication management is built around that kind of ongoing relationship. A prescriber reviews your history, talks through what has and has not worked before, and builds a plan with you, not for you. Follow-up appointments are where adjustments happen, based on how you are actually doing, not just on a printed protocol.

How telehealth care actually works

Harborside is physically located in Yarmouth Port, Massachusetts. Every appointment for Shelburne residents happens by secure video, so there is no travel to Cape Cod or anywhere else. You will need a smartphone, tablet, or computer with a camera and a stable internet connection, and a private space where you can talk openly for the length of the session.

An initial medication management evaluation typically runs longer than a follow-up, since it involves a full review of your history, current symptoms, and any past treatment. Follow-up appointments are shorter and are scheduled at an interval your prescriber recommends based on your situation, often monthly at the start and spaced out from there as things stabilize. If a medication is prescribed, it is sent electronically to a pharmacy of your choosing in Shelburne or anywhere nearby, the same way an in-person prescription would be.

Because everything happens by video, scheduling is generally more flexible than a drive-in appointment would allow, and you can join a session from home, from an office, or anywhere private during your day.

What we treat

Our medication management services in Vermont address conditions such as depression, generalized anxiety, panic disorder, obsessive-compulsive patterns, mood-related symptoms tied to major life transitions, and other non-controlled psychiatric conditions. A prescriber will talk with you about your symptoms, your goals, and any medications or supplements you are already taking before discussing whether medication is an appropriate part of your care. Some people combine medication management with therapy; others work with a prescriber alone. Either way, the plan is specific to what you describe in your appointments, not a standard protocol applied to everyone.

What the first appointment involves

Your first visit is a conversation, not a checklist read aloud. Expect to talk about your current symptoms, when they started, what you have tried before including any past medications or therapy, your general health history, and what you are hoping care will look like going forward. Your prescriber will ask questions to understand the full context of what you are experiencing, then talk through options with you, including what a medication might involve, what to watch for, and how follow-up will work. You leave the appointment with a plan, not just a prescription.

Who our clinicians are

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 and cofounder, Emily Pardue, RN PMHNP-BC, and Kirstin Ritchie, RN PMHNP-BC. Each of them is qualified to evaluate, diagnose, and prescribe for mental health conditions, and each brings her own clinical background to that work. Full bios and credentials for each clinician are available on the team page.

If your care also includes therapy, that work is delivered by Harborside’s licensed therapy team: Hannah Legesse, LICSW, Tori Mahoney, LMHC, Jacquelyn Duford, LCMHC ATR, and Lexie Carchedi, LCSW. Some patients see a prescriber only, others see a prescriber and a therapist together, and your care team can help you decide what combination fits.

What it costs

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

Getting started

If you are ready to schedule, you can book an initial medication management appointment directly, and a member of our team will confirm your eligibility for care in Vermont before your visit. If you are still deciding, you are welcome to reach out with questions about how the process works or whether medication management is the right starting point for what you are dealing with. There is no obligation attached to asking.

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Frequently Asked Questions

Do I need a diagnosis already to book an appointment?

If you need help right now

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. 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.

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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