Harborside is based on Cape Cod, Massachusetts, but the team works with patients across New England using secure video visits, which means the practice comes to you rather than the other way around. In a town like Simsbury, where dual-career households run tight calendars around schools, sports, and long commutes into Hartford, that matters. A medication check does not need to compete with a school pickup or a client call. It happens from your kitchen table or your office, on a schedule that works with your week instead of against it.
People in Simsbury tend to be managing a lot at once: careers, kids in strong local schools, aging parents, a house that never stops needing something. Anxiety, low mood, attention difficulties, and sleep problems often show up quietly in the middle of that, and get pushed to the bottom of the list because there is no time to add another commute to a waiting room. Medication management through Harborside is built for exactly that situation. You keep your routine. Care happens around it.
All appointments are conducted by video, using a secure platform you can access from a laptop, tablet, or smartphone with a stable internet connection. You do not need special software installed in advance. A link is sent ahead of your appointment, and you join from wherever you are, whether that is home, a private office, or a parked car during a lunch break.
An initial evaluation typically runs longer than a follow-up, since it involves a full review of your history, current symptoms, and any medications you have tried before. Follow-up appointments are shorter and focus on how a medication is working, whether a dose needs adjusting, and what side effects, if any, you are noticing. How often you are seen depends on your situation and the medication involved, but many patients move to longer intervals between visits once things are stable.
When a prescription is needed, it is sent electronically to the pharmacy of your choice in Simsbury or anywhere else in Connecticut. Harborside is based in Yarmouth Port, Massachusetts, and clinicians are licensed to provide this care to patients physically located in Connecticut at the time of the appointment.
Medication management at Harborside addresses common conditions including anxiety, depression, attention-deficit/hyperactivity disorder (ADHD), bipolar disorder, insomnia, and obsessive-compulsive disorder, among others. Care also includes ongoing management for patients already on a medication regimen who need a prescriber to continue and adjust that care. Each plan is based on a clinical evaluation of your specific symptoms and history, not a fixed protocol.
Your first appointment is a full evaluation. Expect questions about your current symptoms, when they started, what you have tried before, your family and medical history, and how symptoms affect your daily life at work and at home. This is also your chance to ask questions about medication options, what to expect from a given class of medication, and how side effects are typically monitored. By the end of the appointment, you and your clinician will have a plan, which may include a prescription, a period of monitoring, a referral to therapy, or some combination of those.
Medication management and functional psychiatry at Harborside are performed by psychiatric nurse practitioners: Rachel Egan, RN PMHNP-BC, who serves as 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 at Harborside are delivered by the licensed therapy team: Hannah Legesse, LICSW, Tori Mahoney, LMHC, Jacquelyn Duford, LCMHC ATR, and Lexie Carchedi, LCSW. Many patients in Simsbury work with a prescriber and a therapist together as part of one coordinated plan.
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, you can request an appointment online and choose a time that fits your week. If you are not sure medication management is the right next step, you can also ask questions first. Someone can walk you through how the process works and what fits your situation before you commit to a first appointment.
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 to seek professional support for a mental health condition, see the National Institute of Mental Health’s guidance on finding help [CITATION: NIMH consumer guidance on seeking mental health treatment, to support general education on the page].
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.