Harborside Psychiatrics is based on Cape Cod, Massachusetts, and delivers medication management by video to clients across New England, including Trumbull. Trumbull sits inland behind the shoreline towns, and the families who call us often describe wanting one clinician who knows their case over time, not a different face at every visit.
Many of the people who reach out are parents doing the research first, sometimes for a teenager and sometimes because they have decided it’s time to look after their own care. Trumbull households often have the flexibility to choose a private-pay arrangement because it means picking who they see and staying with that person, rather than accepting whoever has an opening.
Care at Harborside happens over live video, not through messaging or a portal alone. You’ll need a private space, a phone, tablet, or computer with a camera, and a stable internet connection. Sessions are scheduled at a set time, the same way an in-person visit would be, and you see the same clinician at each appointment rather than whoever is available that day.
An initial medication evaluation typically runs longer than a follow-up, since there’s history to cover: current symptoms, past treatment, other medications, and what you’re hoping will change. Follow-up appointments are shorter and focus on how a medication is working, whether a dose needs adjusting, and any side effects worth discussing. The frequency of visits depends on the medication and how things are going, but many people are seen every one to three months once things settle.
When a prescription is needed, it’s sent electronically to a pharmacy near you in Trumbull, the same as it would be from any prescriber’s office. Harborside is physically located in Yarmouth Port, Massachusetts, but the clinical relationship and the appointments themselves happen entirely by video.
Medication management at Harborside addresses common concerns like anxiety, depression, panic symptoms, attention and focus difficulties, mood instability, and sleep problems that affect daily functioning. It also covers ongoing management for people already on a psychiatric medication who want a clinician to monitor and adjust that treatment over time, including situations that involve stimulant medications or other controlled substances where clinically appropriate.
Some people come to Harborside with a new concern they haven’t treated before. Others are transferring care and want a clinician who will review what’s been tried already before making changes. Both situations are common, and the first appointment is built to accommodate either one.
The first visit is a conversation, not a checklist read aloud. Expect to talk through your current symptoms, when they started, what you’ve already tried, any medications or supplements you’re taking now, and relevant medical or family history. The clinician will ask about how symptoms show up in daily life, since that matters more for treatment planning than a diagnosis label alone.
By the end of the appointment, you should have a clear sense of what’s being recommended and why, including whether medication is being suggested at all. Not every evaluation ends in a prescription. Some people leave with a plan that includes therapy, monitoring, or a follow-up conversation before any medication decision is made.
Medication management and functional psychiatry at Harborside are performed by psychiatric nurse practitioners: Rachel Egan, RN PMHNP-BC, who is also the 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 of them are on the team page.
When therapy is part of the picture, whether alongside medication or on its own, it’s delivered by Harborside’s licensed therapy team: Hannah Legesse, LICSW, Tori Mahoney, LMHC, Jacquelyn Duford, LCMHC ATR, and Lexie Carchedi, LCSW. Jacquelyn is also a registered art therapist, which is relevant for some younger clients and for people who find talk-based formats limiting.
Harborside is a private-pay practice and does not bill insurance directly for appointments. Current fees for an initial evaluation and for follow-up appointments are listed on the pricing page, and questions about cost can be answered before you book anything.
If you’re in Trumbull and considering medication management, the next step is scheduling an initial evaluation. You can look at clinician availability, review what the first appointment covers, and get your questions about cost answered ahead of time. There’s no obligation to continue past the first visit if it doesn’t feel like the right fit.
You can also learn more about the range of services offered across Connecticut on the Connecticut telehealth hub, or see how Harborside works with other communities in the region on the Upper Fairfield hub. If anxiety is part of what brought you here, the anxiety treatment page has more detail on how that’s approached.
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.
[CITATION: link to SAMHSA or APA-recognized source on psychiatric medication management for general public education]
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.