Arlington is a town of full calendars. Between the older triple-deckers near Broadway and the postwar streets off Mass Ave, a lot of households are running two working schedules, school pickups, and whatever is left over at the end of the day. If you are trying to find forty-five minutes for yourself in the middle of that, the last thing you need is a therapy process that asks you to fit your life around it instead of the other way around.
At Harborside, therapy is delivered by licensed clinicians who work with you to choose an approach that fits who you are, not a fixed protocol applied the same way to everyone. Sessions happen by video, on a schedule built around the working day, so care does not require another commute layered on top of the ones you already have.
Harborside is based in Yarmouth Port, Massachusetts, and delivers care to people across the state by video. For people in Arlington, that means your appointments happen wherever you have privacy and a stable internet connection: a home office, a parked car during a lunch break, a quiet room after the kids are down.
You need a device with a camera and microphone (a laptop, tablet, or smartphone all work) and a private internet connection. There is no special software to buy. You will get a secure video link ahead of each appointment.
A typical therapy session runs about 45 minutes. How often you are seen depends on what you are working through and what you and your clinician decide together; some people start weekly and space appointments out over time, others meet less often from the start. If your care includes medication, prescriptions are sent electronically to a pharmacy of your choosing, so you can pick one near home in Arlington or wherever is convenient.
People come to Harborside for a range of reasons: ongoing anxiety that has started to affect sleep or work, low mood that has lingered longer than it should, stress that has built up around a job, a marriage, or caregiving, difficulty adjusting after a loss or a major life change, and patterns around eating or body image that are hard to talk about anywhere else. Some people are looking for support during a specific stretch of time. Others want an ongoing relationship with a clinician they see regularly.
Therapy at Harborside is not limited to a single method. Your clinician will talk with you about what you are dealing with and build a plan around that, rather than starting from a standard template and working you into it.
The first session is mostly about understanding where you are. Your clinician will ask about what brought you in, your history, what has helped or not helped before, and what you are hoping is different. There is no obligation to have it all figured out before you log on. Part of the first appointment is simply giving your clinician enough to work with so the two of you can decide on a direction together.
By the end of that first conversation, you should have a sense of what ongoing care would look like: how often you would meet, what the focus would be, and whether medication is part of the conversation at all.
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, including, where clinically appropriate, medications such as stimulants for ADHD. Full bios and credentials for each clinician are on the team page.
Therapy and eating disorder work are delivered by Harborside’s licensed therapy team: Hannah Legesse, LICSW, Tori Mahoney, LMHC, Jacquelyn Duford, LCMHC ATR (a registered art therapist), and Lexie Carchedi, LCSW. Which clinician you work with depends on what you are looking for and what fits your schedule.
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, and any questions about cost can be answered before you book anything.
If you are ready to schedule, you can book an initial appointment online. If you are still deciding, that is a reasonable place to be, and you are welcome to review the therapy services page or the Massachusetts telehealth page before making a decision. Harborside also works with people throughout the Inner Metro North region, including neighboring communities, and with people managing conditions covered on our anxiety treatment page.
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, talk with a licensed clinician.
[CITATION: Link to 988 Suicide & Crisis Lifeline (SAMHSA) as the authoritative source for crisis line information]
Clinically reviewed by Rachel Egan, RN PMHNP-BC, Clinical Director, Harborside Psychiatrics. Last reviewed: {LAST_REVIEWED}.
No. Harborside’s therapists are licensed clinicians who provide psychotherapy, not psychiatric prescribers. Anyone who also wants medication management can be connected separately with one of Harborside’s psychiatric nurse practitioners.
Most clients meet weekly or every other week, depending on what’s agreed with the therapist during the first few sessions.
No. Harborside is a private-pay practice. Clients with out-of-network mental health benefits can request a superbill to submit to their insurer for possible reimbursement.
That’s a reasonable place to start. Many clients begin therapy without a specific problem in mind, and the first session is built around figuring that out together.
Yes. Finding the right therapist sometimes takes more than one try, and raising it is a normal part of the process, not something awkward.
No. Therapy is ongoing, scheduled care, not a crisis service. If you are in immediate danger, call 911. For crisis support, call or text 988.