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Harborside Psych

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Therapy for Bedford, NH

Bedford sits at the center of the state’s population corridor, close enough to Nashua and Merrimack to feel that pull and close enough to Windham and Londonderry to feel that one too. A lot of households here cross the Massachusetts line for work most days of the week, and a lot of families chose this town in part because New Hampshire does not tax income, which tends to draw professionals with demanding schedules and not much flexibility in the middle of a weekday. Therapy that has to fit around a commute, a school pickup, or a job in another state needs to be built differently than therapy that assumes you can walk in whenever an office is open.

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Therapy for people in Bedford, NH

Harborside is based in Yarmouth Port, Massachusetts, and delivers therapy by video to people across New Hampshire. Nothing about the format is a scaled-down version of in-person care. Sessions happen over a secure video platform, and all you need is a private space, a phone or computer, and a stable internet connection.

A typical therapy session runs about 45 to 50 minutes. How often you’re seen depends on what you’re working on and what your clinician recommends: some people start weekly and space out from there, others check in every other week from the start. That’s worked out between you and your therapist, not set by a fixed schedule for everyone.

If your care also involves medication management, prescriptions are sent electronically to a pharmacy near you in Bedford, so you’re not driving anywhere to pick up a paper script or to be seen for a follow-up appointment.

How telehealth care actually works

People come to therapy at Harborside for a wide range of reasons. Common ones include anxiety that’s begun interfering with sleep, work, or relationships; depression that hasn’t lifted on its own; the stress that builds up around a major life change, whether that’s a move, a job transition, or a loss; difficulty regulating mood; and patterns around eating and body image that need dedicated, ongoing attention. Some people are looking for a place to process something specific. Others aren’t sure yet what’s wrong, only that something feels off, and want a clinician to help them figure that out.

What we treat

Your first session is mostly conversation. Your therapist asks about what brought you in, your history, and what you’re hoping to get out of care. There’s no test to pass and no pressure to have it all figured out before you show up. By the end of that first appointment, you and your therapist should have a shared sense of what you’ll work on and how often you’ll meet. From there, the approach gets adjusted as you go, based on what’s actually helping and what isn’t.

What the first appointment involves

Therapy and eating disorder work at Harborside are delivered by a licensed therapy team: Hannah Legesse, LICSW, Tori Mahoney, LMHC, Jacquelyn Duford, LCMHC ATR, and Lexie Carchedi, LCSW. Each brings a different set of tools, and clinicians work with you to choose an approach that fits who you are rather than running everyone through the same protocol. Jacquelyn Duford is also a registered art therapist, which is an option for clients who want a more creative route into difficult material.

If your care includes medication management or functional psychiatry, that work is performed by psychiatric nurse practitioners: Rachel Egan, RN PMHNP-BC, who is Harborside’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. Full bios and credentials for every clinician on the team are on the team page.

Who our clinicians are

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 before anything is booked.

What it costs

If you’re ready to set up a first appointment, or you want to ask a few questions first, reaching out is the next step. You can look through the therapy page for more on how care is structured, or the New Hampshire telehealth and Southern NH pages for how this works more broadly across the region. If anxiety is what’s bringing you to this page, the anxiety treatment page walks through that in more detail.

Getting started

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 more on how to evaluate a mental health provider, see the [CITATION: SAMHSA, as a federal behavioral health resource, for general guidance on finding and evaluating mental health care].

Reviewed by Hannah Legesse, LICSW. Last reviewed: {LAST_REVIEWED}.

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Frequently Asked Questions

Is therapy with Harborside the same as seeing a psychiatrist?

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.

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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