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Harborside Psych

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(508) 876-3448

Therapy for Bow, NH

Bow is a small, settled town with a strong sense of its own identity, a short drive from Concord and full of households where both work and family life run on tight schedules. A lot of the people we talk with here work in state government or a licensed profession, and they are looking for care that fits into a full week rather than a therapy schedule that asks them to rebuild the week around it. 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, and it happens by video on a schedule built around your actual life.

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Therapy for people in Bow, NH

Therapy at Harborside starts with a conversation about what is actually going on, not a checklist. Some people come in wanting a specific, structured approach to a specific problem. Others need space to work through something that does not have a clean label yet. Our clinicians are trained in a range of approaches and they adjust the approach to the person, rather than fitting the person into one method because that is what the practice happens to offer.

For someone in Bow balancing a demanding job, a household, and the expectations that come with a close-knit community, that flexibility matters. Sessions are built to work around a real calendar, not the other way around.

How telehealth care actually works

Harborside is based in Yarmouth Port, Massachusetts, and delivers care by video across the states where our clinicians are licensed, including New Hampshire. Here is what that looks like in practice.

  • You need a private space, a stable internet connection, and a phone, tablet, or computer with a camera. No special software to install ahead of time beyond a link we send you.
  • Individual therapy sessions typically run 45 to 55 minutes. Frequency is worked out between you and your clinician, commonly weekly or every other week, adjusted as things change.
  • If medication management is part of your care, prescriptions are sent electronically to the pharmacy you choose, near your home in Bow or wherever is convenient.
  • Appointments are scheduled directly with your clinician, and rescheduling around a busy week is part of how the practice is built to work.

The video format removes the drive time and the waiting room, but the clinical relationship works the same way it would in person: a consistent clinician, a consistent time, and a plan that gets adjusted as you go.

What we treat

People come to therapy at Harborside for a wide range of reasons. Common ones include anxiety, depression, mood changes tied to life transitions, grief, relationship strain, work-related stress, and disordered eating. Some people are dealing with a specific stressor, like a career change or a family conflict. Others have been managing something for years and want ongoing support with a clinician who knows their history.

You do not need a diagnosis in hand to start. Part of the first phase of care is figuring out, together, what is actually going on and what kind of support fits it.

What the first appointment involves

The first appointment is longer than a typical follow-up and is built around understanding your history, your current concerns, and what you are hoping to get out of therapy. Your clinician will ask about your background, your current stressors, and anything you have tried before, whether that was previous therapy, self-directed work, or nothing at all. By the end of that first session, you and your clinician should have a shared sense of what the next few sessions will focus on.

There is no obligation to have answers ready. A lot of that first appointment is simply the clinician learning how to be useful to you specifically.

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 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.

Therapy and eating disorder work are delivered by our licensed therapy team: Hannah Legesse, LICSW, Tori Mahoney, LMHC, Jacquelyn Duford, LCMHC ATR, and Lexie Carchedi, LCSW. Between them, the team brings different clinical backgrounds and approaches, including art therapy, and clients are matched with a clinician based on fit rather than availability alone.

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 appointment are listed on the pricing page, and questions about cost can be answered before anything is booked.

Getting started

Getting started begins with a short scheduling step to match you with a clinician, followed by booking your first appointment at a time that works for your week. There is no waiting room and no paperwork to fill out in person. Everything from intake forms to session links is handled online, and your first appointment is where the actual clinical work begins.

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Frequently Asked Questions

Is therapy with Harborside the same as seeing a psychiatrist?

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. Care decisions should be made with a licensed clinician who knows your full history.

[CITATION: Link to 988 Suicide & Crisis Lifeline (SAMHSA or 988lifeline.org) as the source for crisis line information]

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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