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Harborside Psych

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Therapy for Carlisle, MA

In Carlisle, the search for a therapist is often a parent’s search first. Between school schedules, sports, and the pace of a town where kids are frequently juggling more than one demanding commitment, finding a session time that actually holds is half the problem before the work even starts. Harborside’s therapy team works with each client to choose an approach that fits the person in front of them, not a fixed protocol, and delivers that care by video on a schedule built around real life rather than office hours.

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Therapy for people in Carlisle, MA

Carlisle residents come to therapy for a range of reasons: a teenager who has quietly stopped wanting to go to school, an adult managing anxiety that shows up as exhaustion rather than panic, a parent trying to hold a household together through a hard year. Some want a few months of focused work on one problem. Others want a longer-term relationship with a clinician who knows their history. Harborside’s therapists work both ways, and they build the plan with the client rather than handing over a template.

We work with people across Carlisle who want care that respects their time. A session does not require a drive, a waiting room, or a missed half day of work. It requires a private space and a device.

How telehealth care actually works

Harborside is based in Yarmouth Port, Massachusetts, and delivers care by video across the state. Here is what that looks like in practice.

  • Technology: a computer, tablet, or smartphone with a camera and a stable internet connection. Sessions run through a secure video platform. No special software or account is needed beyond a link sent ahead of time.
  • Session length: therapy sessions typically run 45 to 50 minutes. Initial appointments may run longer to allow time for history and goal-setting.
  • Frequency: most clients are seen weekly or every other week to start, with the pace adjusted over time based on what the client and clinician agree makes sense.
  • Privacy: you will need a private, quiet space for each session. Many clients use a home office, a parked car, or a closed bedroom door.
  • Prescriptions, if applicable: for clients also working with one of Harborside’s psychiatric nurse practitioners, prescriptions are sent electronically to a pharmacy of the client’s choosing, including pharmacies serving Carlisle and the surrounding towns.

What we treat

Harborside’s therapy team works with adults and adolescents on anxiety, depression, mood changes, stress related to work or family, grief, adjustment to life changes, eating disorders, and body image concerns. Sessions also address the everyday weight of high-pressure academic or professional environments, which shows up often in the families we work with from towns like Carlisle. Therapy can be used on its own or alongside medication management for clients who are also seeing one of Harborside’s prescribers.

What the first appointment involves

The first appointment is a conversation, not a test. Your therapist will ask about what brought you in, your history, and what you are hoping changes. You will talk about goals and how often you would like to meet. There is no paperwork to fill out in a waiting room and no intake packet to complete on paper. Everything happens over video, on your schedule, from wherever you have privacy.

Who our clinicians are

Therapy and eating disorder work at Harborside are delivered by the licensed therapy team: Hannah Legesse, LICSW, Tori Mahoney, LMHC, Jacquelyn Duford, LCMHC ATR, and Lexie Carchedi, LCSW. Each brings a distinct set of approaches to individual work with adults and adolescents, and clients are matched with a therapist based on fit, not availability alone.

Medication management and functional psychiatry are handled separately by Harborside’s psychiatric nurse practitioners: Rachel Egan, RN PMHNP-BC, who is 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, and clients working with both a therapist and a prescriber at Harborside have their care coordinated between the two. Full bios and credentials for every clinician are on the team page.

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

If you are ready to schedule, or you just want to ask a question before committing to anything, you can reach out through the website. Someone will help you find a first appointment time and, if therapy is one part of a larger plan, help coordinate with one of Harborside’s prescribers as needed. There is no obligation to decide anything on that first call.

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

[CITATION: Substance Abuse and Mental Health Services Administration (SAMHSA) or American Psychiatric Nurses Association resource on the role of psychiatric nurse practitioners and therapists in outpatient mental health care]

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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