Centerville runs on two calendars. There is the quieter stretch of the year, when year-round households manage school schedules, seasonal-business finances, and aging parents, and there is the summer version of the village, when Craigville Beach traffic and short-term rental turnover reshape daily life for weeks at a time. Therapy that works here has to hold both realities, not just the postcard one.
Harborside is a private-pay behavioral health practice based in Yarmouth Port, on Cape Cod, and we work with people in Centerville by video. Therapy sessions are matched to the person in front of us rather than run through a fixed protocol, whether that person is a retiree adjusting to a slower pace, a parent balancing two jobs during peak season, or a teenager navigating a school year that looks nothing like July.
Sessions happen over secure video from wherever you are, a home office in Centerville, a car during a lunch break, a quiet room after the kids are asleep. You need a phone, tablet, or computer with a camera and a stable internet connection. That is the whole technical requirement.
A first therapy session usually runs about 50 minutes. Follow-up sessions are typically the same length, scheduled weekly, every other week, or on whatever cadence fits the work and your life. If medication is part of your care, prescriptions are sent electronically to a pharmacy near you in Centerville or wherever is convenient, and follow-up medication appointments are shorter than the initial evaluation.
Harborside is based in Yarmouth Port, Massachusetts, and everything is delivered by video. There is no waiting room, and there is no drive across the Cape in July traffic to get to an appointment.
Our therapists work with anxiety, depression, mood changes, grief, life transitions, relationship strain, trauma, and eating disorders, among other concerns. Some people come in with a clear diagnosis already in hand. Others come in only knowing that something feels off and they want help figuring out what that is. Both are a reasonable place to start. Where medication is a relevant option, our prescribers can evaluate for conditions such as depression, anxiety, and ADHD as part of a broader plan built with you, not instead of therapy.
The first appointment is mostly conversation. Your therapist will ask about what brought you in, your history, what has helped or not helped before, and what you want out of care. There is no assumption that you already know the right diagnosis or the right approach. That gets worked out together, and it can shift over time as your circumstances do, including the seasonal shifts that shape so much of life in a village like Centerville.
Medication management and functional psychiatry at Harborside are performed by psychiatric nurse practitioners Rachel Egan, RN PMHNP-BC, who is also Harborside’s clinical director, along with 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 care are delivered by our licensed therapy team: Hannah Legesse, LICSW; Tori Mahoney, LMHC; Jacquelyn Duford, LCMHC, ATR, a registered art therapist; and Lexie Carchedi, LCSW. Together, this team covers talk therapy, medication management, and specialized eating disorder support for people across Centerville.
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 our pricing page. If you have questions about cost, you can get them answered before anything is booked.
Getting started begins with a short scheduling step so we can match you with the right clinician, whether that is a therapist, a prescriber, or both. From there, you set up your first video appointment at a time that fits your week. There is no in-person visit required, before, during, or after intake, no matter which part of Centerville you are calling from.
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 general information on mental health conditions and treatment options, see the [CITATION: National Institute of Mental Health overview page, for authoritative and current public health information].
Reviewed by Hannah Legesse, LICSW. 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.