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Harborside Psych

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Therapy for Lexington, MA

Harborside’s licensed therapists work with each client to choose an approach that fits the person, not a fixed protocol, and sessions happen by video on a schedule that fits real life. In Lexington, that often means fitting therapy around a household running on two demanding careers, school schedules built around AP courses and travel teams, and a level of achievement pressure that shows up as much in parents as in kids. We hear it often: a high-performing teenager who has stopped sleeping well, or a parent managing their own anxiety while trying to hold a family together through a packed calendar.

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Therapy for people in Lexington, MA

Lexington families tend to be well-informed before they ever call a therapist. Parents have usually already read about anxiety, ADHD, or teen mood changes, and they want a clinician who can meet that level of understanding rather than start from scratch. Adults in town are often managing their own stress alongside a child’s, whether that is a demanding job in Boston or Cambridge, caregiving for aging parents, or the quieter strain of a life that looks fine on paper but does not feel fine day to day.

Therapy at Harborside is built around that reality. It is not a one-size approach applied to everyone who walks in. A therapist gets to know what is actually happening in your life, in your family, or in your own head, and builds sessions around that.

How telehealth care actually works

Harborside Psychiatrics is based in Yarmouth Port, Massachusetts, and delivers care by video to people across the state, including Lexington. You do not travel anywhere for an appointment. You need a private space, a stable internet connection, and a phone, tablet, or computer with a camera. Sessions are held through a secure video platform, and the link is sent ahead of time.

Therapy sessions typically run about 45 minutes. How often you meet depends on what you are working through: weekly sessions are common at the start, with many people spacing out to every other week or monthly as things settle. If medication is part of your care, a psychiatric nurse practitioner manages that separately, and any prescriptions are sent electronically to a pharmacy near you in Lexington or wherever is convenient. Follow-up medication appointments are usually shorter than the first evaluation and scheduled at an interval that matches the medication and how you are doing.

Because everything happens by video, scheduling can work around a demanding job, a packed after-school calendar, or a parent juggling both. Appointments do not require taking a half day off for a drive and a waiting room.

What we treat

Harborside’s therapy team works with a wide range of concerns, including anxiety, depression, mood changes, adjustment to life transitions, grief, relationship and family stress, and disordered eating. Some clients are managing a specific diagnosis. Others are dealing with something harder to name: a sense of being overwhelmed, a change in a child’s behavior, or a period of life that feels heavier than it should. Therapy is a place to sort through what is happening and figure out what kind of support actually helps.

For clients who benefit from medication alongside therapy, Massachusetts licensure allows Harborside’s prescribers to evaluate and manage a broad range of medications, including stimulant medications for ADHD when clinically appropriate. That decision is made carefully, based on evaluation, not assumption.

What the first appointment involves

The first therapy appointment is mostly conversation. Your therapist will ask about what brought you in, your history, and what you are hoping is different. There is no test to pass and no script to follow. By the end of the first session, you and your therapist should have a working sense of what to focus on and how often to meet.

If you are also being evaluated for medication, that is a separate, more structured appointment with a psychiatric nurse practitioner, covering your history, current symptoms, and any past treatment, so that any prescribing decision is grounded in a full picture.

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 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. 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, and Lexie Carchedi, LCSW. Jacquelyn is also a registered art therapist, which can be part of her work with clients who benefit from that approach.

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 want to ask a question first, reaching out does not commit you to anything. Someone from Harborside can walk you through availability, what the first appointment looks like, and how billing works before you book. Many Lexington families start with a therapy consultation and add medication management later, or the other way around, depending on what makes sense for the person.

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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 Psychiatrics 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 on evaluating a mental health provider or understanding treatment options, the Substance Abuse and Mental Health Services Administration offers publicly available resources. [CITATION: SAMHSA general mental health treatment resource, used as a neutral government source on evaluating care]

Reviewed by Rachel Egan, RN PMHNP-BC, clinical director, Harborside Psychiatrics. Last reviewed: {LAST_REVIEWED}.

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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