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Harborside Psych

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Therapy for Littleton, MA

Littleton sits at the edge of the 495 belt, a smaller town than some of its neighbors but with the same pull of two working parents, long commutes, and kids juggling school, sports, and everything else that fills a family calendar. If you searched for therapy here, there is a good chance you did it in a spare ten minutes between meetings, or after your kid’s practice, or late at night once the house is quiet. Harborside’s therapy team works with each client to choose an approach that fits the person, not a fixed protocol everyone gets handed on day one. Sessions happen by video, on a schedule built around your actual week, not around office hours that assume you have nothing else going on.

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Therapy for people in Littleton, MA

Harborside Psychiatrics is based in Yarmouth Port, Massachusetts, and delivers care by video across the state. For therapy, that means a private video appointment from wherever you have a stable internet connection and a phone, tablet, or computer with a camera. No special software or app download is required beyond a link your clinician sends before each session.

Therapy sessions typically run about 45 to 50 minutes. How often you meet depends on what you’re working through and what your clinician recommends, ranging from weekly during more acute periods to less frequent check-ins as things settle. If your care also involves medication, prescriptions are sent electronically to a pharmacy near you in Littleton, and follow-up appointments are scheduled on a regular basis to review how things are going.

What stays the same as in-person care: a licensed clinician, a private setting on your end, and a real conversation, not a scripted intake form.

How telehealth care actually works

Harborside’s therapy team works with adults and, depending on the clinician, adolescents dealing with anxiety, depression, mood swings, trauma, grief, life transitions, and the kind of chronic stress that builds up over months of overcommitment. We also work with eating disorders, body image concerns, and disordered eating patterns, an area where therapy and, when appropriate, nutrition-informed clinical support matter together. Some clients come in with a clear diagnosis already in hand. Many come in without one, just knowing that something feels off and they want help sorting through it. Both are reasons to schedule a first appointment.

What we treat

The first session is mostly conversation. Your clinician will ask about what brought you in, your history, and what you’re hoping changes about your day-to-day life. There’s no test to pass and nothing you need to prepare beyond showing up. By the end, you and your clinician will talk through what ongoing care might look like, including frequency and approach, so you leave with a plan rather than just an hour behind you.

What the first appointment involves

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, including, where clinically appropriate in Massachusetts, medications for ADHD and other conditions that require controlled substances. Full bios and credentials for each of them 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 she draws on with clients for whom a purely talk-based approach isn’t the best fit. Which clinician you see depends on availability and what you’re looking for, and that’s something you can talk through before your first appointment is booked.

Who our clinicians are

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.

What it costs

If you’re ready to schedule, you can book a first appointment directly online. If you’re still deciding, you’re welcome to reach out with questions first, no commitment required. Explore Harborside’s full therapy services, learn more about telehealth care across the state on the Massachusetts telehealth page, or see how we work with other towns in the area on the MetroWest region page. If anxiety is part of what brought you here, our anxiety treatment page goes into more detail on how that work is approached.

Getting started

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. Reading it does not create a provider-patient relationship with Harborside Psychiatrics or any of its clinicians. For guidance specific to your situation, schedule an appointment.

[CITATION: link to SAMHSA or National Institute of Mental Health page on anxiety, depression, or eating disorders as a general educational reference]

Clinical review 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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