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Harborside Psych

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Therapy for Londonderry, NH

Therapy at Harborside is delivered by licensed clinicians who work with you to choose an approach that fits your life, not a fixed protocol applied the same way to everyone. Sessions happen by video, on a schedule built around the way you actually live.

That matters in a town like Londonderry, where a lot of households split their week between two states. You may work in Massachusetts and come home to New Hampshire every night, or you may have chosen Londonderry in part because there is no state income tax here and the commute down 93 still makes sense. Either way, your schedule is real and often tight, and therapy that requires a recurring drive somewhere is one more thing competing for time you do not have.

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Therapy for people in Londonderry, NH

Harborside is based in Yarmouth Port, Massachusetts, and delivers care to people in New Hampshire by video. You do not travel to an office. You do need a private space, a reasonably stable internet connection, and a phone, tablet, or computer with a camera.

A typical therapy session runs about 45 minutes. How often you meet depends on what you are working through and what your clinician recommends, but weekly or every other week is common at the start, with sessions spacing out as things settle. If your care also involves medication management with one of our psychiatric nurse practitioners, any prescriptions are sent electronically to a pharmacy near you in Londonderry, the same way an in-person prescription would be.

Between sessions, you can message your clinician through a secure patient portal for non-urgent questions. Appointments are scheduled at set times, the same way an in-person visit would be, just without the drive.

How telehealth care actually works

People come to therapy at Harborside for a wide range of reasons: ongoing anxiety, low mood or depression, stress tied to work or family, difficulty adjusting after a major life change, grief, relationship strain, and disordered eating patterns among them. Some people are looking for a place to think out loud about something that has been sitting heavy for a while. Others are managing a diagnosed condition and want ongoing support alongside medication care.

Your first appointment is where your clinician gets a fuller picture of what is going on and what you are hoping therapy will help with. From there, the two of you decide together what the work looks like, whether that leans on talk-based approaches, structured skills work, art therapy, or something else suited to how you process things.

What we treat

The first session is mostly conversation. Your clinician will ask about what brought you in, your history, and what a good outcome would look like to you, in terms of how you want to feel and function, not a promise of where you will end up. There is no assumption that one method fits everyone. Some people want a defined set of tools to practice, others want space to process before deciding on a direction. Both are valid starting points, and your clinician will say so plainly rather than steering you toward a default.

By the end of the first appointment, you should have a working sense of what ongoing sessions will look like and how often to expect them.

What the first appointment involves

Therapy and eating disorder work at Harborside are delivered by our licensed therapy team: Hannah Legesse, LICSW, Tori Mahoney, LMHC, Jacquelyn Duford, LCMHC ATR, and Lexie Carchedi, LCSW. Jacquelyn is also a registered art therapist, for clients who want that option as part of their care.

If your care includes medication management or functional psychiatry alongside therapy, that work is performed by our psychiatric nurse practitioners: Rachel Egan, RN PMHNP-BC, who is also our 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 every clinician on our team are on the team page.

Who our clinicians are

Harborside is a private-pay practice and does not bill insurance directly for appointments. Current fees for an initial appointment and for follow-up sessions are listed on our pricing page. If you have questions about cost, you can ask them before anything is booked.

What it costs

If you are in Londonderry and thinking about therapy, the next step is scheduling an initial appointment. You will meet with a clinician by video, talk through what is going on, and decide together what ongoing care should look like. There is no requirement to have everything figured out before that first call. That is what the appointment is for.

Getting started

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 guidance on finding a mental health provider and understanding treatment options, see the [CITATION: National Institute of Mental Health, “Find Help” page, as a neutral government source on locating mental health care].

Reviewed 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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