A year-round Marstons Mills household runs on a different clock than the summer visitors passing through on Route 149. Retirees managing the quiet months, seasonal-business owners who work through the fall and winter to make up for a slow spring, and families juggling two very different versions of their year all need care that fits around real schedules, not the other way around. Harborside’s therapy team works with each client to choose an approach that fits the person, delivered by video, on a schedule built around actual life rather than a fixed protocol.
Harborside Psychiatrics is based in Yarmouth Port, on Cape Cod, and works with clients across Marstons Mills and the surrounding villages by telehealth.
Sessions happen over secure video from wherever you have a private, reliable internet connection. There is no special software to buy. A laptop, tablet, or smartphone with a camera and microphone is enough. You will get a link ahead of each appointment and log in at the scheduled time, the same way you would for any video call.
A typical therapy session runs about 45 minutes. How often you meet depends on what you and your clinician decide together, often weekly at the start and less frequently as things settle. If medication becomes part of the plan, prescriptions are sent electronically to a pharmacy of your choosing, including pharmacies in Marstons Mills or Barnstable if that is more convenient than the one you currently use.
Harborside is based at 411 Main St in Yarmouth Port, Massachusetts, and every appointment, whether therapy or medication management, is delivered by video rather than in person. That means no drive on Route 28 or through the rotary, and no waiting room. It also means your clinician sees you at the same time each week, in the space where you actually live your life.
Therapy at Harborside addresses the everyday range of what brings people to treatment: anxiety that has started to interfere with sleep, work, or relationships; depression and low mood; grief; adjustment to a major life change such as retirement, relocation, or a change in family caregiving; and difficulty regulating stress that has built up over time. Clients also come in for support with eating concerns, trauma, and relationship or family strain.
The goal of an intake is not to sort you into a category before you have even had a conversation. It is to understand what is actually happening for you, in plain terms, and figure out with you what kind of support makes sense.
The first appointment is a longer conversation, generally 60 minutes, focused on understanding what brought you to therapy and what you are hoping will be different. Your clinician will ask about your history, your current symptoms, and what has or has not helped before. There is no scripted checklist you have to get through. By the end of that first session, you and your clinician will have a working sense of what ongoing care might look like, including how often to meet and what approach fits best.
Medication management and functional psychiatry at Harborside are performed by psychiatric nurse practitioners: Rachel Egan, RN PMHNP-BC, who is Harborside’s clinical director, Emily Pardue, RN PMHNP-BC, and Kirstin Ritchie, RN PMHNP-BC. Each is qualified to evaluate, diagnose, and prescribe for a range of mental health conditions, including medications for conditions like ADHD when that is part of the clinical picture. Full bios and credentials for each clinician are on the team page.
Therapy and eating disorder work are delivered by the 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 brings into sessions where that approach fits a client’s needs. Each clinician on the therapy team is licensed to practice in Massachusetts and works directly with clients in Marstons Mills to build a plan around what actually helps, rather than applying one method to everyone.
Harborside is a private-pay practice and does not bill insurance directly for appointments. Current fees for an initial appointment and for follow-up visits are listed on the pricing page, and any questions about cost can be answered before you book anything.
If you are ready to schedule, you can book an initial appointment directly online. If you are still deciding whether therapy is the right step, or which clinician might be the right fit, you are welcome to reach out with questions first. There is no obligation attached to asking.
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 does not constitute medical advice. It does not create a provider-patient relationship. For guidance on choosing a mental health provider or understanding treatment options, see the National Institute of Mental Health’s overview of psychotherapies [CITATION: NIMH page on psychotherapy, a federal government health resource explaining types of talk therapy].
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.