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Harborside Psych

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(508) 876-3448

Therapy for Merrimack, NH

Merrimack sits in the middle of the state’s busiest corridor, close enough to Nashua and the Massachusetts line that a lot of households here think of two states as home turf. Many of the people we work with in Merrimack cross that border for work every day and are drawn to New Hampshire for the freedom from state income tax, then find that their schedule doesn’t leave much room for a therapy appointment that requires a drive and a waiting room. Our approach starts from how the work is actually done: a licensed clinician who works with you to find an approach that fits who you are, not a fixed protocol applied the same way to everyone, delivered by video on a schedule that works around a real job and a real commute.

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Therapy for people in Merrimack, NH

Harborside Psychiatrics is based at 411 Main St in Yarmouth Port, Massachusetts, and delivers care by video to clients across New Hampshire. You don’t come to an office. You need a private space, a phone, tablet, or computer, and a stable internet connection. Sessions happen through a secure video platform, and most therapy sessions run about 45 to 50 minutes.

How often you’re seen depends on what you’re working through and what you and your therapist decide together. Some people start with weekly sessions and space them out over time. Others come in every other week from the start. Scheduling is built around your calendar, which matters if you’re commuting between New Hampshire and Massachusetts or working hours that don’t fit a 9-to-5 mold.

If medication management is part of your care, prescriptions are sent electronically to a pharmacy near you, in New Hampshire, so you’re not driving to Yarmouth Port to pick anything up. Therapy and medication management can run alongside each other, coordinated by the same practice.

How telehealth care actually works

Therapy at Harborside addresses the kinds of concerns that bring most people to counseling: anxiety, depression, stress that has outgrown what someone can manage alone, grief, relationship strain, life transitions, and low mood or motivation that has settled in and stayed. We also work with eating disorders through our licensed therapy team, using approaches suited to the person rather than a single template. If you’re not sure your concern fits, that’s a normal reason to reach out. Part of the first appointment is figuring out, together, what’s actually going on and what kind of support makes sense.

What we treat

The first appointment is a conversation, not a test. Your clinician will ask about what’s brought you in, your history, what you’ve already tried, and what you’re hoping is different. You’ll talk about goals and how often to meet. If you’re also being evaluated for medication management, that’s a separate but coordinated conversation with one of our prescribers. Nothing about the first appointment locks you into a long-term plan. It’s the starting point for deciding, together, what fits.

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 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 each of them are on our team page.

Therapy and eating disorder work 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, which brings a different tool into the room for clients who want it. Which clinician you work with depends on what you’re looking for and what fits your schedule, and that’s something we sort out with you rather than assign at random.

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 our pricing page, and questions about cost can be answered before anything is booked.

What it costs

If you’re in Merrimack and thinking about therapy, the next step is simple: reach out and ask what fitting a licensed clinician into your week would actually look like. You can ask questions before committing to anything. Whether you’re commuting into Massachusetts most days or working from home in town, care by video is built to move with your schedule rather than the other way around.

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 licensed mental health provider and general information on therapy, see the Substance Abuse and Mental Health Services Administration’s help resources [CITATION: SAMHSA national help resource, used as a neutral government source for general mental health information].

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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