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Harborside Psych

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Therapy for Natick, MA

Natick runs on schedules. Youth sports, commuter rail into Boston, two working parents, a kid who needs a ride to Sherwood or Wilson Middle and another activity after that. When something is off, whether it is a teenager who has stopped talking at dinner or a parent who cannot get past a low hum of dread, finding an hour for care usually means finding a way to do it without adding a drive.

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

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Therapy for people in Natick, MA

Harborside is based in Yarmouth Port, Massachusetts, and provides therapy by video to people across the state, including Natick. You do not come to an office. You need a private space, a phone, tablet, or computer with a camera, and a stable internet connection. That is the whole technology requirement.

A typical therapy session runs about 45 to 50 minutes. Frequency depends on what you and your clinician decide together: many people start weekly and adjust from there based on how things are going. If medication is part of your care, prescriptions are sent electronically to a pharmacy of your choosing, whether that is a shop in Natick center or one closer to work.

Video care removes the commute and the waiting room, but it does not remove the clinical relationship. You work with the same clinician appointment to appointment, and sessions are scheduled at a consistent time so the work has continuity.

How telehealth care actually works

People come to therapy for a wide range of reasons, and most of them are not dramatic. Anxiety that shows up as a tight chest before a work meeting or a school drop-off. A depressed mood that has settled in and will not lift on its own. Difficulty regulating emotions, trouble sleeping, grief, a major life transition, or a relationship that has become harder to navigate than it used to be. Some people are managing an eating disorder and need a therapist who understands the territory. Others are dealing with the aftermath of trauma, or the everyday strain of trying to hold together a job, a household, and a family.

Therapy also works alongside medication management for conditions such as ADHD, mood disorders, or anxiety disorders, when both are part of the picture. You do not need a crisis to justify an appointment. Wanting things to feel more manageable is a reasonable enough starting point.

What we treat

The first session is mostly conversation. Your clinician asks about what brought you in, your history, what has helped before and what has not, and what you are hoping is different. There is no assumption that you walk in with a diagnosis or a treatment plan already worked out. By the end of the appointment, you and your clinician talk through what ongoing care could look like, including how often to meet and what approach makes sense for you.

If you are also interested in medication management, that conversation can happen separately with one of Harborside’s prescribers, and the two parts of your care can be coordinated.

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 Harborside’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 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. Between them they bring different training and different approaches, which is part of why care can be matched to the person rather than the other way around.

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 appointments are listed on the pricing page. If you have questions about cost, you can ask before anything is booked.

What it costs

If you are in Natick and thinking about therapy, the next step is scheduling an initial appointment. From there, your clinician helps you figure out what kind of ongoing care fits, at a pace that works for your week. You can review options for therapy across Massachusetts, learn more about care available through Harborside’s Massachusetts telehealth services, or see how this fits into care across the MetroWest region. If anxiety is a primary concern, our anxiety treatment page has more detail on what that work involves.

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 choosing a mental health provider, see the [CITATION: National Institute of Mental Health page on psychotherapy/finding help, for general education on therapy approaches] resource from a federal health agency.

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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