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Harborside Psych

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Therapy for Needham, MA

Needham families tend to run on tight schedules: two working parents, kids shuttling between Needham High and club sports or music lessons, aging parents nearby who also need attention. When someone in that household decides to look into therapy, it is usually squeezed between other obligations, not the center of the day. Harborside builds therapy around that reality. A licensed clinician works with you to choose an approach that fits who you are and what you are dealing with, rather than running everyone through the same fixed protocol, and sessions happen by video on a schedule that can actually hold up against a Needham calendar.

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Therapy for people in Needham, MA

Harborside Psychiatrics is based in Yarmouth Port, Massachusetts, and delivers care to patients across the state by video. For therapy, that means you sign into a secure video platform from home, your car during a lunch break, or anywhere private with a stable internet connection and a phone, tablet, or computer with a camera. No special software or technical skill is required beyond clicking a link.

Therapy sessions typically run 45 to 50 minutes. How often you meet depends on what you’re working through: some people start weekly and space out over time, others check in every other week. Your clinician will talk with you about a cadence that makes sense given what’s going on.

If you are also working with one of Harborside’s prescribing clinicians for medication management, prescriptions are sent electronically to the pharmacy of your choice, so there’s no separate errand to a Yarmouth Port office. Everything, from the initial intake to ongoing sessions, happens by video.

How telehealth care actually works

Therapy at Harborside addresses a range of concerns: anxiety that shows up as constant worry or physical tension, depression that drains motivation and interest, mood changes that feel hard to predict or control, difficulty adjusting to a life change, relationship strain, grief, and eating and body image concerns. Some people come in with a clear diagnosis already in hand. Others come in only knowing that something feels off and want help figuring out what’s going on and what might help. Both are reasonable starting points.

What we treat

The first appointment is mostly a conversation. Your clinician will ask about what brought you in, your history, and what you’re hoping to get out of therapy. There’s no assumption that you’ll have it all figured out beforehand. By the end of the first session, you and your clinician should have a working sense of what to focus on and how often to meet. From there, the work is ongoing: sessions build on each other, and your clinician will check in periodically about whether the approach still 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 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, and each brings their own areas of focus. Full bios and credentials for all three 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, for patients who want that modality as part of their care. Between medication management and therapy, Harborside’s clinicians work together when a patient’s care calls for both.

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 if you have questions about cost, you can get them answered before anything is booked.

What it costs

If you’re in Needham and thinking about therapy, the next step is scheduling an initial appointment. That appointment is where you and a clinician decide together what makes sense going forward, whether that’s therapy alone, medication management alone, or both working together. You can review the full range of services on the therapy page, learn more about care across the state on the Massachusetts telehealth page, or see how Harborside works with other MetroWest communities on the MetroWest hub. If anxiety is a primary concern, the 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 Psychiatrics 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. If you are considering therapy, an appointment with a licensed clinician is the appropriate next step.

Reviewed by Hannah Legesse, LICSW. Last reviewed: {LAST_REVIEWED}.

[CITATION: Link to National Institute of Mental Health page on psychotherapy, to support the general description of what therapy involves and its role in treating common mental health conditions.]

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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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