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Harborside Psych

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Therapy for Somerville, MA

You read the research before you call, and you expect a clinician to talk to you like someone who has. Therapy at Harborside is built around that expectation: a licensed clinician works with you to choose an approach that fits who you are, rather than running a fixed protocol on you, and sessions happen by video on a schedule that can survive a PhD program, a lab schedule, or a job that does not leave Tufts or Harvard Square before 7pm.

Somerville is dense, young, and full of people who moved here for school or work and stayed. That means your time is genuinely limited, and it means you want to be treated as a capable adult in the conversation about your own care, not managed through a script.

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Therapy for people in Somerville, MA

Harborside Psychiatrics is based in Yarmouth Port, Massachusetts, and delivers therapy by video to people across the state, including Somerville. You do not travel for it. You need a private space, a phone, tablet, or computer, and a stable internet connection.

  • Sessions typically run about 45 to 50 minutes, at a cadence you and your clinician agree on, often weekly to start and adjusted from there based on what you need.
  • Scheduling is done online, and appointments are booked around your actual week, not around office hours designed for someone else’s.
  • Continuity matters more than frequency. You work with the same clinician appointment to appointment, which means less time re-explaining your history and more time using it.
  • If medication is part of the picture, prescriptions are sent electronically to a pharmacy near you in Somerville, and any medication follow-up happens on its own separate visit with one of Harborside’s prescribers.

The video format is not a scaled-down version of in-person care. It is the format, chosen because it lets a Somerville schedule and a clinician’s availability actually line up.

How telehealth care actually works

People come to therapy at Harborside for a range of reasons, and most of them are not dramatic. Anxiety that has started shaping decisions. Depression that has flattened out a semester or a stretch of work. Difficulty sleeping, difficulty concentrating, grief, a hard transition, relationship strain, burnout that has stopped responding to time off. Some clients are working through a specific diagnosis. Others are not sure yet what to call what they are feeling, and that is a reasonable place to start.

Therapy here also includes eating disorder care, delivered by clinicians trained specifically in that work. If medication is a relevant part of your treatment, including for attention or mood conditions, that conversation happens with one of Harborside’s prescribers as a distinct piece of care, coordinated with your therapist rather than folded into the same appointment.

What we treat

The first session is mostly conversation. Your clinician asks about what brought you in, your history, what has helped or not helped before, and what you want out of the work. There is no protocol handed to you on day one. Instead, you and your clinician talk through an approach that fits your situation, and you revisit that approach as you go. You should leave the first appointment with a sense of what the next several sessions will look like, not a diagnosis delivered as a verdict.

What the first appointment involves

Therapy and eating disorder care at Harborside 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 adds a specific option for clients whose process benefits from working outside strict conversation.

If medication management or functional psychiatry becomes part of your care, that work is performed by Harborside’s 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 every clinician, therapy and prescribing alike, 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 and a follow-up appointment are listed on the pricing page, and any questions you have about cost can be answered before you book anything.

What it costs

You can book an initial therapy appointment online, from Somerville or anywhere else in Massachusetts. There is no separate intake call required first. If you are not sure whether therapy or medication management is the right starting point, you can say that when you book, and Harborside’s team will help direct you to the right first appointment.

For a broader look at how Harborside works across the state, see the Massachusetts telehealth page, the Inner Metro MA region page, or the general therapy service page. If anxiety specifically is what brought you here, the anxiety treatment page goes into more detail on that work.

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. For guidance on choosing a mental health clinician, see the [CITATION: SAMHSA or NIMH resource on finding a mental health provider].

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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