Sudbury runs on calendars. Between two working parents, a commute toward 128 or into Boston, and kids moving through Sudbury Public Schools and a packed schedule of sports and activities, finding a weekday hour for yourself is often the hardest part of getting care, harder than deciding you need it. Therapy at Harborside is built by a licensed clinician working with you to choose an approach that fits your actual life, not a fixed protocol applied the same way to everyone, and it happens by video on a schedule that can hold up against a real week in Sudbury.
Harborside is based in Yarmouth Port, Massachusetts, and delivers care by telehealth to people across the state, including Sudbury. You do not travel to an office. Sessions happen over a secure video platform, and you need a phone, tablet, or computer with a camera and a private, quiet spot to talk, whether that is a home office, a parked car between school pickups, or a closed door during a lunch break.
A typical therapy session runs about 45 to 50 minutes. How often you meet depends on what you are working through: some people start weekly, others every other week, and the pace is revisited as things change. If medication is part of your care, a psychiatric nurse practitioner reviews your history, discusses options with you, and can send a prescription electronically to a pharmacy near you in Sudbury. Follow-up medication appointments are typically shorter than the first visit and are scheduled at an interval that fits your treatment plan.
Adults and adolescents come to therapy at Harborside for a wide range of reasons: persistent anxiety, low mood or depression, difficulty adjusting to a life change, relationship or family strain, grief, burnout, and patterns around eating and body image. Some clients are managing a diagnosed condition and want ongoing support alongside medication. Others are not sure yet what to call what they are feeling and want a clinician to help them figure that out. Therapy at Harborside is not limited to a crisis. It is also for people who are functioning reasonably well but want things to feel less effortful.
Your first appointment is a conversation, not a form to fill out and forget. Your clinician asks about what brought you in, your history, and what you are hoping care will look like. You will talk about goals, frequency of sessions, and whether medication management should be part of the plan alongside therapy. Nothing is decided without you. By the end of the first session, you should have a clear sense of what the next few weeks look like and who you will be working with.
Medication management and functional psychiatry at Harborside are performed by psychiatric nurse practitioners: Rachel Egan, RN PMHNP-BC, who is also 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, including, when clinically appropriate, medications for conditions like ADHD. Full bios and credentials for each clinician are on the 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 a registered art therapist, and Lexie Carchedi, LCSW. Between them they bring different training and approaches, and part of the first appointment is finding the right fit for you or your family member.
Harborside is a private-pay practice and does not bill insurance directly for appointments. Current fees for an initial appointment and for follow-up sessions are listed on the pricing page. If you have questions about cost, you can ask before anything is booked.
Booking begins with a short intake conversation to understand what you are looking for and to match you with a clinician on our team. From there, you schedule your first appointment by video at a time that works for your week in Sudbury. You can start with therapy alone, medication management alone, or both together, and you can change course later if your needs change.
This page is educational and does not constitute medical advice or create a provider-patient relationship. 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.
[CITATION: Link to 988 Suicide & Crisis Lifeline (SAMHSA) for verification of crisis line accuracy]
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.