In a lot of Wayland households, the person making the call about therapy is a parent juggling a teenager’s school stress, a partner’s work travel, and their own sense that something needs attention before it becomes a bigger problem. Wayland is a town where people are used to researching before they commit, so we will start with how the work actually happens rather than asking you to take our word for anything.
At Harborside, therapy is delivered by licensed clinicians who work with each person to choose an approach that fits them, not a fixed protocol applied the same way to everyone. Sessions happen by video, on a schedule built around the life you actually have.
Harborside Psychiatrics is based in Yarmouth Port, Massachusetts, and delivers care by telehealth to people across the state, including Wayland. You do not travel to an office. You need a private space, a stable internet connection, and a phone, tablet, or computer with a camera.
Sessions are scheduled the way an in-person appointment would be: at a set day and time, usually 45 to 50 minutes for therapy. Your clinician will talk with you about how often to meet, which might be weekly at first and less frequent later, depending on what you and your clinician decide together.
If medication is part of your care, prescriptions are sent electronically to the pharmacy of your choice near Wayland, and follow-up appointments with your prescriber are also done by video. Massachusetts allows telehealth prescribing for a wide range of medications, including stimulant and other controlled medications when clinically appropriate, so this is not something you need to work around here.
People come to Harborside for anxiety that has started interfering with sleep, work, or family life. For depression that has lingered longer than it should. For the aftereffects of a stressful year, a loss, or a life transition that has not settled. For eating and body image concerns, for attention and focus difficulties, and for the kind of chronic stress that builds quietly in households juggling work, school, and everything in between.
Therapy at Harborside is not built around a single diagnosis or a single method. Your clinician will talk with you about what you are dealing with and what has and has not helped before, and build from there.
The first appointment is mostly conversation. Your clinician will ask about what brought you in, your history, your current life circumstances, and what you are hoping will be different. There is no exam and nothing you need to prepare beyond being ready to talk.
By the end of that first session, you and your clinician will usually have a working sense of what ongoing care looks like: how often to meet, what approach makes sense, and whether medication management should be part of the picture alongside therapy.
Medication management and functional psychiatry at Harborside are performed by psychiatric nurse practitioners: Rachel Egan, RN PMHNP-BC, who is also the 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 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 Lexie Carchedi, LCSW. Jacquelyn is also a registered art therapist, which she brings into sessions where it fits the person in front of her.
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 questions about cost can be answered before anything is booked.
If you are ready to schedule, or you just want to ask questions first, you can reach out through our intake process and we will help you figure out which clinician and which type of appointment fits what you are looking for. There is no obligation to commit before that conversation happens.
You can also learn more about our approach to therapy generally, our work across Massachusetts, and how we support people throughout the MetroWest area, including nearby Sudbury, Weston, and Lexington.
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 does not constitute medical advice. It does not create a provider-patient relationship. For guidance on choosing a treatment approach that fits your situation, see the [CITATION: SAMHSA National Helpline, as a government behavioral health resource].
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.