Wellesley households tend to run on packed calendars: school pickups, club sports, board meetings, college visits, aging parents an hour away. Therapy that only works if you can clear a Tuesday afternoon does not survive contact with that kind of week. Harborside builds care around the person, not a fixed protocol, and delivers it by video so a session can happen between a work call and a school pickup instead of forcing a choice between them.
We work with adults and teens across Wellesley who want a therapist who adapts to them rather than running everyone through the same twelve-week outline. Some people want structured, skills-based work with clear homework between sessions. Others want space to think out loud with someone trained to notice what they’re not saying yet. Both are reasonable ways to use therapy, and the right fit depends on the person, not on what’s easiest to standardize.
That flexibility matters in a town where the person searching is often a parent trying to find care for a teenager, or a professional trying to fit their own care into a schedule that doesn’t leave much room. Harborside’s therapists work with clients to figure out what approach actually fits, then adjust as things change.
Harborside is based in Yarmouth Port, Massachusetts, and delivers care by video to clients across the state. You don’t drive anywhere. Sessions happen on a secure video platform from a laptop, tablet, or phone with a camera, a microphone, and a stable internet connection, the same setup most people already use for work meetings.
Therapy sessions typically run 45 to 50 minutes. Frequency is worked out between you and your clinician based on what you’re working on, often weekly at the start and spacing out from there. If medication management is part of your care, prescriptions are sent electronically to the pharmacy of your choice, and follow-up appointments for medication are generally shorter and less frequent than therapy sessions. You’ll get a link before each appointment and can join from wherever you happen to be that day, home, office, or somewhere in between.
Harborside’s therapists work with anxiety, depression, mood changes, trauma, grief, life transitions, and the kind of chronic stress that builds up in high-pressure households and workplaces. We also work with eating disorders and disordered eating patterns, body image concerns, and the overlap between anxiety and perfectionism that shows up often in academically driven families and teens. Some clients come in with a clear diagnosis they want support managing. Others come in without a name for what they’re feeling yet, just knowing something isn’t working the way it used to. Both are appropriate reasons to start.
The first session is mostly conversation. Your clinician will ask about what brought you in, your history, and what you’re hoping is different on the other side of this. There’s no test to pass and nothing you need to prepare beforehand beyond showing up. By the end, you and your clinician will have a working sense of what ongoing care looks like, how often to meet, and what the early sessions will focus on. If medication is a relevant piece of the picture, that gets discussed too, though therapy and medication management are separate conversations even when both are part of your care.
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. Full bios and credentials for each clinician are on the team page.
Therapy and eating disorder work are delivered by the licensed therapy team: Hannah Legesse, LICSW, Tori Mahoney, LMHC, Jacquelyn Duford, LCMHC ATR, who is also a registered art therapist, and Lexie Carchedi, LCSW. Clients are matched with a therapist based on what they’re looking for and what the clinician’s approach tends to suit.
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, and any questions about cost can be answered before you book anything.
You can request an appointment online or reach out with questions first if you’re still deciding. Someone from Harborside will help match you with a therapist whose approach fits what you’re looking for, and get you scheduled for a first session. From there, care in Wellesley continues by video on whatever cadence makes sense for you.
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. Care decisions should be made with a licensed clinician who knows your full history.
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.