Now accepting new patients. Request a consultation today!

Enjoy
your life
again

Sometimes we all
just need a little help.
Mayo Clinic logo
American Academy of Child & Adolescent Psychiatry logo
Clinical TMS Society logo
Anna Freud National Centre for Children and Families logo
New York University logo
Harvard Medical School logo
University of Rochester logo
Northwell Health logo
McLean Hospital logo
Ketamine Task Force logo
Springer Nature logo
Brain Futures logo
About Us

Behavioral Health Medication Management

At Middlesex Wellness we understand that sometimes you just need a little help feeling like your best self again. Whether you are experiencing depression, anxiety, or questioning your relationship with alcohol-we are here to listen, encourage, and suggest medications to support you on your journey to wellness.
Technology Partners
Osmind logo
Spruce Health logo
Brains Way logo
First tracks logo
Jessica H Harrington, MD headshot
Bio

Jessica H Harrington, MD

Dr. Harrington is a Board Certified Physician with twenty years of primary care and addiction medicine clinical experience. She has found that behavioral medicine practice is the perfect combination of holistic person centered care with evidence based medication treatments. She approaches her patients with compassion and curiosity rather than judgement and shame. Dr. Harrington is a graduate of Wellesley College, The University of Massachusetts Chan Medical School, and the Brown Family Medicine Residency. Dr. Harrington is Board Certified in Family Medicine.

Treatments

Services provided

Medication Management

We offer personalized medication management, designed to ensure optimal therapeutic outcomes for a range of mental health conditions. These include evidence-based clinical support for tapering off psychotropic medications in a safe and medically supervised way.

Conditions We Treat

Alcohol

There are three evidence based medication treatments for helping individuals drink less or abstain from alcohol. They are naltrexone (Revia and Vivitrol), disulfiram (Antabuse) and acamprosate (Campral). They are effective for individuals who know they have alcohol use disorder and need to stop drinking as well as the "sober curious" who may need a little help. Individuals who are being treated for alcohol often need treatment for depression and/or anxiety as well.

At Middlesex Wellness we offer guidance and support as you decide what your needs are and which treatments are right for you.

Depression

Depression is a common medical illness that affects the way you feel, think, and act. It is treatable. Most people who seek help for depression respond to treatment and feel better physically and emotionally. Treatments are commonly a combination of psychotherapy, medications, and social and lifestyle changes. Occasionally further treatments such as electroconvulsive therapy (ECT) or trans-cranial magnetic stimulation (TMS) are necessary. At Middlesex Wellness we offer the medication management portion of depression treatment.

Premenstrual dysmorphic disorder (PMDD)

Premenstrual dysmorphic disorder (PMDD) is a combination of depression, irritability and tension about a week before menstruation begins. Premenstrual syndrome (PMS) is similar to PMDD but it involves fewer and less severe symptoms. PMDD is treatable with medications and diet and lifestyle changes. At Middlesex Wellness we offer the medication management portion of the PMDD treatment and can also advise on diet and lifestyle change.

Anxiety disorders

Anxiety disorders are the most commonly diagnosed mental disorder. They include generalized anxiety disorder, social anxiety disorder, panic disorder, and phobias. While anxiety is a normal reaction to stress and can be helpful at times, excessive fears or anxiety can disrupt  your ability to function and live a productive and happy life. Anxiety disorders are treatable with psychotherapy, lifestyle therapy, and medications. At Middlesex Wellness we offer the medication management portion of anxiety disorder treatment.

Post-traumatic stress disorder (PTSD)

Post-traumatic stress disorder (PTSD) is a psychiatric disorder that may occur in people who may have experienced or witnessed a traumatic event. People with PTSD have intense disturbing thoughts and feelings long after the traumatic event.  PTSD is treatable with both psychotherapy and medication. At Middlesex Wellness we offer the medication management portion of PTSD treatment.

Conditions we treat

Acute Stress Disorder

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat

Adjustment Disorder

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat

Anxiety

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat

Attention Deficit Hyperactivity disorder (ADHD)

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat

Bipolar Disorder

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat

Dissociative Disorder

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat

Insomnia

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat

Major Depressive Disorder/ Treatment Resistant Depression

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat

Obsessive Compulsive Disorder (OCD)

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat

Panic Disorder

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat

Personality Disorders

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat

Postpartum Depression

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat

Post Traumatic Stress Disorder (PTSD)

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat

Premenstrual Dysphoric Disorder (PMDD)

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat

Schizophrenia

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat
Testimonials

Kind words from other clinicians

John Samuels, MPH
"Drs. Muir and MacMillan have been colleagues for several years. Both are extremely responsive and accessible to their patients and wonderful colleagues to work with. They work in conjunction with the medical team and work hard to go "above and beyond" to tirelessly support their patients. They are well trained and experienced in many modalities of mental health and use cutting edge treatment to support their patients."
John Samuels, MPH,
Founder and CEO of Better Health Advisors
Kari Groff, MD
"For the highest level of expertise in TMS, New York City clinicians look to the guidance of Dr. MacMillan and Dr. Muir for their leadership in this innovative and important FDA-approved treatment. It is an excellent treatment option for those who need rapid, effective results without the ongoing use of medication. The duo has been instrumental in helping patients gain access to an extremely effective treatment for depression and OCD, and it's clinical indications continue to expand."
Kari Groff, MD,
Private Practice Psychiatrist in NYC
David Carreon MD
"Owen is one of the smartest and most innovative doctors in practice today. His understanding of mental health challenges and how to care for them exceeds every other psychiatrist I know in private practice."
David Carreon, MD,
Medical Director of Acacia Mental Health 
Get in Touch

Request a consultation

FAQ

Frequently Asked Questions

Are all sessions in-person or is telehealth available?

All initial intake appointments are in person as it is important to conduct a brief physical exam including vital signs at the first visit. After that visit either in person or telehealth is available based on the patient's preference.

How does communication work in between sessions?

At Middlesex Wellness we recognize that most of life happens outside sessions and so are able to communicate via secure messaging regarding routine and logistical matters. For life threatening crises 911 (Emergency Services) and 988 (Suicide and Crisis Hotline) are the initial options.

Can I use my Insurance at Middlesex Wellness?

At this time, we are out-of-network with insurance plans in order to provide the quality and type of care that we can stand behind. In parallel, we advocate at the national level for increasing mental health parity and accessibility to quality mental health care and hope to in the future to be able to work in a more aligned way with all stakeholders. Meanwhile, we do provide “superbills” for out-of-network reimbursement for covered services if your plan has this benefit (e.g. a PPO plan) and are happy to provide guidance regarding plan selection.

What is the Middlesex Wellness privacy policy?

MIDDLESEX WELLNESS

NOTICE OF PRIVACY PRACTICES

THIS NOTICE DESCRIBES HOW PROTECTED HEALTH INFORMATION (“PHI”) MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

PHI is information about you, including demographic information, that may identify you and that relates to your past, present, or future physical health or condition, treatment, or payment for health care services and includes information that we have created or received regarding your health or payment for your health. It also includes both your medical records and personal information such as your name, social security number, address, and phone number.

I.OUR PLEDGE REGARDING HEALTH INFORMATION: We understand that health information about you and your health care is personal. We are committed to protectinghealth information about you. We create a record of the care and services you receive from us. We need this record to provide you with quality care and to comply with certain legal requirements. This notice applies to all of the records of your care generated by this mental health care practice. This notice will tell you about the ways in which we may use and disclose health information about you. We also describe your rights to the health information we keep about you, and describe certain obligations we have regarding the use and disclosure of your health information. Under federal law, we are required to:

●     Protect the privacy of your PHI. All of our employees and clinicians are required to maintain the confidentiality of PHI and receive appropriate privacy training

●     Provide you with this Notice of Privacy Practices explaining our duties and practices regarding your PHI

●     Follow the practices and procedures set forth in the Notice

●      We can change the terms ofthis Notice, and such changes will apply to all information we have about you.The new Notice will be available upon request, in our office, and on our website.

II.HOW WE MAY USE AND DISCLOSE HEALTH INFORMATION ABOUT YOU: The following categories describe different ways that we use and disclose health information.For each category of uses or disclosures, we will explain what we mean and try to give some examples. Not every use or disclosure in a category will be listed. However, all of the ways we are permitted to use and disclose information will fall within one of the categories.

ForTreatment Payment, or Health Care Operations: Federal privacy rules(regulations) allow health care providers who have direct treatment relationship with the patient/client to use or disclose the patient/client’s personal health information without the patient’s written authorization, to carry out the health care provider’s own treatment, payment or health care operations. We may also disclose your protected health information for the treatment activities of any health care provider. This too can be done without your written authorization. For example, if a clinician were to consult with another licensed health care provider about your condition, we would be permitted to use and disclose your personal health information, which is otherwise confidential, in order to assist the clinician in diagnosis and treatment of your mental health condition.

Disclosures for treatment purposes are not limited to the minimum necessary standard because therapists and other health care providers need access to the full record and/or full and complete information in order to provide quality care.The word “treatment” includes, among other things, the coordination and management of health care providers with a third party, consultations between health care providers and referrals of a patient for health care from one health care provider to another.

Lawsuits and Disputes: If you are involved in a lawsuit, we may disclose health information in response to a court or administrative order. We may also disclose health information about your child in response to a subpoena, discovery request, or other lawful process by someone else involved in the dispute, but only if efforts have been made to tell you about the request or to obtain an order protecting the information requested.

III.CERTAIN USES AND DISCLOSURES REQUIRE YOUR AUTHORIZATION:

  1. Psychotherapy Notes. We do sometimes keep “psychotherapy notes” as that term is defined     in 45 CFR § 164.501, and any use or disclosure of such notes requires your Authorization unless the use or disclosure is: a. For our use in treating you. b. For our use in training or supervising mental health practitioners to help them improve their skills in group, joint, family, or individual     counseling or therapy. c. For our use in defending ourselves in legal proceedings instituted by you. d. For use by the Secretary of Health and Human Services to investigate our compliance with HIPAA. e. Required by law and the use or disclosure is limited to the requirements of such law. f. Required by law for certain health oversight activities pertaining to the originator of the psychotherapy notes. g. Required by a coroner who is performing duties authorized by law. h. Required to help avert a serious threat to the health and safety of others.
  2. Marketing Purposes. As a mental health practice, we will not use or disclose your PHI for marketing purposes.
  3. Sale of PHI. As a mental health practice, we will not sell your     PHI in the regular course of my business.

IV.CERTAIN USES AND DISCLOSURES DO NOT REQUIRE YOUR AUTHORIZATION. Subject to certain limitations in the law, we can use and disclose your PHI without yourAuthorization for the following reasons:

  1. When disclosure is required by state or federal law, and the use or disclosure complies with and is limited to the relevant requirements of such law.
  2. For public health activities, including reporting suspected child, elder, or dependent adult abuse, or preventing or reducing a serious threat to anyone’s health or safety.
  3. For health oversight activities, including audits and investigations.
  4. For judicial and administrative proceedings, including responding to a court or administrative order, although our preference is to obtain an Authorization from you before doing so.
  5. For law enforcement purposes, including reporting crimes occurring on my premises.
  6. To coroners or medical examiners, when such individuals are performing duties authorized by law.
  7. For research purposes, including studying and comparing the mental health of patients who received one form of therapy/treatment versus those who received another form of therapy/treatment for the same condition.
  8. Specialized government functions, including, ensuring the proper execution of military missions; protecting the President of the United States; conducting intelligence or counterintelligence operations; or, helping to ensure the safety of those working within or housed in correctional institutions.
  9. For workers’ compensation purposes. Although our preference is to obtain an Authorization from you, we may provide your PHI in order to comply with workers’ compensation laws.
  10. Appointment reminders and health related benefits or services. We may use and disclose your PHI to contact you to remind you that you have an appointment with us. We may also use and disclose your PHI to tell you about treatment alternatives, or other health care services or benefits that we offer.

V.CERTAIN USES AND DISCLOSURES REQUIRE YOU TO HAVE THE OPPORTUNITY TO OBJECT.

  1. Disclosures to family, friends, or others. We may provide your PHI to a family member, friend, or other person that you indicate is involved in your care or the payment for your health care, unless you object in whole or in part. The opportunity to consent may be obtained retroactively in emergency situations.

VI.YOU HAVE THE FOLLOWING RIGHTS WITH RESPECT TO YOUR PHI:

  1. The Right to Request Limits on Uses and Disclosures of Your PHI. You have the right to ask us not to use or disclose certain PHI for treatment, payment, or health care operations purposes. We are not required to agree to your request, and we may say “no” if we believe it would affect your health care.
  2. The Right to Request Restrictions for Out-of-Pocket Expenses Paid for In Full. You have the right to request restrictions on disclosures of your PHI to health plans for payment or health care operations purposes if the PHI pertains solely to a health care item or a health care service that you have paid for out-of-pocket in full.
  3. The Right to Choose How We Send PHI to You. You have the right to ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address, and we will agree to all reasonable requests.
  4. The Right to See and Get Copies of Your PHI. Other than “psychotherapy notes,” you have he right to get an electronic or paper copy of your medical record and other information that we have about you. We will provide you with a copy of your record, or a summary of it, if you agree to receive a summary, within 30 days of receiving your written request, and we may charge a     reasonable, cost-based fee for doing so as permitted by state law.
  5. The Right to Get a List of the Disclosures We Have Made. You have the right to request a list of instances in which we have disclosed your PHI for purposes other than treatment, payment, or healthcare operations, or for which you provided us with an Authorization. We will respond to your request for an     accounting of disclosures within 60 days of receiving your request. The list we will give you will include disclosures made in the last six years unless you request a shorter time. We will provide the list to you at no charge, but if you make more than one request in the same year, we will charge you a reasonable cost based fee for each additional request.
  6. The Right to Correct or Update Your PHI. If you believe that there is a mistake in your PHI, or that a piece of important information is missing from your PHI, you have the right to request that we correct the existing information or add the missing information. We may say “no” to your request, but we will tell you why in writing within 60 days of receiving your request.
  7. The Right to Get a Paper or Electronic Copy of this Notice. You have the right get a paper copy of this Notice, and you have the right to get a copy of this notice by e-mail. And, even if you have agreed to receive this Notice via e-mail, you also have the right to request a paper copy of it.

EFFECTIVE DATE OF THIS NOTICE: November 1, 2023

For any questions or concerns:

Middlesex Wellness

10 Cedar St Suite 21

Woburn MA 01801