Integrated dual-diagnosis treatment for co-occurring mental health and substance use disorders through our PHP and IOP programs. Both conditions treated simultaneously by dual-trained clinicians in a supportive, family-style environment.
At Trailhead Treatment Center, we treat both substance use and mental health conditions simultaneously — not sequentially. Your integrated treatment plan addresses both conditions together for lasting recovery.
Our highest level of integrated dual-diagnosis care. Structured daily programming with substance use and mental health groups, individual sessions, and NP evaluation within 24 hours. Both conditions treated simultaneously.
Learn About PHP →Continued integrated care as a step-down from PHP. Flexible scheduling with sessions at 9 AM, 12:30 PM, or 6 PM. Weekly individual therapy addressing both conditions. 60–90 day program.
Learn About IOP →Designed for working adults managing both substance use and mental health conditions. IOP-level integrated dual-diagnosis treatment during evening hours.
Evening Track Details →Ongoing maintenance for both conditions after completing PHP or IOP. Individual therapy and one group session weekly, monitoring substance use recovery and mental health stability.
Learn About OP →All program levels available virtually. Continue integrated dual-diagnosis care from home or mix in-person and virtual sessions to fit your schedule.
Telehealth Options →On-site Nurse Practitioner manages BOTH addiction medications (MAT) and psychiatric medications (antidepressants, mood stabilizers, etc.) together — ensuring safe, coordinated pharmacological care for co-occurring disorders.
Medication Details →[Client testimonial about co-occurring disorders recovery at Trailhead Treatment Center. Discusses the integrated approach to treating both addiction and mental health, quality of dual-trained clinical staff, and effectiveness of the PHP program — placeholder for real review.]
[Client testimonial about the IOP evening track for dual-diagnosis treatment. Highlights the flexibility of scheduling and the ability to maintain work while getting integrated care for both conditions — placeholder for real review.]
[Family member testimonial about a loved one's dual-diagnosis recovery journey at Trailhead. Praises the integrated approach addressing both conditions, family support groups, and communication from staff — placeholder for real review.]
Both substance use and mental health conditions treated simultaneously — not in separate tracks. True integration means better outcomes for both conditions.
One Nurse Practitioner manages BOTH psychiatric medications and addiction medications, ensuring safe coordination and no harmful interactions.
Structured group therapy addressing substance use AND mental health simultaneously — targeting the interaction between conditions, not just each one alone.
Dedicated dual-diagnosis programming built into every level of care — not just an add-on to a standard addiction program.
Our clinicians hold credentials in both addiction counseling and mental health treatment, giving you expert care for both conditions.
Morning, afternoon, or evening sessions. Switch between time slots daily based on your work and family commitments.
Small caseloads ensure personalized attention for the complex needs of co-occurring disorders treatment planning.
One-on-one sessions every week addressing the interaction between your substance use and mental health conditions. Collaborative goal setting from day one.
Suboxone, Vivitrol, and other MAT options available alongside antidepressants, mood stabilizers, and anti-anxiety medications — all managed by one NP.
Individual family therapy sessions plus monthly Zoom education groups covering how dual diagnosis affects the family system and how to support recovery for both conditions.
When clinically appropriate, start integrated treatment within 24–48 hours of your initial call. Multiple weekly admission opportunities.
Every recovery is unique, but here is a general framework for what to expect during co-occurring disorders treatment at Trailhead.
A comfortable, home-like environment designed to support your recovery journey.
Multiple dedicated spaces for group sessions, each designed for a different therapeutic modality. Comfortable seating for open discussion and evidence-based skills groups.
Quiet space for breathwork, yoga, and mindfulness practice.
Calm decompression space when you need a quiet moment.
Ping pong, foosball, and Xbox for fellowship and sober fun.
Fresh air, walks, and social space between sessions.
Lunch provided for PHP clients, snacks and coffee for all.
Most clients begin integrated treatment within 24–48 hours. Call now for a free, confidential consultation.
Our dual-trained staff combines professional credentials in both addiction and mental health with lived recovery experience — they understand co-occurring disorders from both sides.
Oversees all clinical operations and treatment planning. Specializes in integrated evidence-based approaches for co-occurring substance use and mental health disorders.
Master’s-level clinician with 10+ years treating co-occurring disorders. Leads integrated group therapy and individual counseling sessions addressing both conditions.
Manages both addiction medications (MAT) and psychiatric medications for co-occurring disorders. Evaluates all PHP clients within 24 hours of admission for both conditions.
5+ years in behavioral health. Coordinates life skills training, employment support, housing referrals, and aftercare planning.
Co-occurring disorders involve both a substance use disorder and a mental health condition existing simultaneously. Neither condition can be effectively treated in isolation — integrated treatment addresses both.
If you or a loved one is experiencing signs of both conditions, integrated treatment can help.
Call (857) 312-1697Our admissions team is available to help you take the first step today.
Understanding the scope of co-occurring mental health and substance use disorders.
We accept most major insurance plans. Verify your coverage in minutes.
Fill out the form below and our admissions team will verify your benefits within minutes. Most clients start treatment within 24–48 hours.
Your information is secure and confidential. We’ll never share your data.
Supporting someone with both a substance use disorder and a mental health condition is challenging. Understanding that both conditions fuel each other is the first step.
Learn that substance use and mental health conditions are interconnected. Your loved one may be self-medicating depression, anxiety, or trauma with substances — treatment needs to address both.
Family members often see symptoms of both conditions: mood swings and depression alongside substance use behaviors. Document what you observe — it helps clinicians plan integrated treatment.
Communicate clear boundaries while acknowledging the complexity of dual diagnosis. “I love you, and I know you’re struggling with more than one thing. I want you to get help for both.”
Trailhead offers individual family therapy sessions and monthly Zoom education groups covering how dual diagnosis affects the family system and how to support recovery for both conditions.
Caring for someone with co-occurring disorders is exhausting. Consider therapy for yourself, join a support group, and maintain your own mental health routines and boundaries.
If your loved one has tried treatment for only one condition before and it didn’t work, integrated dual-diagnosis treatment may be the answer. Help them find a program that treats both simultaneously.
Our family support program is open to all family members 18+, past and present clients.
Call for Family SupportIt’s common for people with co-occurring disorders to resist treatment. Denial may be present for one or both conditions — this doesn’t mean recovery is impossible, it means a different approach may be needed.
A structured intervention can help your loved one see how both conditions are affecting their life. Professionals trained in dual diagnosis can address resistance to both types of treatment.
Rather than confrontation, express concern with empathy. Your loved one may acknowledge the mental health issue but deny the substance use, or vice versa — meet them where they are.
Follow through on consequences you’ve communicated. Boundaries protect your wellbeing and can motivate change for both conditions.
Many people have tried treating only one condition before and relapsed. Gently explain that integrated treatment for both conditions together has significantly better outcomes.
If there’s immediate danger — suicidal thoughts, severe withdrawal symptoms, mental health crisis, or risk of harm — call 911 or the 988 Suicide & Crisis Lifeline.
Our admissions team can guide you through next steps, discuss intervention options, and help you prepare for when your loved one is ready to accept help.
Call (857) 312-1697Our family support program provides education and community for anyone affected by a loved one’s co-occurring disorders.
Topics include codependency, family systems, substance use education, mental health awareness, and building a recovery-supportive home for dual diagnosis.
Trailhead Treatment Center is located in the medical and behavioral health corridor of Salem, New Hampshire. We provide co-occurring disorders treatment for clients throughout greater New Hampshire and northern Massachusetts.
Conveniently accessible via I-93 and Route 28, with clients commuting from:
Dually licensed in New Hampshire and Massachusetts — serving clients from both states.
Co-occurring disorders (also called dual diagnosis) is when someone has both a mental health condition and a substance use disorder at the same time. Common combinations include depression and alcohol use disorder, anxiety and opioid addiction, PTSD and substance abuse, or bipolar disorder and drug dependence. Both conditions interact with and worsen each other.
Treatment length varies based on severity and individual needs. Our PHP program typically lasts 4–8 weeks, IOP runs 8–12 weeks, and ongoing outpatient support continues as needed. Because both conditions require attention, co-occurring disorders treatment often benefits from a longer, step-down approach with continued support for both diagnoses.
Neither. At Trailhead, we treat both conditions simultaneously with integrated programming. Research consistently shows that treating only one condition while ignoring the other leads to poorer outcomes and higher relapse rates. Our integrated approach addresses substance use and mental health together from day one.
Our on-site Nurse Practitioner manages both addiction medications (MAT) such as Suboxone and Vivitrol, and psychiatric medications such as antidepressants, mood stabilizers, and anti-anxiety medications. Having one provider manage both ensures safe coordination and prevents harmful interactions between medications.
Absolutely. Our Evening Professional Track (6–9 PM, Monday through Thursday) is specifically designed for working adults managing both conditions. We also offer afternoon IOP sessions and telehealth options. You can switch between time slots daily based on your work schedule.
Most major insurance plans cover co-occurring disorders treatment. We are in-network with Anthem BCBS, Point 32 Health (Harvard Pilgrim + Tufts), Tricare, Uprise Health, and WellSense (NH Medicaid). Our admissions team can verify your benefits in minutes — call (857) 312-1697 or use our online form.
We use integrated Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Acceptance and Commitment Therapy (ACT), trauma-informed care, and relapse prevention — all designed to address both substance use and mental health conditions simultaneously rather than in separate tracks.
We treat a wide range of mental health conditions co-occurring with substance use disorders, including depression, anxiety, PTSD, bipolar disorder, OCD, panic disorder, trauma, personality disorders, and more. Our dual-trained clinicians are experienced in addressing the complex interactions between these conditions and addiction.
Yes — family involvement is strongly encouraged. We offer individual family therapy sessions plus monthly Zoom family education groups covering how dual diagnosis affects the family system, codependency, and how to support recovery for both conditions. Open to any family member 18+, past and present clients.
True integrated treatment — not separate addiction and mental health tracks. Our dual-trained clinicians address both conditions in every session. Both medications managed by one NP for safe coordination. 12:1 counselor caseloads for the personalized attention co-occurring disorders require. Plus a family-style environment, flexible scheduling, and same-day admissions when clinically appropriate.
Your recovery begins with a single phone call. We’ll handle the rest.
