Evidence-based self-harm treatment through our PHP and IOP programs with DBT skills training, comprehensive safety planning, and compassionate clinical support in a non-judgmental environment.
If you or someone you know is in crisis: 988 Suicide & Crisis Lifeline — Call or text 988 | Crisis Text Line — Text HOME to 741741
At Trailhead Treatment Center, we offer multiple levels of care for self-harm through our mental health track. Your treatment plan is tailored to your needs, safety goals, and schedule.
Our highest level of outpatient care for self-harm. Intensive safety planning, DBT skills groups, individual therapy, and NP medication evaluation within 24 hours. Mental health track.
Learn About PHP →Step-down from PHP with flexible morning, afternoon, or evening sessions. Continued DBT skills training, individual therapy, and safety monitoring. Mental health track.
Learn About IOP →Designed for working adults who need self-harm treatment without disrupting their career. IOP-level intensity during evening hours with full DBT curriculum.
Evening Track Details →Ongoing maintenance therapy and safety monitoring after completing PHP or IOP. Individual therapy and one group session weekly with your assigned clinician.
Learn About OP →All program levels available virtually with established safety protocols. Participate from home or mix in-person and virtual sessions to fit your schedule.
Telehealth Options →On-site Nurse Practitioner manages medications as clinically appropriate — antidepressants, mood stabilizers, and other psychiatric medications to support self-harm recovery.
Medication Details →[Client testimonial about self-harm treatment at Trailhead Treatment Center. Discusses the compassionate, non-judgmental environment, quality of DBT skills training, and effectiveness of the PHP program — placeholder for real review.]
[Client testimonial about the IOP evening track for self-harm treatment. Highlights the flexibility of scheduling and the ability to maintain work while getting help — placeholder for real review.]
[Family member testimonial about a loved one's self-harm recovery journey at Trailhead. Praises the family education groups, safety planning, and compassionate communication from staff — placeholder for real review.]
Dialectical Behavior Therapy (DBT) is the gold standard for self-harm treatment. Our program is built around evidence-based DBT skills training and individual therapy.
Every client receives a personalized safety plan and thorough risk assessment upon admission. Crisis protocols are established from day one to keep you safe.
Nurse Practitioner evaluation within 24 hours of PHP admission. Antidepressants, mood stabilizers, and other medications managed as clinically appropriate.
Distress tolerance, emotion regulation, and interpersonal effectiveness skills taught in structured group sessions to replace self-harm with healthier coping strategies.
One-on-one therapy every week with licensed clinicians experienced in self-harm treatment. Collaborative goal setting and chain analysis from day one.
Morning, afternoon, or evening sessions. Switch between time slots daily based on your work and family commitments.
Small caseloads ensure your clinician has time for personalized treatment planning and individualized attention throughout your recovery.
Self-harm often stems from underlying trauma. Our clinicians use trauma-informed care to address root causes while building safety and coping skills.
Ice cube technique, art therapy, breathwork, grounding exercises, and other evidence-based alternatives to self-harm taught and practiced in sessions.
Individual family therapy sessions plus monthly Zoom family education groups. Families learn about self-harm, how to respond with compassion, and how to support recovery.
When clinically appropriate, start 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 self-harm 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 connection and healthy social activities.
Fresh air, walks, and social space between sessions.
Lunch provided for PHP clients, snacks and coffee for all.
Most clients begin treatment within 24–48 hours. Call now for a free, confidential consultation.
In crisis? 988 Suicide & Crisis Lifeline: Call or text 988 | Crisis Text Line: Text HOME to 741741
Our staff combines professional credentials with deep clinical experience — they understand self-harm with compassion and expertise.
Oversees all clinical operations and treatment planning. Specializes in evidence-based approaches for self-harm, trauma, and co-occurring mental health conditions.
Master’s-level clinician with extensive experience in DBT and self-harm treatment. Leads DBT skills groups and individual therapy sessions.
Manages psychiatric medications including antidepressants and mood stabilizers. Evaluates all PHP clients within 24 hours of admission.
5+ years in behavioral health. Coordinates life skills training, employment support, housing referrals, and aftercare planning.
Self-harm can take many forms and is often hidden. If you or a loved one is experiencing any of these signs, compassionate help is available.
If you or a loved one is experiencing any of these signs, we can help.
Call (857) 312-1697Our admissions team is available to help you take the first step today. You deserve compassionate, judgment-free support.
Understanding the scope of self-harm and why early intervention matters.
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 who self-harms can feel overwhelming. Here are compassionate, evidence-based approaches.
Understand that self-harm is a coping mechanism, not attention-seeking. Learn why people self-harm and what function it serves so you can respond with empathy rather than panic.
Avoid reacting with shock, anger, or ultimatums about stopping. Express your concern calmly: “I care about you and I want to understand what you’re going through.”
Demanding that someone “just stop” self-harming can increase shame and secrecy. Instead, encourage professional help and offer to support them through the process.
Trailhead offers individual family therapy sessions and monthly Zoom education groups. Families learn about self-harm, how to respond supportively, and how to maintain healthy boundaries.
Self-harm serves a function — professional treatment helps find healthier alternatives. Offer to help research treatment options, make calls, or attend an initial appointment together.
988 Suicide & Crisis Lifeline: Call or text 988. Crisis Text Line: Text HOME to 741741. If there is immediate danger, call 911.
Our family support program is open to all family members 18+, past and present clients.
Call for Family SupportIt’s common for people who self-harm to resist treatment. This doesn’t mean recovery is impossible — it means a different, compassionate approach may be needed.
Keep communication open without judgment. Let them know you care and that you’re available when they’re ready. Isolation makes self-harm worse.
Share information about treatment options, crisis lines, and support groups. Let them explore at their own pace rather than forcing immediate action.
Self-harm often helps manage overwhelming emotions. Acknowledging this without condoning the behavior shows empathy and builds trust.
Suggest starting with a single conversation with a professional. Offer to help make the call or attend together. Small steps can lead to treatment readiness.
If there’s immediate danger — suicidal thoughts, severe injury, or risk of life-threatening harm — call 911 or the 988 Suicide & Crisis Lifeline (call or text 988).
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 self-harm.
Topics include understanding self-harm, family systems, healthy communication, and building a recovery-supportive home.
Trailhead Treatment Center is located in the medical and behavioral health corridor of Salem, New Hampshire. We provide self-harm 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.
Self-harm (also called non-suicidal self-injury or NSSI) refers to intentional injury to oneself without suicidal intent. Common forms include cutting, burning, hitting, hair pulling, and skin picking. While not a suicide attempt, self-harm is a sign that someone is struggling to cope with overwhelming emotions and needs professional support.
Not necessarily. Self-harm is often a way to cope with emotional pain, not an attempt to end one’s life. However, self-harm does increase the risk of suicide over time — that’s why professional treatment is important. At Trailhead, we take all self-harm seriously and conduct thorough safety assessments for every client.
Treatment length varies by individual need. Our PHP program typically lasts 4–8 weeks, IOP runs 8–16 weeks, and ongoing outpatient support continues with safety monitoring. Most clients benefit from a step-down approach — starting with higher intensity and gradually transitioning to less structured support as skills are strengthened.
Dialectical Behavior Therapy (DBT) is considered the gold standard for treating self-harm. Our program combines DBT skills groups (distress tolerance, emotion regulation, interpersonal effectiveness) with individual therapy and comprehensive safety planning for the most effective outcomes.
Absolutely. Our Evening Track (6–9 PM, Monday through Thursday) is specifically designed for working adults. 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 self-harm treatment as a mental health condition. 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.
Self-harm often co-occurs with trauma. We use trauma-informed approaches throughout our programming and can coordinate with trauma specialists when clinically appropriate. Trauma processing is introduced once safety and coping skills are firmly established.
Yes — family involvement is encouraged. We offer individual family therapy sessions coordinated with your primary therapist, plus monthly family education groups via Zoom. Families learn about self-harm, how to respond supportively, and how to maintain healthy boundaries. Open to any family member 18+.
Relapse prevention is built into every treatment plan. If urges return, you have access to your safety plan, crisis resources (988 Lifeline, Crisis Text Line), our alumni program, and ongoing outpatient support. Recovery is a process, and we provide long-term tools and support.
Our differentiators include: a DBT-focused, safety-first approach, a compassionate and non-judgmental environment where staff know every client by name, flexible scheduling across morning/afternoon/evening tracks, 12:1 counselor caseloads for personalized attention, and same-day admission availability when clinically appropriate.
Your recovery begins with a single phone call. We’ll handle the rest with compassion and care.
