Integrated dual-diagnosis treatment addressing both addiction and mental health conditions simultaneously. Individualized care from dual-trained clinicians in a supportive, family-style environment.
Co-occurring disorders involve both a substance use disorder and a mental health condition interacting and reinforcing each other. Select a category to learn more.
If you or a loved one is experiencing signs of both addiction and mental health challenges, integrated treatment can help.
Call (857) 312-1697Most clients begin integrated dual-diagnosis treatment within 24–48 hours. Call now for a free, confidential consultation.
Structured daily programming addressing both addiction and mental health simultaneously. Group therapy, individual sessions, NP evaluation within 24 hours, and psychiatric medication management.
Learn About PHP →Step-down from PHP with continued integration of substance use and mental health treatment. Choose 9 AM, 12:30 PM, or 6 PM sessions with weekly individual therapy.
Learn About IOP →IOP-level dual-diagnosis treatment during evening hours. Designed for adults managing co-occurring disorders who need integrated care without disrupting their career.
Evening Track Details →Continued support for both conditions after completing PHP or IOP. Individual therapy and one group session weekly, with ongoing psychiatric medication monitoring.
Learn About OP →All dual-diagnosis program levels available virtually. Participate from home or mix in-person and virtual sessions to maintain continuity of care for both conditions.
Telehealth Options →On-site Nurse Practitioner manages both MAT for addiction (Vivitrol, Naltrexone, Suboxone) and psychiatric medications for depression, anxiety, PTSD, and other mental health conditions — coordinated as a single treatment plan.
Medication Details →Both conditions treated simultaneously by the same clinical team — not sequentially, not in separate programs. One unified treatment plan addressing addiction and mental health together.
Our clinicians hold credentials in both substance use and mental health treatment. They understand how depression, anxiety, PTSD, and addiction interact and reinforce each other.
On-site Nurse Practitioner manages both MAT for addiction (Vivitrol, Naltrexone, Suboxone) and psychiatric medications (antidepressants, mood stabilizers, anti-anxiety) as a single coordinated plan.
Structured group therapy targeting both substance use triggers and mental health symptoms — building skills that address the root causes driving both conditions.
Small caseloads allow clinicians to deeply understand the interaction between your specific mental health and substance use conditions.
One-on-one therapy addressing both conditions with your assigned clinician every week. Trauma processing, addiction counseling, and psychiatric support in one session.
Morning, afternoon, or evening sessions. Switch between time slots daily based on your work, family, and mental health needs.
Specialized trauma therapy for PTSD and complex trauma, which frequently co-occurs with substance use disorders. EMDR and trauma-focused CBT available.
Breathwork, yoga, and meditation that benefit both mental health and addiction recovery. Experiential activities including equine therapy and hiking.
Individual family sessions plus monthly Zoom education groups covering how addiction and mental health conditions interact, and how families can support recovery from both.
Start integrated treatment within 24–48 hours of your initial call. Psychiatric and addiction assessments completed together during intake.
Every recovery is unique, but here is a general framework for what to expect during integrated co-occurring disorders treatment at Trailhead.
Integrated treatment for addiction and mental health. Most clients begin within 24–48 hours.
Our staff holds dual credentials in substance use and mental health treatment — they understand how both conditions interact and how to treat them together.
Oversees all clinical operations and integrated treatment planning. Specializes in dual-diagnosis approaches for co-occurring substance use and mental health disorders.
Dual-licensed clinician with 10+ years treating co-occurring disorders. Leads integrated group therapy and individual counseling addressing both addiction and mental health.
Manages both MAT for addiction and psychiatric medications for depression, anxiety, PTSD, and bipolar disorder. Coordinates all medication as a single integrated plan.
5+ years in behavioral health. Coordinates life skills training, employment support, housing referrals, and aftercare planning for clients managing both conditions.
A comfortable, home-like environment designed to support your recovery journey.
Multiple dedicated spaces for group sessions, each designed for a different therapeutic modality.
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.
According to SAMHSA, approximately 9.2 million American adults experience co-occurring mental health and substance use disorders. Despite this staggering number, only 7.4% receive treatment for both conditions simultaneously.
The treatment gap is devastating: 52.5% receive no treatment at all, while many others receive care for only one condition — leaving them at high risk for relapse and worsening symptoms. In New Hampshire, where substance use rates exceed national averages, the need for integrated dual-diagnosis treatment is especially urgent.
These aren’t just statistics — they represent families in Salem, Derry, Nashua, Manchester, and across the region who need access to truly integrated treatment that addresses both conditions together.
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.
Our admissions team is available to help you take the first step today.
Co-occurring disorders mean your loved one is dealing with two medical conditions that interact and reinforce each other. Their substance use may be an attempt to manage untreated mental health symptoms, and their mental health may worsen because of substance use. Understanding this cycle is the first step.
If your loved one has been to treatment before and relapsed, it may be because only one condition was addressed. Treating addiction without treating the underlying depression, anxiety, or PTSD often leads to relapse. Integrated treatment changes the equation.
Communicate clear limits: “I love you, and I want you to get help for both what you’re going through emotionally and the substance use.” Follow through consistently. Boundaries protect your wellbeing and can motivate change.
Choose a calm moment. Use “I” statements: “I can see you’re struggling with more than one thing” rather than labeling or diagnosing. Offer specific help — like calling Trailhead together for a dual-diagnosis assessment.
Living with someone who has co-occurring disorders is especially challenging. Consider therapy for yourself, join a support group like NAMI or Al-Anon, and maintain your own routines. Your wellbeing matters too.
Our family support program is open to all family members 18+, past and present clients. We offer individual family therapy sessions and monthly Zoom education groups covering how addiction and mental health conditions interact within family systems.
Call for Family SupportIt’s common for people struggling with co-occurring disorders to resist treatment. They may not recognize the connection between their substance use and mental health, or fear stigma around both. This doesn’t mean recovery is impossible.
Our family support program provides education and community for anyone affected by a loved one’s co-occurring disorders.
Topics include codependency, family systems, how addiction and mental health interact, and building a recovery-supportive home.
Trailhead Treatment Center is located in the medical and behavioral health corridor of Salem, New Hampshire. We provide integrated dual-diagnosis treatment for adults 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.
Your recovery begins with a single phone call. We’ll handle the rest.
