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★★★★★ 5.0 Stars — [X Reviews]

Fentanyl Addiction Treatment in Salem, NH

Fentanyl is the deadliest drug in America. Evidence-based fentanyl addiction treatment through our PHP and IOP programs with Suboxone and Methadone MAT. Individualized care from licensed clinicians — same-day admissions available.

Recognize the Signs

Signs & Symptoms of Fentanyl Addiction

Fentanyl is 50–100x more potent than morphine. Even tiny amounts can be fatal. Select a severity level to learn more about the warning signs.

Early Warning Signs

  • Using more fentanyl or using more often than intended
  • Unsuccessful attempts to cut down or stop using
  • Spending significant time obtaining, using, or recovering from fentanyl
  • Intense cravings between uses — fentanyl creates rapid physical dependence

Escalating Patterns

  • Constricted “pinpoint” pupils and extreme drowsiness
  • Failing to fulfill responsibilities at work, school, or home
  • Social isolation and withdrawal from family and friends
  • Using in dangerous situations or mixing with other substances

Life-Threatening Indicators

  • Respiratory depression — slow, shallow, or stopped breathing
  • Blue or gray lips, fingertips, or skin (cyanosis)
  • Overdose risk even in tiny amounts — fentanyl is lethal in doses as small as 2 milligrams
  • Severe withdrawal: muscle pain, vomiting, diarrhea, extreme agitation, insomnia

If you or a loved one is experiencing any of these signs, we can help.

Call (857) 312-1697

Start Fentanyl Addiction Treatment Today

Fentanyl addiction is a medical emergency. Most clients begin treatment within 24–48 hours. Call now — it could save a life.

Treatment Programs for Fentanyl Addiction

Programs That Treat Fentanyl Addiction

🏥
Highest Level of Care

Partial Hospitalization (PHP)

Mon–Fri, 9:00 AM – 3:30 PM · 20–30 Days

Structured daily programming with group therapy, individual sessions, and NP evaluation within 24 hours. Our most intensive outpatient level.

Learn About PHP →
📚
Flexible Scheduling

Intensive Outpatient (IOP)

Morning, Afternoon, or Evening · 60–90 Days

Step-down from PHP with flexible scheduling. Choose 9 AM, 12:30 PM, or 6 PM sessions. Weekly individual therapy included.

Learn About IOP →
🌙
For Working Professionals

Evening Professional Track

Mon–Thu, 6:00 PM – 9:00 PM

IOP-level intensity during evening hours. Designed for adults who need treatment without disrupting their career.

Evening Track Details →
💬
Ongoing Maintenance

Outpatient Program (OP)

Once Per Week

Ongoing support after completing PHP or IOP. Individual therapy and one group session weekly with your assigned clinician.

Learn About OP →
💻
Virtual & Hybrid Options

Telehealth

All Program Levels Available

All program levels available virtually. Participate from home or mix in-person and virtual sessions to fit your life.

Telehealth Options →
💊
Critical for Fentanyl Recovery

Medication-Assisted Treatment

Suboxone & Methadone Available

MAT is the gold standard for fentanyl addiction treatment. On-site Nurse Practitioner manages Suboxone (buprenorphine/naloxone) and Methadone to reduce cravings and prevent withdrawal. Combined with counseling and behavioral therapy.

MAT Details →
JCAHO ACCREDITED
CARF ACCREDITED
NH & MA LICENSED
IN-NETWORK PROVIDER
What Clients Say

Client Experiences with Opioid Treatment

★★★★★ 5.0 Rating on Google — [X Reviews]
★★★★★
“The staff genuinely cares about your recovery. My counselor understood opioid addiction firsthand and helped me build real coping skills. The Suboxone program was life-changing.”
[Client Name]
[Review Date]
★★★★★
“The evening program let me keep working while getting the help I needed. Flexible scheduling made all the difference in my recovery journey.”
[Client Name]
[Review Date]
★★★★★
“From my first call to starting PHP, everything happened within 48 hours. They made the admissions process seamless and actually cared about getting me help fast.”
[Client Name]
[Review Date]
Why Trailhead for Fentanyl Treatment

11 Advantages of Our Fentanyl Addiction Program

01

Specialized Fentanyl & Opioid Programming

Evidence-based therapies specifically designed for fentanyl and opioid use disorder, including CBT, DBT, MAT protocols, and targeted overdose prevention strategies.

02

On-Site NP Within 24 Hours

Nurse Practitioner evaluation and medication management within 24 hours of PHP admission. MAT options available same-day.

03

DBT & CBT Skills Groups

Structured group therapy targeting fentanyl-specific triggers, cravings, and high-risk situations. Focus on overdose prevention and building a life worth living in recovery.

04

Flexible Scheduling

Morning, afternoon, or evening sessions. Switch between time slots daily based on your work and family commitments.

05

12:1 Counselor-to-Client Ratio

Small caseloads mean your clinician has time for personalized treatment planning and individualized attention.

06

Weekly Individual Therapy

One-on-one therapy with your assigned clinician every week, regardless of program level. Collaborative goal setting from day one.

07

MAT Options — Critical for Fentanyl

Suboxone (buprenorphine/naloxone) and Methadone for fentanyl cravings and withdrawal, managed by our on-site Nurse Practitioner. MAT is the evidence-based standard of care for opioid addiction.

08

Family Therapy & Education

Individual family sessions plus monthly Zoom education groups covering codependency and family systems.

09

Holistic Approaches

Breathwork, yoga, and meditation integrated into programming. Experiential activities including equine therapy and hiking.

10

Case Management Support

Dedicated case manager for life skills, employment support, housing referrals, and aftercare coordination.

11

Same-Day or Next-Day Admissions

Start treatment within 24–48 hours of your initial call. Multiple weekly admission opportunities available.

Your Recovery Journey

Fentanyl Recovery Timeline

Every recovery is unique, but here is a general framework for what to expect during fentanyl addiction treatment at Trailhead. Fentanyl withdrawal is intense but manageable with proper medical support.

Weeks 1–2

Stabilization & MAT Induction

  • Comprehensive clinical assessment
  • NP evaluation within 24 hours
  • Suboxone or Methadone induction to manage withdrawal
  • Naloxone (Narcan) training and kit provided
  • Introduction to group therapy and DBT/CBT foundation
1
2
Weeks 3–4

Active Treatment

  • Daily group therapy (CBT, DBT, ACT)
  • Weekly individual therapy sessions
  • Psychoeducation on addiction science
  • Collaborative goal setting
  • Introduce sober social activities
Weeks 5–8

Integration & Step-Down

  • Transition from PHP to IOP
  • Real-life skill application
  • Family therapy sessions
  • Relapse prevention planning
  • Community engagement activities
3
4
Weeks 9–12+

Maintenance & Aftercare

  • OP or continued IOP sessions
  • Alumni program enrollment
  • External therapist referrals
  • Ongoing family support groups
  • Long-term recovery planning

Fentanyl Addiction Is a Medical Emergency

Every day without treatment is another day at risk. Most clients begin treatment within 24–48 hours. Call now.

Your Treatment Team

Meet the People Behind Your Recovery

Our staff combines professional credentials with lived recovery experience — they understand addiction from both sides.

[STAFF PHOTO]

[Clinical Director]

Clinical Director, LCMHC, CCTP

Oversees all clinical operations and treatment planning. Specializes in evidence-based approaches for opioid, fentanyl, and substance use disorders.

[STAFF PHOTO]

[Lead Therapist]

Lead Therapist, LADC

Master’s-level clinician with 10+ years treating opioid and fentanyl addiction. Leads group therapy and individual counseling sessions.

[STAFF PHOTO]

[Nurse Practitioner]

Nurse Practitioner

Manages medication-assisted treatment including Suboxone and Methadone for fentanyl addiction. Evaluates all PHP clients within 24 hours of admission.

[STAFF PHOTO]

[Case Manager]

Case Manager

5+ years in behavioral health. Coordinates life skills training, employment support, housing referrals, and aftercare planning.

Our Salem, NH Facility

Where Healing Happens

A comfortable, home-like environment designed to support your recovery journey.

[Photo: Group Therapy Room]

Group Therapy Rooms

Multiple dedicated spaces for group sessions, each designed for a different therapeutic modality.

[Photo: Meditation Room]

Meditation Room

Quiet space for breathwork, yoga, and mindfulness practice.

[Photo: Serenity Room]

Serenity Room

Calm decompression space when you need a quiet moment.

[Photo: Game Room]

Game Room

Ping pong, foosball, and Xbox for fellowship and sober fun.

[Photo: Outdoor Area]

Outdoor Area

Fresh air, walks, and social space between sessions.

[Photo: Dining Area]

Dining Area

Lunch provided for PHP clients, snacks and coffee for all.

4:1
Staff-to-Client Ratio
12:1
Counselor Caseload
24-48h
Admission Timeline
~70
Client Capacity
The Reality in New Hampshire

Fentanyl Use in New Hampshire

Fentanyl is the #1 killer in New Hampshire’s overdose crisis. It is involved in over 70% of all drug overdose deaths in the state — a staggering figure that has climbed year over year.

Fentanyl is 50–100x more potent than morphine and is increasingly found laced into counterfeit pills and other street drugs. In 2022, New Hampshire recorded approximately ~490 drug overdose deaths, with fentanyl present in the vast majority. Many victims never knew they were consuming it.

These aren’t just statistics — they represent families in Salem, Derry, Nashua, Manchester, and across the region who are losing loved ones every week to this crisis. Treatment works, and it is available now.

Sources: NH Office of the Chief Medical Examiner, NH DHHS, CDC WONDER 2021–2023
Insurance We Accept

Insurance Coverage for Fentanyl Treatment

We accept most major insurance plans. Verify your coverage in minutes.

Verify Your Insurance Coverage

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.

Don’t Wait — Recovery Starts Now

Our admissions team is available to help you take the first step today.

For Family Members

How to Help a Loved One with Fentanyl Addiction

Get Naloxone (Narcan) Immediately

If your loved one is using fentanyl, keep naloxone (Narcan) on hand at all times. It is available without a prescription at most pharmacies in New Hampshire. Naloxone reverses opioid overdose in minutes and can be the difference between life and death. Learn how to use it.

Recognize Overdose Signs

Know the signs of fentanyl overdose: slow or stopped breathing, blue or gray lips and fingertips, pinpoint pupils, unresponsiveness, gurgling or choking sounds. If you see these signs, administer naloxone immediately and call 911. New Hampshire’s Good Samaritan Law protects callers.

Understand the Urgency

Fentanyl addiction is not like other substances — every use carries the risk of death. There is no “safe” amount. The urgency is real, and waiting for someone to “hit bottom” can be fatal. Express concern directly and connect them with treatment as quickly as possible.

Have the Conversation

Choose a time when they’re sober. Use “I” statements: “I’m afraid of losing you” rather than “You have a problem.” Offer specific help — like calling Trailhead together or driving them to their first appointment.

Take Care of Yourself

Loving someone with fentanyl addiction is terrifying. Consider therapy for yourself, join a support group like Nar-Anon, and maintain your own routines. You cannot save them if you are depleted yourself.

Family Support & Naloxone Resources

Our family support program is open to all family members 18+. We provide naloxone training, individual family therapy, and monthly Zoom education groups covering the fentanyl crisis, overdose response, codependency, and building a recovery-supportive home.

Call for Family Support
When a Loved One Won’t Seek Help

What If They Refuse Treatment?

It’s common for people struggling with fentanyl addiction to resist treatment. But with fentanyl, time is not on your side — every day without treatment carries the risk of fatal overdose. A different approach may be needed.

A structured, guided intervention led by a professional can break through denial and help your loved one see the life-threatening reality of fentanyl use. Given the extreme lethality of fentanyl, professional interventionists often emphasize the urgency of immediate treatment.
Rather than confrontation, express concern with empathy. Motivational interviewing techniques focus on their own reasons for wanting change — helping them arrive at the decision to seek help on their own terms.
Follow through on consequences you’ve communicated. Boundaries protect your wellbeing and can motivate change. Be specific about what you will and won’t accept, and maintain those limits consistently.
People move through precontemplation, contemplation, preparation, action, and maintenance. Meeting them where they are is more effective than pushing. Recognizing which stage they’re in helps you respond appropriately.
With fentanyl, every use is potentially fatal. If there’s immediate danger — overdose symptoms, stopped breathing, blue lips, or unresponsiveness — administer naloxone (Narcan) and call 911 immediately. For suicidal thoughts, call the 988 Suicide & Crisis Lifeline. Our admissions team can guide you through next steps any time.

Monthly Family Education Groups

Our family support program provides education, naloxone training, and community for anyone affected by a loved one’s fentanyl addiction.

💻 Monthly via Zoom
👥 Open to Family 18+
📚 Set Curriculum
🤝 Past & Present Clients

Topics include codependency, family systems, substance use education, and building a recovery-supportive home.

Call for Family Support
Service Area

Fentanyl Addiction Treatment in Salem, NH & Beyond

Trailhead Treatment Center is located in the medical and behavioral health corridor of Salem, New Hampshire. We provide fentanyl addiction treatment with MAT for adults throughout greater New Hampshire and northern Massachusetts.

⚲ 103 Stiles Rd, Suites 1 & 2, Salem, NH 03079

Conveniently accessible via I-93 and Route 28, with clients commuting from:

Salem Derry (~15 min) Nashua (~25 min) Manchester (~35 min) Concord (~55 min) Lowell, MA (~20 min) Boston, MA (~45 min) Northern MA

Dually licensed in New Hampshire and Massachusetts — serving clients from both states.

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Frequently Asked Questions

Fentanyl Addiction Treatment FAQ

Fentanyl withdrawal is extremely uncomfortable — muscle pain, vomiting, diarrhea, insomnia, and intense cravings — but it is rarely life-threatening with proper medical support. Medication-assisted treatment with Suboxone or Methadone significantly reduces withdrawal severity and cravings.
MAT is the evidence-based gold standard for fentanyl and opioid addiction. Studies show MAT reduces overdose death risk by 50% or more. Our Nurse Practitioner works with each client to determine the right medication and dosage. While not mandatory, it is strongly recommended for fentanyl addiction.
Trailhead does not provide medical detox on-site. We coordinate with trusted detox facilities and can admit clients to PHP with MAT induction within 24–48 hours of completing detox.
Yes. Naloxone (brand name Narcan) can reverse a fentanyl overdose if administered quickly. Because fentanyl is so potent, multiple doses of naloxone may be needed. We train all clients and families on naloxone use and provide kits. It is available at most NH pharmacies without a prescription.
Fentanyl test strips are a harm reduction tool that can detect the presence of fentanyl in drugs. They are legal in New Hampshire and available at many pharmacies and harm reduction organizations. While we advocate for treatment over continued use, test strips save lives for those not yet ready for recovery.
Most major plans cover opioid addiction treatment including MAT. We’re in-network with Anthem BCBS, Point 32 Health, Tricare, Uprise Health, and WellSense. Our team verifies benefits in minutes.
Absolutely. Our Evening Professional Track (6–9 PM, Mon-Thu) is designed for working adults. We also offer afternoon IOP and telehealth options with flexible daily scheduling. MAT appointments are coordinated around your schedule.
Yes. We offer individual family therapy, naloxone training for family members, and monthly Zoom education groups covering the fentanyl crisis, codependency, and family systems. Open to any family member 18+.
PHP typically lasts 20–30 days, IOP runs 60–90 days, and MAT may continue for months or years depending on clinical need. Research shows longer MAT duration improves outcomes for fentanyl addiction. Most clients benefit from a step-down approach.
On-site MAT induction with Suboxone and Methadone, naloxone training for every client and family, staff with both professional credentials and lived recovery experience, 12:1 counselor caseloads, same-day admission, and a family-style environment built for opioid recovery.

Begin Your Recovery Journey Today

Your recovery begins with a single phone call. We’ll handle the rest.

Call Now — (857) 312-1697