Compassionate, DBT-based self-harm treatment through our PHP and IOP mental health programs. Individualized safety planning and therapeutic support from licensed clinicians.
Self-harm can take many forms. Understanding the warning signs is the first step toward getting help for yourself or someone you care about.
If you recognize any of these signs in yourself or a loved one, compassionate help is available.
Call (857) 312-1697Most clients begin treatment within 24–48 hours. Call now for a free, confidential consultation.
Intensive daily programming with DBT skills groups, individual therapy, and psychiatric evaluation within 24 hours. Our most structured outpatient level for self-harm recovery.
Learn About PHP →Step-down from PHP with continued DBT, CBT, and safety planning. Choose 9 AM, 12:30 PM, or 6 PM sessions. Weekly individual therapy included.
Learn About IOP →IOP-level intensity during evening hours. Designed for adults who need mental health treatment without disrupting their career or daily responsibilities.
Evening Track Details →Ongoing support after completing PHP or IOP. Individual therapy and one group session weekly to reinforce coping skills and maintain progress.
Learn About OP →All program levels available virtually. Participate from home or mix in-person and virtual sessions to fit your life.
Telehealth Options →On-site Nurse Practitioner manages psychiatric medications including antidepressants, mood stabilizers, and anti-anxiety medications to address underlying conditions driving self-harm.
Medication Management Details →Dialectical Behavior Therapy is the most effective evidence-based treatment for self-harm. Our program integrates DBT skills training, distress tolerance, emotion regulation, and interpersonal effectiveness.
Every client receives a personalized safety plan developed collaboratively with their clinician, identifying triggers, warning signs, coping strategies, and emergency contacts.
Nurse Practitioner evaluation and medication management within 24 hours of PHP admission. Antidepressants and mood stabilizers available when clinically appropriate.
Structured group therapy targeting emotional dysregulation, distress tolerance, mindfulness, and the thought patterns that drive self-harming behaviors.
Morning, afternoon, or evening sessions. Switch between time slots daily based on your work and family commitments.
Small caseloads mean your clinician has time for personalized treatment planning and individualized attention to your specific needs.
One-on-one therapy with your assigned clinician every week, regardless of program level. Focus on your unique triggers, underlying conditions, and recovery goals.
Individual family sessions plus monthly Zoom education groups covering how to support a loved one, recognizing warning signs, and building a recovery-supportive home.
Breathwork, yoga, and meditation integrated into programming. Experiential activities including equine therapy and hiking provide healthy emotional outlets.
Dedicated case manager for life skills, employment support, housing referrals, and aftercare coordination.
Start treatment within 24–48 hours of your initial call. Multiple weekly admission opportunities available.
Every recovery is unique, but here is a general framework for what to expect during self-harm treatment at Trailhead.
Most clients begin treatment within 24–48 hours. Call now for a free, confidential consultation.
Our staff combines professional credentials with deep empathy — they understand mental health challenges and are here to support your healing journey.
Oversees all clinical operations and treatment planning. Specializes in DBT and evidence-based approaches for self-harm and co-occurring mental health conditions.
Master’s-level clinician specializing in DBT and trauma-informed care. Leads group therapy and individual counseling sessions focused on emotional regulation.
Manages psychiatric medication 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.
A comfortable, home-like environment designed to support your mental health 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 healthy social connection.
Fresh air, walks, and social space between sessions.
Lunch provided for PHP clients, snacks and coffee for all.
Self-harm is more common than many people realize. Research indicates that approximately 17% of adolescents and young adults report engaging in self-harm at some point — making it one of the most prevalent mental health concerns in younger populations.
Self-harm is not limited to any single demographic. It affects people of all ages, genders, and backgrounds, often co-occurring with depression, anxiety, PTSD, and borderline personality disorder. In New Hampshire, the intersection of mental health challenges and limited access to specialized care means many individuals go without the treatment they need.
These numbers represent real people in Salem, Derry, Nashua, Manchester, and across the region who deserve compassionate, evidence-based care — not judgment.
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.
Discovering that someone you love is self-harming can be frightening. Your instinct may be to react with shock or anger, but the most helpful response is to stay calm and listen. Let them know you care without making them feel ashamed. Avoid saying things like “just stop” — self-harm serves a purpose for them, and they need help finding healthier alternatives.
Self-harm is a coping mechanism, not a cry for attention. People who self-harm are often trying to manage overwhelming emotions, feel something when they feel numb, or express pain they can’t put into words. Understanding this helps you respond with compassion rather than fear.
Demanding that someone stop self-harming rarely works and can drive the behavior underground. Instead, focus on the underlying emotions. Encourage them to talk to a professional and offer to help them find treatment.
Self-harm often requires professional treatment, especially Dialectical Behavior Therapy (DBT), which teaches healthier ways to cope with intense emotions. Offer to call Trailhead together, or drive them to their first appointment.
Supporting someone who self-harms can be emotionally exhausting. Your mental health matters too. Consider therapy for yourself, set healthy boundaries, and know that you are not responsible for “fixing” them — that is the work of trained professionals.
If someone is in immediate danger of harming themselves:
988 Suicide & Crisis Lifeline
Call or text 988, available 24/7
Crisis Text Line
Text HOME to 741741
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.
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 approach may be needed.
Our family support program provides education and community for anyone affected by a loved one’s mental health challenges.
Topics include understanding self-harm, family communication, building a supportive home environment, and self-care for caregivers.
Trailhead Treatment Center is located in the medical and behavioral health corridor of Salem, New Hampshire. We provide self-harm 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.
