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Bipolar Disorder Treatment in Salem, NH

Evidence-based bipolar disorder treatment through our PHP and IOP programs. Medication management, mood stabilization, and individualized care from licensed clinicians in a supportive environment.

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Recognize the Signs

Signs & Symptoms of Bipolar Disorder

Bipolar disorder is a mood disorder characterized by dramatic shifts between manic highs and depressive lows. Recognizing these episodes is the first step toward getting effective treatment.

Manic Episodes During manic episodes, you may experience an abnormally elevated mood, inflated self-esteem, or grandiosity. Sleep feels unnecessary — you may go days with little rest yet feel energized. Racing thoughts, rapid speech, and impulsive decision-making are common. You might take on excessive projects, spend recklessly, or engage in risky behaviors that feel perfectly rational in the moment.

Depressive Episodes The depressive phase brings the opposite extreme. Persistent sadness, hopelessness, and loss of interest in activities you once enjoyed become overwhelming. Energy disappears. You may experience changes in appetite and sleep, difficulty concentrating, feelings of worthlessness, and withdrawal from friends and family. In severe cases, thoughts of death or suicide may occur.

Mixed & Rapid Cycling Some people experience mixed episodes where manic and depressive symptoms occur simultaneously — agitation, insomnia, and racing thoughts combined with despair and hopelessness. Rapid cycling means four or more mood episodes per year. Without treatment, episodes tend to become more frequent and severe over time, making early intervention critical for long-term stability.

If you or a loved one is experiencing these mood episodes, effective treatment is available. Bipolar disorder is highly treatable with the right combination of medication and therapy.

Start Bipolar Disorder Treatment Today

Most clients begin treatment within 24–48 hours. Call now for a free, confidential consultation.

Treatment Programs for Bipolar Disorder

Programs That Treat Bipolar Disorder

Scroll to explore each level of care designed for mood stabilization. Click to learn more about any program.

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Mon–Fri, 9am–3:30pm

Partial Hospitalization (PHP)

Our most intensive level of care. Full-day structured programming with mood-focused group therapy, individual sessions, psychiatric medication management, and daily lunch.

PHP Details →
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Morning, Afternoon, or Evening

Intensive Outpatient (IOP)

Step-down from PHP. 3.5-hour sessions with flexible scheduling — morning, afternoon, or evening tracks to fit your life and responsibilities.

IOP Details →
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Mon–Thu, 6pm–9pm

Evening Professional Track

IOP-level intensity during evening hours. Designed for working professionals managing bipolar disorder who need treatment without disrupting their career.

Evening Track →
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Once Per Week

Outpatient (OP)

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

OP Details →
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All Levels Available

Telehealth

All program levels available virtually. Maintain consistent treatment from home or mix in-person and virtual sessions to support ongoing mood stability.

Telehealth →
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Mood Stabilizers & Lithium

Psychiatric Medication Management

On-site Nurse Practitioner manages mood stabilizers, lithium, atypical antipsychotics, and other psychiatric medications. Careful titration combined with therapy for comprehensive care.

Med Management →
JCAHO Accreditation
Pending
Dual NH & MA
Licensed
4:1 Staff Ratio
In-Network Provider
What Our Clients Say
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“[Client testimonial placeholder — The staff genuinely cares about your recovery. My psychiatrist and therapist worked together to find the right medication and help me understand my mood cycles. I finally feel stable.]”

[Client Name] • Bipolar Treatment Graduate
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“[Client testimonial placeholder — The evening program let me keep working while getting the help I needed. Flexible scheduling made all the difference in my recovery.]”

[Client Name] • Evening Track Graduate
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“[Client testimonial placeholder — From my first call to starting PHP, everything happened within 48 hours. The admissions process was seamless and compassionate.]”

[Client Name] • PHP Graduate
Why Trailhead for Bipolar Disorder Treatment

11 Advantages of Our Bipolar Disorder Program

Evidence-based therapies specifically designed for bipolar disorder, including CBT for mood disorders, DBT for emotional regulation, interpersonal and social rhythm therapy (IPSRT), and psychoeducation about mood episodes and triggers.
Nurse Practitioner evaluation and psychiatric medication management within 24 hours of PHP admission. Mood stabilizers, lithium, and atypical antipsychotics available with careful monitoring and titration.
Structured group therapy targeting mood regulation, identifying early warning signs of episodes, and building interpersonal skills. Daily practice in DBT skills, mood tracking, and cognitive restructuring.
Morning, afternoon, or evening sessions. Switch between time slots daily based on your work and family commitments. No rigid one-size-fits-all schedule.
Small caseloads mean your clinician has time for personalized treatment planning and individualized attention. You’re not just a number here.
One-on-one therapy with your assigned clinician every week, regardless of program level. Collaborative goal setting and coordinated care from day one.
Mood stabilizers (lithium, valproate), atypical antipsychotics, and adjunctive medications managed by our on-site Nurse Practitioner. Regular lab monitoring and collaborative medication adjustments.
Individual family therapy sessions plus monthly Zoom education groups covering bipolar disorder education, recognizing mood episodes, family communication strategies, and creating a supportive home environment.
Breathwork, yoga, and meditation integrated into programming. Experiential activities including equine therapy at Blue Sky Farm and hiking local trails.
Dedicated case manager for life skills, employment support, housing referrals, and aftercare coordination to prepare for independent living.
Start treatment within 24–48 hours of your initial call. Multiple weekly admission opportunities — no weeks-long waitlists.
Your Recovery Journey

Bipolar Disorder Treatment Timeline

Every treatment journey is unique. Here’s a general framework for what to expect as each phase builds on the last — like stones stacking toward stability.

Weeks 1–2 — Foundation

Assessment & Stabilization

Psychiatric assessment NP eval within 24hrs Medication initiation Mood charting begins Safety planning
Weeks 3–4 — Building

Active Mood Management

Daily group therapy Weekly individual sessions Bipolar psychoeducation Medication optimization Sleep hygiene & routine
Weeks 5–8 — Integration

Stability & Step-Down

PHP to IOP transition Episode prevention plan Family therapy Trigger identification Social rhythm therapy
Weeks 9–12+ — Sustaining

Long-Term Management

OP or continued IOP Ongoing med monitoring External psychiatry referral Family support groups Wellness action plan

Don’t Wait — Recovery Starts Now

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

Your Treatment Team

Meet the People Behind Your Recovery

Our staff combines professional credentials with lived recovery experience. Click to learn more.

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[Clinical Director]
LCMHC, CCTP

Oversees all clinical operations and treatment planning. Specializes in evidence-based approaches for bipolar disorder and mood disorders.

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[Lead Therapist]
LADC, Master’s

10+ years treating bipolar and mood disorders. Leads mood-focused group therapy and individual sessions with compassion and expertise.

[PHOTO]
[Nurse Practitioner]
NP

Manages mood stabilizers, lithium, and atypical antipsychotics with careful lab monitoring. Evaluates all PHP clients within 24 hours.

[PHOTO]
[Case Manager]
5+ Years

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.

[Photo: Group Therapy Room]

Group Therapy Rooms

Multiple dedicated spaces for different therapeutic modalities.

[Photo: Meditation Room]

Meditation Room

Quiet space for breathwork, yoga, and mindfulness.

[Photo: Serenity Room]

Serenity Room

Calm decompression space when you need a moment.

[Photo: Game Room]

Game Room

Ping pong, foosball, and Xbox for fellowship.

[Photo: Outdoor Area]

Outdoor Area

Fresh air, walks, and social space between sessions.

[Photo: Dining Area]

Dining Area

Lunch for PHP clients, snacks and coffee for all.

By the Numbers

Trailhead Treatment at a Glance

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

Bipolar Disorder in the United States

4.4%
Of U.S. Adults Experience Bipolar Disorder
Approximately 4.4% of U.S. adults experience bipolar disorder at some point in their lives. It affects men and women equally and typically emerges in late adolescence or early adulthood.
NIMH, 2023
83%
Of Cases Are Classified as Severe
Among those diagnosed with bipolar disorder, 83% of cases are classified as severe, underscoring the critical need for comprehensive treatment including medication management and therapy.
NIMH National Comorbidity Survey, 2023
25
Average Age of Onset
Bipolar disorder typically first appears around age 25, though it can emerge earlier. Early diagnosis and treatment are critical for preventing the escalation of mood episodes and improving long-term outcomes.
DBSA, 2023
Insurance We Accept

Insurance Coverage for Bipolar Disorder Treatment

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

Anthem BCBS
Point 32 Health
Tricare
Uprise Health
WellSense

Verify Your Insurance Coverage

Fill out the form below and our admissions team will verify your benefits within minutes.

Your information is secure and confidential. We’ll never share your data.

Your Recovery Is Worth Fighting For

Take the next step. Our team is here to guide you through the process.

For Family Members

How to Help a Loved One with Bipolar Disorder

Supporting someone through bipolar disorder is one of the hardest things a family can do. These evidence-based steps can help you take care of both yourself and your loved one.

Educate Yourself About Bipolar Disorder

Bipolar disorder is a medical condition caused by changes in brain chemistry — not a character flaw. Understanding the difference between manic and depressive episodes helps you respond with patience and appropriate support.

Set Clear, Loving Boundaries

Communicate limits with compassion: “I love you, and I need us both to be safe during mood episodes.” Discuss boundaries during stable periods and follow through consistently.

Learn to Recognize Episode Warning Signs

Early warning signs of manic episodes include decreased sleep, increased energy, rapid speech, and impulsive spending. Depressive warning signs include withdrawal, oversleeping, and loss of interest. Catching episodes early allows for faster intervention.

Consider Family Therapy

Trailhead offers individual family therapy sessions and monthly Zoom education groups covering bipolar disorder education, mood episode management, family communication, and building a stability-supportive home. Open to family members 18+.

Take Care of Your Own Mental Health

Your wellbeing matters. Consider therapy for yourself, connect with support groups like NAMI or DBSA family programs, and maintain your own routines and social connections.

Support Medication Adherence Without Controlling

Many people with bipolar disorder stop medications when feeling good. Rather than nagging, encourage them to discuss concerns with their prescriber. Offer to attend appointments together and help track mood patterns.

Our family support program is open to all family members 18+, for current and past clients.

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

What If They Refuse Treatment?

It’s common for people with bipolar disorder to resist treatment, especially during manic episodes when they feel fine. Here’s how to respond effectively.

Do This

  • Express concern with empathy and “I” statements
  • Set clear boundaries and follow through consistently
  • Research bipolar treatment options so you’re prepared when they’re ready
  • Discuss the benefits of treatment during stable, calm periods
  • Take care of your own mental health and wellbeing
  • Attend family support groups like NAMI or DBSA
  • Call our admissions team for guidance — even if they’re not ready

Don’t Do This

  • Issue ultimatums you won’t follow through on
  • Dismiss their experiences as just being "moody" or "dramatic"
  • Try to reason with them during a manic or severe depressive episode
  • Use guilt, shame, or blame as motivation
  • Ignore warning signs hoping bipolar episodes will resolve on their own
  • Sacrifice your own health and stability trying to manage their illness alone
  • Give up — people enter recovery at all stages of readiness

If there’s immediate danger — suicidal thoughts, psychotic symptoms, or risk of harm — call 911 or the 988 Suicide & Crisis Lifeline.

Call (857) 312-1697

Monthly Family Education Groups

Our family support program provides education and community for anyone affected by a loved one’s bipolar disorder.

Monthly via Zoom Open to Family Members 18+ Set Curriculum Past & Present Clients

Topics include understanding bipolar disorder, recognizing mood episodes, family communication strategies, and building a stability-supportive home environment.

Call for Family Support
Service Area

Bipolar Disorder Treatment in Salem, NH & Beyond

Trailhead Treatment Center is located in the medical and behavioral health corridor of Salem, New Hampshire. We provide bipolar disorder treatment 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. Dually licensed in New Hampshire and Massachusetts.

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

Bipolar Disorder Treatment FAQ

Bipolar disorder is characterized by alternating manic and depressive episodes. Manic signs include elevated mood, decreased need for sleep, racing thoughts, impulsive behavior, and grandiosity. Depressive signs include persistent sadness, fatigue, loss of interest, sleep changes, and feelings of hopelessness. Episodes can last days to weeks.
Acute stabilization in our PHP program typically lasts 20–30 days, followed by IOP for 60–90 days for continued mood management. Bipolar disorder requires ongoing maintenance — most clients benefit from long-term medication management and periodic therapy to maintain stability.
Our Nurse Practitioner prescribes mood stabilizers (lithium, valproate/Depakote), atypical antipsychotics (quetiapine, aripiprazole), and sometimes adjunctive antidepressants when appropriate. Medication selection is individualized based on episode type, severity, and side effect profile, with regular lab monitoring.
Medication is considered a cornerstone of bipolar disorder treatment. While therapy alone can help with coping skills, research consistently shows that mood stabilizers and/or atypical antipsychotics are essential for preventing manic and depressive episodes. Our approach combines medication with evidence-based therapy for the best outcomes.
Absolutely. Our Evening Professional Track (6–9 PM, Monday through Thursday) is specifically designed for working adults managing mood disorders. We also offer afternoon IOP sessions and telehealth options. Maintaining work routine can actually support mood stability.
Most major insurance plans cover bipolar disorder treatment under mental health parity laws. 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.
We use a combination of evidence-based therapies including Cognitive Behavioral Therapy (CBT) for mood disorders, Dialectical Behavior Therapy (DBT) for emotional regulation, Interpersonal and Social Rhythm Therapy (IPSRT), psychoeducation about bipolar disorder, and holistic approaches like breathwork, yoga, and meditation that support mood stability.
Yes — family involvement is strongly encouraged. We offer individual family therapy sessions coordinated with your primary therapist, plus monthly family education groups via Zoom covering bipolar disorder education, recognizing mood episodes, and family communication strategies. Open to any family member 18+.
We plan for aftercare from day one. Options include stepping down to IOP or OP, enrolling in our alumni program, referrals to external therapists and psychiatrists, continued access to family support groups, and supportive living coordination.
Our differentiators include a family-style environment where staff know every client by name, flexible scheduling across morning/afternoon/evening tracks, staff with both professional credentials and lived recovery experience, 12:1 counselor caseloads, and same-day admission availability when clinically appropriate.

Begin Your Path to Stability Today

Your path to mood stability begins with a single phone call. We’ll handle the rest.

Call Now — (857) 312-1697