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Co-Occurring Disorders Treatment in Salem, NH

Integrated dual-diagnosis treatment for co-occurring addiction and mental health disorders. Both conditions treated simultaneously through our PHP and IOP programs by licensed clinicians.

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Recognize the Signs

Signs & Symptoms of Co-Occurring Disorders

Co-occurring disorders — also called dual diagnosis — affect an estimated 9.2 million adults in the United States. Recognizing the signs is the first step toward integrated treatment that addresses both conditions simultaneously.

Overlapping Signs Co-occurring disorders often begin subtly: using substances to manage anxiety, depression, or trauma, or noticing that mental health symptoms worsen after periods of substance use. You may find yourself self-medicating with alcohol or drugs to cope with emotional pain, creating a cycle where each condition fuels the other.

Escalating Patterns As both conditions interact, the signs become harder to untangle. Increased substance use alongside worsening depression, anxiety, or mood instability is common. Relationships deteriorate. You may experience difficulty functioning at work or home despite treatment for only one condition, because the untreated disorder undermines progress.

Crisis Stage Without integrated treatment, both conditions can reach crisis levels. Severe withdrawal combined with psychiatric symptoms like suicidal ideation, panic attacks, or psychosis creates dangerous situations. Repeated treatment failures occur when only one disorder is addressed, leaving the other to drive relapse and destabilization.

If you or a loved one is experiencing symptoms of both a substance use disorder and a mental health condition, integrated dual-diagnosis treatment can break the cycle. Recovery from both is possible.

Start Co-Occurring Disorders Treatment Today

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

Treatment Programs for Co-Occurring Disorders

Programs That Treat Dual Diagnosis

Scroll to explore each level of care. 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 for dual diagnosis. Full-day structured programming integrating addiction and mental health therapy, psychiatric support, and medication management.

PHP Details →
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Morning, Afternoon, or Evening

Intensive Outpatient (IOP)

Step-down from PHP with continued dual-diagnosis focus. 3.5-hour sessions addressing both substance use and mental health with flexible scheduling options.

IOP Details →
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Mon–Thu, 6pm–9pm

Evening Professional Track

IOP-level dual-diagnosis intensity during evening hours. Designed for working professionals managing both addiction and mental health conditions.

Evening Track →
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Once Per Week

Outpatient (OP)

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

OP Details →
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All Levels Available

Telehealth

All dual-diagnosis program levels available virtually. Participate from home or mix in-person and virtual sessions for both addiction and mental health care.

Telehealth →
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Psychiatric & MAT Options

Medication Management

On-site Nurse Practitioner manages both psychiatric medications and MAT. Coordinated medication plans addressing addiction and mental health simultaneously.

MAT Details →
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 — For years I was treated for depression OR addiction, never both at once. Trailhead finally connected the dots and treated everything together. That made all the difference.]”

[Client Name] • Dual Diagnosis Graduate
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“[Client testimonial placeholder — I didn’t realize my anxiety was driving my substance use until the team here helped me see the connection. Treating both at once changed everything.]”

[Client Name] • Co-Occurring Disorders 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 Dual Diagnosis

11 Advantages of Our Co-Occurring Disorders Program

Evidence-based therapies designed to treat both substance use and mental health disorders simultaneously, including CBT, DBT, and trauma-informed approaches that address how each condition drives the other.
Nurse Practitioner evaluation and coordinated medication management for both psychiatric and addiction medications within 24 hours of PHP admission. No separate providers needed.
Structured group therapy addressing both addiction triggers and mental health symptoms. DBT for emotional regulation, CBT for cognitive distortions driving both conditions. Daily skills practice, not just lectures.
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.
MAT for substance cravings and psychiatric medication for mental health symptoms managed by one NP. Medications are coordinated to avoid interactions and maximize effectiveness for both conditions.
Individual family therapy sessions plus monthly Zoom education groups covering codependency, family systems, mental health education, and understanding dual diagnosis.
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

Dual Diagnosis Recovery Timeline

Integrated treatment addresses both conditions at every stage. Here’s a general framework for what to expect — like stones stacking toward strength.

Weeks 1–2 — Foundation

Stabilization & Dual Assessment

Comprehensive dual assessment NP eval within 24hrs Coordinated medication plan Psychiatric baseline Integrated treatment plan
Weeks 3–4 — Building

Active Integrated Treatment

Dual-focus group therapy Weekly individual sessions Trauma processing Psychiatric monitoring Coping skills for both conditions
Weeks 5–8 — Integration

Integration & Step-Down

PHP to IOP transition Real-life application Family therapy Dual relapse prevention Mental health stabilization
Weeks 9–12+ — Sustaining

Maintenance & Aftercare

OP or continued IOP Alumni program Ongoing psychiatric care External MH referrals Long-term dual recovery 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 integrated dual-diagnosis approaches for co-occurring substance use and mental health disorders.

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[Lead Therapist]
LADC, Master’s

10+ years treating co-occurring disorders. Leads dual-diagnosis group therapy and individual counseling addressing both addiction and mental health.

[PHOTO]
[Nurse Practitioner]
NP

Manages coordinated psychiatric and MAT medications. Evaluates all PHP clients within 24 hours for both addiction and mental health medication needs.

[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 of Dual Diagnosis

Co-Occurring Disorders in America

9.2M
Adults Have Co-Occurring Disorders
Approximately 9.2 million U.S. adults have both a mental health disorder and a substance use disorder simultaneously.
SAMHSA NSDUH, 2022–2023
52%
Of Those With SUD Also Have Mental Illness
More than half of individuals with a substance use disorder also meet criteria for a co-occurring mental health condition.
NIDA, 2023
Only 7%
Receive Treatment for Both Conditions
Only about 7% of people with co-occurring disorders receive integrated treatment for both conditions — most are treated for only one, leading to relapse.
SAMHSA NSDUH, 2022–2023
Insurance We Accept

Insurance Coverage for Co-Occurring Disorders 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 Co-Occurring Disorders

Supporting someone with both addiction and mental health challenges requires understanding how both conditions interact. These evidence-based steps can help.

Educate Yourself About Dual Diagnosis

Co-occurring disorders involve the interplay between addiction and mental health conditions like depression, anxiety, PTSD, or bipolar disorder. Understanding that one condition often drives the other helps you respond with compassion.

Set Clear, Loving Boundaries

Communicate limits with compassion: “I love you, and I need you to get help for both what you’re struggling with emotionally and the substance use.” Follow through consistently.

Recognize Both Conditions

When someone has co-occurring disorders, treating only the addiction or only the mental health issue leads to relapse. Advocate for integrated treatment that addresses both simultaneously.

Consider Family Therapy

Trailhead offers individual family therapy sessions and monthly Zoom education groups covering codependency, family systems, dual diagnosis education, and mental health awareness. Open to family members 18+.

Take Care of Your Own Mental Health

Your wellbeing matters. Consider therapy for yourself, join a support group like NAMI or Al-Anon, and maintain your own routines and social connections.

Have the Conversation When They’re Sober

Use “I” statements: “I’m worried about you” rather than “You have a problem.” Choose a calm moment and offer specific help rather than ultimatums.

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

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

What If They Refuse Treatment?

It’s common for people struggling with co-occurring disorders to resist treatment. Here’s how to respond effectively.

Do This

  • Express concern with empathy and “I” statements
  • Set clear boundaries and follow through consistently
  • Research treatment options so you’re prepared when they’re ready
  • Consider a professional intervention with a certified specialist
  • Take care of your own mental health and wellbeing
  • Attend family support groups like Al-Anon
  • Call our admissions team for guidance — even if they’re not ready

Don’t Do This

  • Issue ultimatums you won’t follow through on
  • Cover for their behavior or make excuses to others
  • Confront them when they’re intoxicated or angry
  • Use guilt, shame, or blame as motivation
  • Ignore warning signs hoping the problem will resolve itself
  • Sacrifice your own health and stability for their addiction
  • Give up — people enter recovery at all stages of readiness

If there’s immediate danger — suicidal thoughts, severe withdrawal, 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 co-occurring disorders.

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

Topics include codependency, family systems, dual diagnosis education, mental health awareness, and building a recovery-supportive home.

Call for Family Support
Service Area

Co-Occurring Disorders Treatment in Salem, NH & Beyond

Trailhead Treatment Center is located in the medical and behavioral health corridor of Salem, New Hampshire. We provide integrated dual-diagnosis treatment for adults with co-occurring substance use and mental health disorders 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

Co-Occurring Disorders Treatment FAQ

Co-occurring disorders (also called dual diagnosis) means having both a substance use disorder and a mental health condition at the same time. Common combinations include addiction with depression, anxiety, PTSD, bipolar disorder, or borderline personality disorder. Each condition influences the other, making integrated treatment essential.
Treatment length varies based on the severity of both conditions. Our PHP program typically lasts 20–30 days, IOP runs 60–90 days, and ongoing outpatient support continues as needed. Dual-diagnosis clients often benefit from a longer treatment trajectory to stabilize both conditions.
When only one condition is treated, the untreated disorder often drives relapse of the other. For example, treating addiction without addressing underlying depression means the depression will likely trigger a return to substance use. Integrated treatment addresses both conditions simultaneously with a coordinated team, leading to significantly better outcomes.
Our on-site Nurse Practitioner manages both psychiatric medications (antidepressants, mood stabilizers, anti-anxiety medications) and MAT for substance cravings (Vivitrol, Naltrexone, Suboxone). All medications are coordinated to avoid interactions and maximize effectiveness for both conditions.
Absolutely. Our Evening Professional Track (6–9 PM, Monday through Thursday) is specifically designed for working adults managing both conditions. We also offer afternoon IOP sessions and telehealth options. You can switch between time slots daily based on your schedule.
Most major insurance plans cover dual-diagnosis treatment under both mental health and substance use benefits. 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 integrated evidence-based therapies including CBT and DBT for both conditions, trauma-informed care (EMDR-informed, somatic approaches), ACT, 12-Step facilitation, SMART Recovery, dual relapse prevention planning, and holistic approaches like breathwork, yoga, and meditation.
Yes — family involvement is strongly encouraged for dual diagnosis. We offer individual family therapy sessions coordinated with your primary therapist, plus monthly family education groups via Zoom covering codependency, family systems, dual diagnosis education, and mental health awareness. Open to any family member 18+.
We plan for aftercare from day one, ensuring continuity for both conditions. Options include stepping down to IOP or OP, enrolling in our alumni program, referrals to external therapists and psychiatrists for ongoing psychiatric care, continued access to family support groups, and sober 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 Recovery Journey Today

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

Call Now — (857) 312-1697