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.
Call (857) 312-1697Free, confidential verification in minutes. Most dual-diagnosis clients start within 24–48 hours.
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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.
Most clients begin integrated dual-diagnosis treatment within 24–48 hours. Call now for a free, confidential consultation.
Scroll to explore each level of care. Click to learn more about any program.
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 →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 →IOP-level dual-diagnosis intensity during evening hours. Designed for working professionals managing both addiction and mental health conditions.
Evening Track →Ongoing integrated support after completing PHP or IOP. Individual therapy addressing both conditions and one group session weekly with your assigned clinician.
OP Details →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 →On-site Nurse Practitioner manages both psychiatric medications and MAT. Coordinated medication plans addressing addiction and mental health simultaneously.
MAT Details →Integrated treatment addresses both conditions at every stage. Here’s a general framework for what to expect — like stones stacking toward strength.
Our admissions team is available to help you take the first step today.
Our staff combines professional credentials with lived recovery experience. Click to learn more.
Oversees all clinical operations and treatment planning. Specializes in integrated dual-diagnosis approaches for co-occurring substance use and mental health disorders.
10+ years treating co-occurring disorders. Leads dual-diagnosis group therapy and individual counseling addressing both addiction and mental health.
Manages coordinated psychiatric and MAT medications. Evaluates all PHP clients within 24 hours for both addiction and mental health medication needs.
Coordinates life skills training, employment support, housing referrals, and aftercare planning.
A comfortable, home-like environment designed to support your recovery.
Multiple dedicated spaces for different therapeutic modalities.
Quiet space for breathwork, yoga, and mindfulness.
Calm decompression space when you need a moment.
Ping pong, foosball, and Xbox for fellowship.
Fresh air, walks, and social space between sessions.
Lunch for PHP clients, snacks and coffee for all.
We accept most major insurance plans. Verify your coverage in minutes.
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Supporting someone with both addiction and mental health challenges requires understanding how both conditions interact. These evidence-based steps can help.
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.
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.
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.
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+.
Your wellbeing matters. Consider therapy for yourself, join a support group like NAMI or Al-Anon, and maintain your own routines and social connections.
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 SupportIt’s common for people struggling with co-occurring disorders to resist treatment. Here’s how to respond effectively.
If there’s immediate danger — suicidal thoughts, severe withdrawal, or risk of harm — call 911 or the 988 Suicide & Crisis Lifeline.
Call (857) 312-1697Our family support program provides education and community for anyone affected by a loved one’s co-occurring disorders.
Topics include codependency, family systems, dual diagnosis education, mental health awareness, 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 with co-occurring substance use and mental health disorders throughout greater New Hampshire and northern Massachusetts.
Conveniently accessible via I-93 and Route 28. Dually licensed in New Hampshire and Massachusetts.
Your recovery begins with a single phone call. We’ll handle the rest.