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Depression Treatment in Salem, NH

Evidence-based depression treatment through our PHP and IOP programs. Individualized care from licensed clinicians in a supportive, family-style environment.

Call (857) 312-1697

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Recognize the Signs

Signs & Symptoms of Depression

Depression exists on a spectrum, and recognizing where someone falls on that spectrum is the first step toward getting help.

Mild In its early stages, depression may look like persistent sadness or a low mood that lasts most of the day, a noticeable loss of interest in activities you once enjoyed, or changes in sleep patterns such as insomnia or sleeping too much. You might find yourself withdrawing from social situations, or noticing that everyday tasks feel heavier than they used to.

Moderate As depression deepens, the signs become harder to ignore. Difficulty concentrating, making decisions, or completing tasks at work and home is common. Relationships suffer. You may find yourself feeling hopeless about the future or worthless as a person, experiencing significant changes in appetite or weight, or feeling physically drained despite adequate rest.

Severe At this stage, the body and brain are deeply affected. Persistent feelings of emptiness, guilt, or hopelessness dominate daily life. Physical symptoms intensify: chronic fatigue, unexplained aches and pains, and significant sleep disruption. Thoughts of death or suicide may emerge, and the inability to function normally feels overwhelming.

If you or a loved one is experiencing any of these signs at any severity level, help is available. Healing begins with a single step.

Start Depression Treatment Today

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

Treatment Programs for Depression

Programs That Treat Depression

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. Full-day structured programming with group therapy, individual sessions, medication management for depression, 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 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 and one group session weekly with your assigned clinician.

OP Details →
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All Levels Available

Telehealth

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

Telehealth →
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SSRIs & SNRIs

Medication Management

On-site Nurse Practitioner manages antidepressant medications including SSRIs and SNRIs. Medication combined with therapy for comprehensive depression care.

Medication 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 — The staff genuinely cares about your healing. My counselor truly understood depression and helped me build real coping skills for managing my mood and daily functioning.]”

[Client Name] • Depression 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 Depression Treatment

11 Advantages of Our Depression Treatment Program

Evidence-based therapies specifically designed for depression, including CBT, DBT, and behavioral activation strategies that address the unique challenges of persistent depressive symptoms.
Nurse Practitioner evaluation and medication management within 24 hours of PHP admission. Antidepressant options including SSRIs and SNRIs assessed and prescribed same-day.
Structured group therapy targeting depression-specific thought patterns, cognitive distortions, and emotional regulation challenges. 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.
SSRIs, SNRIs, and other antidepressants for depression symptoms, managed by our on-site Nurse Practitioner. Individualized medication plan with ongoing monitoring.
Individual family therapy sessions plus monthly Zoom education groups covering family dynamics, supporting a loved one with depression, and mental health education.
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

Depression Recovery Timeline

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

Weeks 1–2 — Foundation

Stabilization & Assessment

Clinical assessment NP eval within 24hrs Antidepressant evaluation Group therapy intro DBT/CBT foundation
Weeks 3–4 — Building

Active Treatment

Daily group therapy Weekly individual sessions Psychoeducation Goal setting Behavioral activation
Weeks 5–8 — Integration

Integration & Step-Down

PHP to IOP transition Real-life application Family therapy Mood maintenance plan Community engagement
Weeks 9–12+ — Sustaining

Maintenance & Aftercare

OP or continued IOP Alumni program External referrals Family support groups Long-term planning

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.

[PHOTO]
[Clinical Director]
LCMHC, CCTP

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

[PHOTO]
[Lead Therapist]
LADC, Master’s

10+ years treating depression and mood disorders. Leads group therapy and individual counseling sessions with compassion and expertise.

[PHOTO]
[Nurse Practitioner]
NP

Manages antidepressant medications including SSRIs and SNRIs. 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

Depression in New Hampshire

21.3%
Adults Report a Depressive Episode
Over one in five New Hampshire adults reported experiencing a major depressive episode in the past year — above the national average.
SAMHSA NSDUH, 2022–2023
60%
Of Those With Depression Go Untreated
The majority of people experiencing depression in New Hampshire do not receive adequate treatment, leaving them at risk for worsening symptoms.
SAMHSA NSDUH, 2022–2023
~400
Annual Suicide Deaths in NH
Approximately 400 suicide deaths occur in New Hampshire each year, many linked to untreated depression, affecting families across every community.
NH DHHS & CDC, 2021–2023
Insurance We Accept

Insurance Coverage for Depression 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 Depression

Supporting someone through depression 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 Depression

Depression is a medical condition that affects brain chemistry — not a personal weakness or character flaw. Understanding the clinical nature of depression helps you respond with compassion rather than frustration.

Set Clear, Loving Boundaries

Communicate limits with compassion: “I love you, and I want to support your healing while also taking care of myself.” Follow through consistently.

Avoid Dismissing Their Experience

Saying things like “just cheer up” or “you have nothing to be sad about” minimizes their experience. Depression is not a choice. Validate their feelings and encourage professional help without judgment.

Consider Family Therapy

Trailhead offers individual family therapy sessions and monthly Zoom education groups covering family dynamics, supporting a loved one with depression, and mental health education. 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 Family-to-Family, and maintain your own routines and social connections.

Have the Conversation at the Right Time

Use “I” statements: “I’ve noticed you seem to be struggling, and I care about you.” Choose a calm, private moment and offer specific help rather than vague advice.

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 depression to resist treatment. Here’s how to respond effectively.

Do This

  • Express concern with empathy and “I” statements
  • Offer to help them schedule an appointment or accompany them
  • Research treatment options so you’re prepared when they’re ready
  • Gently share what you’ve observed without diagnosing or labeling
  • Take care of your own mental health and wellbeing
  • Attend family support groups like NAMI Family-to-Family
  • Call our admissions team for guidance — even if they’re not ready

Don’t Do This

  • Tell them to “just snap out of it” or “think positive”
  • Compare their situation to others who “have it worse”
  • Confront them when they’re in acute distress or crisis
  • Use guilt, shame, or blame as motivation
  • Ignore warning signs hoping the problem will resolve itself
  • Sacrifice your own health and stability trying to “fix” them
  • Give up — people seek help at all stages of readiness

If there’s immediate danger — suicidal thoughts, self-harm, 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 depression.

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

Topics include understanding depression, family communication, mental health education, and building a recovery-supportive home.

Call for Family Support
Service Area

Depression Treatment in Salem, NH & Beyond

Trailhead Treatment Center is located in the medical and behavioral health corridor of Salem, New Hampshire. We provide depression 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

Depression Treatment FAQ

Common signs include persistent sadness or low mood, loss of interest in activities you once enjoyed, changes in sleep or appetite, difficulty concentrating, fatigue, feelings of worthlessness or guilt, and in severe cases, thoughts of death or suicide.
Treatment length varies by individual need. Our PHP program typically lasts 20–30 days, IOP runs 60–90 days, and ongoing outpatient support continues as needed. Most clients benefit from stepping down gradually from higher to lower intensity.
Yes. We treat major depressive disorder, persistent depressive disorder (dysthymia), seasonal affective disorder, and depression co-occurring with anxiety or other conditions. Our clinical team tailors treatment to your specific diagnosis and needs.
Yes. Our on-site Nurse Practitioner can prescribe antidepressant medications including SSRIs (such as sertraline and escitalopram) and SNRIs (such as venlafaxine and duloxetine). Medication is always combined with therapy for a comprehensive approach.
Absolutely. Our Evening Professional Track (6–9 PM, Monday through Thursday) is specifically designed for working adults. 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 depression treatment. 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), Dialectical Behavior Therapy (DBT), Acceptance and Commitment Therapy (ACT), 12-Step facilitation, SMART Recovery, relapse prevention, and holistic approaches like breathwork, yoga, and meditation.
Yes — family involvement is encouraged. We offer individual family therapy sessions coordinated with your primary therapist, plus monthly family education groups via Zoom covering family dynamics, supporting a loved one with depression, and mental health education. 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 ongoing wellness 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