Evidence-based heroin addiction treatment through our PHP and IOP programs. Medication-assisted treatment with Suboxone, Methadone, and Vivitrol combined with individualized therapy from licensed clinicians.
Call (857) 312-1697Free, confidential verification in minutes. Most clients start within 24–48 hours.
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Heroin addiction can develop rapidly, often beginning with prescription opioid misuse before transitioning to heroin. Recognizing the signs early is critical to saving a life.
Early Signs In the early stages of heroin use, signs may include small, constricted “pinpoint” pupils, sudden drowsiness or nodding off mid-conversation, and unexplained euphoria followed by a crash. You may notice secretive behavior, new social circles, or missing spoons, aluminum foil, or rubber tubing around the house.
Progressing Use As heroin use escalates, physical signs become more apparent. Track marks on the arms, hands, or feet from injection are a hallmark sign. Chronic runny nose or nosebleeds from snorting may appear. Weight loss, neglected hygiene, and wearing long sleeves in warm weather to hide injection sites are common. Financial problems, stealing, and deteriorating relationships signal deepening dependence.
Severe Dependence At this stage, the body cannot function without heroin. Severe withdrawal symptoms begin within 6–12 hours of the last dose — including muscle pain, vomiting, diarrhea, cold sweats, and intense anxiety. Skin infections, abscesses, and collapsed veins develop from repeated injection. The risk of fatal overdose from respiratory depression becomes life-threatening with every use.
If you or a loved one is showing any of these signs, don’t wait. Heroin addiction is treatable, and evidence-based MAT programs dramatically improve outcomes.
Most clients begin treatment within 24–48 hours. MAT available same-day. 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. Full-day structured programming with group therapy, individual sessions, medication management, and daily lunch.
PHP Details →Step-down from PHP. 3.5-hour sessions with flexible scheduling — morning, afternoon, or evening tracks to fit your life and responsibilities.
IOP Details →IOP-level intensity during evening hours. Designed for working professionals who need treatment without disrupting their career.
Evening Track →Ongoing support after completing PHP or IOP. Individual therapy and one group session weekly with your assigned clinician.
OP Details →All program levels available virtually. Participate from home or mix in-person and virtual sessions to fit your life.
Telehealth →On-site Nurse Practitioner manages MAT for heroin and opioid addiction. Suboxone, Methadone, and Vivitrol combined with counseling and behavioral therapy.
MAT Details →Every recovery is unique. Here’s a general framework for what to expect during heroin addiction treatment as each phase builds on the last — 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 evidence-based approaches for opioid and substance use disorders.
10+ years treating heroin and opioid addiction. Leads group therapy and individual counseling sessions with compassion and expertise.
Manages medication-assisted treatment including Suboxone, Methadone coordination, and Vivitrol for opioid addiction. Evaluates all PHP clients within 24 hours.
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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Your information is secure and confidential. We’ll never share your data.
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Supporting someone through heroin addiction is one of the most frightening and challenging experiences a family can face. These evidence-based steps can help you take care of both yourself and your loved one.
Heroin addiction is a medical condition that physically changes brain chemistry and opioid receptors — not a moral failing. Understanding the disease model and why withdrawal is so severe helps you respond with compassion rather than frustration.
Communicate limits with compassion: “I love you, and I won’t provide money or cover for behaviors that put your life at risk.” Follow through consistently.
Covering for their behavior, making excuses, or shielding them from consequences delays the moment they recognize they need help. Let natural consequences unfold.
Trailhead offers individual family therapy sessions and monthly Zoom education groups covering codependency, family systems, and substance use education. Open to family members 18+.
Your wellbeing matters. Consider therapy for yourself, join a support group like Nar-Anon, and maintain your own routines and social connections.
Use “I” statements: “I’m scared I’m going to lose you” rather than “You need to stop.” Choose a calm moment and offer specific help — like MAT program information — rather than ultimatums.
Keep Narcan (naloxone) on hand. 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 heroin addiction to resist treatment. Here’s how to respond effectively.
If there’s immediate danger — suspected overdose, loss of consciousness, or blue lips — call 911 immediately and administer Narcan (naloxone) if available.
Call (857) 312-1697Our family support program provides education and community for anyone affected by a loved one’s heroin or opioid addiction.
Topics include codependency, family systems, substance use education, and building a recovery-supportive home.
Trailhead Treatment Center is located in the medical and behavioral health corridor of Salem, New Hampshire. We provide heroin and opioid addiction treatment with MAT for adults 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.
