Specialized treatment for MDMA and ecstasy dependence through our PHP and IOP programs. Serotonin recovery support, evidence-based therapies, and individualized care from licensed clinicians.
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MDMA (commonly known as ecstasy or molly) is a synthetic psychoactive drug that floods the brain with serotonin, dopamine, and norepinephrine. While many believe MDMA is “safe” or non-addictive, repeated use can lead to psychological dependence and serious neurological harm.
Early Warning Early signs of MDMA dependence may include using MDMA more frequently or in larger doses than intended, thinking about the next opportunity to use between events, or spending increasing amounts of money on pills or powder. Social life begins to revolve around settings where MDMA is available, and you may notice that sober experiences feel flat or unrewarding.
Progressing As use continues, the physical and emotional toll becomes harder to ignore. Severe mid-week depression, anxiety, and irritability after weekend use are hallmarks of serotonin depletion. Jaw clenching (bruxism), teeth grinding, muscle tension, and sleep disruption become chronic. Relationships deteriorate, work performance suffers, and you may find yourself taking higher doses to chase the initial euphoria.
Severe At this stage, the brain’s serotonin system is significantly damaged. Persistent depression, memory problems, and cognitive difficulties continue even between uses. Hyperthermia (dangerous overheating), dehydration, and cardiovascular strain pose life-threatening physical risks. The compulsion to use continues despite knowing the harm, and the crash after each use grows more devastating.
If you or a loved one is experiencing any of these signs, help is available. MDMA dependence responds well to structured treatment, and recovery begins with a single step.
Most clients begin 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. 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 supportive medications including antidepressants for serotonin depletion, sleep aids, and anti-anxiety medications as needed during recovery.
Med Management →Every recovery is unique. MDMA recovery focuses heavily on serotonin restoration and building new coping mechanisms. Here’s a general framework — 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 stimulant and club drug dependence, including MDMA.
10+ years treating substance use disorders including MDMA and club drugs. Leads group therapy and individual counseling sessions with compassion and expertise.
Manages supportive medications for serotonin recovery, including antidepressants, sleep aids, and anti-anxiety support. 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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Supporting someone through MDMA dependence is challenging, especially when the drug is often minimized as “harmless.” These evidence-based steps can help you take care of both yourself and your loved one.
MDMA dependence is a real condition that damages the brain’s serotonin system — not a phase or lifestyle choice. Understanding how MDMA affects neurotransmitters helps you respond with compassion rather than judgment.
Communicate limits with compassion: “I love you, and I won’t participate in behaviors that support your addiction.” Follow through consistently.
Covering for their behavior, funding their social outings, or shielding them from consequences delays the moment they recognize they need help. Don’t minimize MDMA as “just a party drug.”
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.
Choose a moment when they’re not recovering from a crash or high. Use “I” statements: “I’m worried about the changes I see in you” rather than “You have a problem.” Focus on specific behaviors you’ve observed.
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 MDMA dependence to resist treatment — especially when they believe the drug is “harmless.” Here’s how to respond effectively.
If there’s immediate danger — suicidal thoughts, hyperthermia, seizures, 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 MDMA or substance 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 MDMA and ecstasy addiction treatment 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.