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MDMA & Ecstasy Addiction Treatment in Salem, NH

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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Recognize the Signs

Signs & Symptoms of MDMA / Ecstasy Addiction

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.

Start MDMA Addiction Treatment Today

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

Treatment Programs for MDMA Addiction

Programs That Treat MDMA & Ecstasy Dependence

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, 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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Serotonin Recovery Support

Supportive Medication Management

On-site Nurse Practitioner manages supportive medications including antidepressants for serotonin depletion, sleep aids, and anti-anxiety medications as needed during recovery.

Med Management →
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 recovery. My counselor understood the emotional crash after MDMA use and helped me rebuild my mental health without substances.]”

[Client Name] • MDMA 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 MDMA Treatment

11 Advantages of Our MDMA Addiction Program

Evidence-based therapies specifically designed for MDMA and ecstasy dependence, including CBT, DBT, and targeted relapse prevention strategies that address the unique psychological patterns of stimulant and club drug use.
Nurse Practitioner evaluation and medication management within 24 hours of PHP admission. Supportive medications including antidepressants for serotonin depletion, sleep aids, and anti-anxiety medications as clinically indicated.
Structured group therapy targeting MDMA-specific triggers — social pressure, event culture, emotional avoidance — and the unhealthy thought patterns driving compulsive use. 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.
While there is no FDA-approved MAT for MDMA, our Nurse Practitioner manages supportive medications — SSRIs and other antidepressants for serotonin recovery, sleep aids for disrupted sleep patterns, and anti-anxiety medications as needed during the adjustment period.
Individual family therapy sessions plus monthly Zoom education groups covering codependency, family systems, and substance use 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

MDMA Recovery Timeline

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.

Weeks 1–2 — Foundation

Stabilization & Serotonin Assessment

Clinical assessment NP eval within 24hrs Serotonin support plan Sleep restoration Mood stabilization
Weeks 3–4 — Building

Active Treatment & Neurological Recovery

Daily group therapy Trigger identification Social skills rebuilding Emotional regulation Sober recreation
Weeks 5–8 — Integration

Cognitive Recovery & Step-Down

PHP to IOP transition Memory & focus improvement Family therapy Relapse prevention Social environment planning
Weeks 9–12+ — Sustaining

Long-Term Serotonin Recovery & Aftercare

OP or continued IOP Ongoing mood monitoring Alumni program Lifestyle restructuring Long-term brain health

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 evidence-based approaches for stimulant and club drug dependence, including MDMA.

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[Lead Therapist]
LADC, Master’s

10+ years treating substance use disorders including MDMA and club drugs. Leads group therapy and individual counseling sessions with compassion and expertise.

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[Nurse Practitioner]
NP

Manages supportive medications for serotonin recovery, including antidepressants, sleep aids, and anti-anxiety support. 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 of MDMA Use

MDMA & Ecstasy: The Hidden Dangers

50%+
Ecstasy Pills Contain Adulterants
More than half of “ecstasy” or “molly” tested in DEA labs contains dangerous adulterants including fentanyl, methamphetamine, and bath salts — making every dose a gamble with your life.
DEA Forensic Laboratory Testing, 2022–2024
2.2M
Americans Used MDMA in Past Year
Over 2.2 million Americans aged 12+ reported using MDMA in the past year, with use rising among young adults 18–25 in club and festival settings.
SAMHSA NSDUH, 2022–2023
80%
Serotonin Depletion After Heavy Use
Research shows that chronic MDMA use can reduce serotonin levels by up to 80%, leading to prolonged depression, anxiety, memory problems, and cognitive impairment that may take months to recover.
Journal of Neuroscience & NIDA, 2020–2023
Insurance We Accept

Insurance Coverage for MDMA 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 MDMA Addiction

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.

Educate Yourself About MDMA Dependence

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.

Set Clear, Loving Boundaries

Communicate limits with compassion: “I love you, and I won’t participate in behaviors that support your addiction.” Follow through consistently.

Stop Enabling Behaviors

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.”

Consider Family Therapy

Trailhead offers individual family therapy sessions and monthly Zoom education groups covering codependency, family systems, and substance use 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 Nar-Anon, and maintain your own routines and social connections.

Have the Conversation When They’re Not Under the Influence

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 Support
When a Loved One Won’t Seek Help

What If They Refuse Treatment?

It’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.

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 Nar-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 high, crashing, or emotionally volatile
  • 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, hyperthermia, seizures, 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 MDMA or substance addiction.

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

Topics include codependency, family systems, substance use education, and building a recovery-supportive home.

Call for Family Support
Service Area

MDMA Addiction Treatment in Salem, NH & Beyond

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.

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

MDMA & Ecstasy Addiction Treatment FAQ

Yes. While MDMA may not produce the same physical withdrawal as opioids or alcohol, it creates strong psychological dependence. Users develop tolerance quickly, needing higher doses for the same effect. The serotonin crash after use creates a cycle of depression that drives repeated use. Research shows MDMA affects the same brain reward pathways as other addictive substances.
MDMA causes a massive release of serotonin — the brain’s primary mood-regulating neurotransmitter. Repeated use depletes serotonin stores, leading to prolonged depression, anxiety, irritability, memory problems, and sleep disruption. Heavy users can experience serotonin depletion of up to 80%, and full recovery may take months of abstinence with proper support.
Extremely dangerous. DEA lab testing shows that over 50% of pills sold as “ecstasy” or “molly” contain other substances including fentanyl, methamphetamine, bath salts, or synthetic cathinones. Even a tiny amount of fentanyl can be lethal. There is no way to know what’s in a pill by appearance alone, making every dose potentially life-threatening.
There is currently no FDA-approved medication specifically for MDMA addiction (no MAT equivalent). However, our on-site Nurse Practitioner prescribes supportive medications including SSRIs and other antidepressants to help restore serotonin function, sleep aids for disrupted sleep patterns, and anti-anxiety medications during the recovery period. These are always combined with therapy.
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.
Yes. Most major insurance plans cover substance use disorder treatment, including MDMA dependence. 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.
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. Because serotonin recovery can take several months, many MDMA clients benefit from extended IOP involvement to maintain progress.
Chronic MDMA use carries serious physical risks including hyperthermia (dangerous overheating that can cause organ failure), severe dehydration, jaw clenching and dental damage, cardiovascular strain, liver toxicity, and serotonin syndrome. The adulterant risk (fentanyl, meth) adds the possibility of accidental overdose death with every use.
Yes — family involvement is encouraged. We offer individual family therapy sessions coordinated with your primary therapist, plus monthly family education groups via Zoom covering codependency, family systems, and substance use education. Open to any family member 18+.
We understand that MDMA dependence is different from other addictions. Our approach addresses the unique neurological impact of serotonin depletion, the social context of club drug use, and the need for emotional regulation skills. Combined with a family-style environment, flexible scheduling, 12:1 counselor caseloads, and same-day admission availability, we provide comprehensive care tailored to your specific needs.

Begin Your Recovery Journey Today

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

Call Now — (857) 312-1697