Evidence-based OCD treatment through our PHP and IOP programs. Exposure and Response Prevention (ERP) therapy delivered by licensed clinicians in a supportive, understanding environment.
Call (857) 312-1697Free, confidential verification in minutes. Most clients start within 24–48 hours.
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Obsessive-Compulsive Disorder (OCD) involves a cycle of intrusive thoughts (obsessions) and repetitive behaviors (compulsions). Recognizing these patterns is the first step toward breaking free.
Obsessions OCD obsessions are unwanted, intrusive thoughts, images, or urges that cause significant anxiety. Common themes include contamination fears, harm to self or others, symmetry and order, religious or moral scrupulosity, and disturbing thoughts that feel completely at odds with who you are. These thoughts are not choices — they intrude despite your best efforts to push them away.
Compulsions To manage the distress from obsessions, people with OCD develop compulsive rituals. Excessive hand-washing, checking, counting, arranging, or mental rituals like repeating phrases become time-consuming and exhausting. You may recognize these behaviors are irrational, but the anxiety feels unbearable without performing them. Compulsions provide temporary relief but ultimately reinforce the OCD cycle.
Life Impact Severe OCD can consume hours of every day. Work, school, and relationships suffer as rituals expand and avoidance increases. Some people become housebound. The shame and secrecy surrounding intrusive thoughts often prevents people from seeking help. Without treatment, OCD rarely improves on its own and tends to worsen over time. But with evidence-based treatment like ERP, significant improvement is possible.
If you or a loved one is experiencing these obsessions and compulsions, effective treatment is available. OCD is one of the most treatable mental health conditions when the right approach is used.
Most clients begin treatment within 24–48 hours. Call now for a free, confidential consultation.
Scroll to explore each level of care designed for OCD recovery. Click to learn more about any program.
Our most intensive level of care. Full-day structured programming with ERP-focused group therapy, individual exposure 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 managing OCD who need treatment without disrupting their career.
Evening Track →Ongoing support after completing PHP or IOP. Individual ERP maintenance sessions and one group session weekly to reinforce treatment gains.
OP Details →All program levels available virtually. ERP can be highly effective via telehealth, allowing you to practice exposures in your own environment.
Telehealth →On-site Nurse Practitioner manages OCD-specific medications including SSRIs at therapeutic doses and SRIs. Medication combined with ERP therapy for optimal outcomes.
Med Management →Every treatment journey is unique. Here’s a general framework for what to expect as each phase builds on the last — like stones stacking toward freedom from OCD.
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 OCD and anxiety disorders, with advanced training in ERP.
10+ years treating OCD and anxiety disorders. Leads ERP-focused group therapy and individual exposure sessions with compassion and expertise.
Manages OCD-specific SSRI dosing and augmentation medications. 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 OCD 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.
OCD is a neurobiological condition — not a personality quirk or choice. Understanding that intrusive thoughts are involuntary and that compulsions provide only temporary relief helps you respond with compassion rather than frustration.
Communicate limits with compassion: “I love you, and I want to support your recovery, not your OCD.” Gradually reduce accommodation of rituals with guidance from their therapist.
Family accommodation — participating in rituals, providing reassurance, or modifying routines to reduce their anxiety — is one of the biggest barriers to OCD recovery. Work with their therapist to gradually reduce accommodation in a supportive way.
Trailhead offers individual family therapy sessions and monthly Zoom education groups covering OCD education, reducing family accommodation, and supporting ERP practice at home. Open to family members 18+.
Your wellbeing matters. Consider therapy for yourself, connect with the International OCD Foundation or NAMI for family resources, and maintain your own routines and social connections.
When they ask “Are you sure it’s safe?” or “Did I do that right?” — these are reassurance-seeking compulsions. Instead of answering, gently redirect: “That sounds like OCD talking. What would your therapist suggest?”
Our family support program is open to all family members 18+, for current and past clients.
Call for Family SupportIt’s common for people struggling with OCD to resist treatment — often because they fear exposures or feel shame about their thoughts. Here’s how to respond effectively.
If there’s immediate danger — suicidal thoughts, severe depression, 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 OCD.
Topics include understanding OCD, reducing family accommodation, supporting ERP practice, and building a recovery-supportive home environment.
Trailhead Treatment Center is located in the medical and behavioral health corridor of Salem, New Hampshire. We provide OCD and anxiety disorder 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 path to freedom from OCD begins with a single phone call. We’ll handle the rest.
