Evidence-based self-harm treatment through our PHP and IOP programs. DBT-informed care from licensed clinicians in a compassionate, non-judgmental environment.
Call (857) 312-1697Free, confidential verification in minutes. Most clients start within 24–48 hours.
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Self-harm — also called non-suicidal self-injury (NSSI) — is a way of coping with overwhelming emotions. Recognizing the signs is the first step toward getting help.
Warning Signs Early indicators may include unexplained cuts, scratches, bruises, or burns, often on the arms, thighs, or torso. You might notice someone wearing long sleeves or pants even in warm weather, withdrawing from friends and family, or expressing feelings of worthlessness, hopelessness, or emotional numbness.
Escalating As self-harm becomes a more established coping pattern, the behaviors may intensify. Cutting, burning, hitting, or scratching may become more frequent or severe. Keeping sharp objects or first aid supplies hidden is common. Isolation increases, school or work performance declines, and the person may express difficulty controlling the urge to harm themselves.
Crisis Level At this stage, self-harm may co-occur with suicidal thoughts or attempts. Injuries may require medical attention. The person may feel trapped in the cycle — using self-harm to manage emotional pain but experiencing increasing shame, guilt, and emotional distress as a result. Professional intervention is critical.
If you or a loved one is experiencing any of these signs, help is available. In crisis? Call the 988 Suicide & Crisis Lifeline or text HOME to 741741 (Crisis Text Line).
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 DBT skills groups, individual therapy, safety planning, 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 while continuing self-harm recovery.
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 medications for co-occurring conditions like depression and anxiety that often accompany self-harm behaviors.
Medication Details →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.
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 DBT and evidence-based approaches for self-harm and co-occurring mood disorders.
10+ years treating self-harm and mood disorders. Leads DBT skills groups and individual counseling sessions with compassion and expertise.
Manages psychiatric medications for co-occurring depression, anxiety, and mood disorders. 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.
Take the next step. Our team is here to guide you through the process.
Discovering that someone you love is hurting themselves can be frightening. These evidence-based steps can help you respond with care and get them the support they need.
Self-harm is a coping mechanism for overwhelming emotional pain — not attention-seeking or manipulation. Understanding this helps you respond with compassion rather than anger or panic.
Communicate limits with compassion: “I love you, and I’m here to help you find safer ways to cope.” Be calm and consistent in your support.
Reacting with shock, anger, or disgust can push your loved one further into secrecy. Stay calm, listen without judgment, and let them know you care about their pain, not just the behavior.
Trailhead offers individual family therapy sessions and monthly Zoom education groups covering self-harm awareness, family communication, and building a supportive home environment. Open to family members 18+.
Your wellbeing matters. Consider therapy for yourself, join a support group like NAMI, and maintain your own routines and social connections.
Use “I” statements: “I’ve noticed some things that worry me, and I care about you” rather than “Why are you doing this to yourself?” Offer to help them find professional support.
Our family support program is open to all family members 18+, past and present clients. In crisis? Call 988 (Suicide & Crisis Lifeline) or text HOME to 741741 (Crisis Text Line).
Call for Family SupportIt’s common for people who self-harm to resist treatment out of shame or fear. Here’s how to respond effectively.
If there’s immediate danger — suicidal thoughts or risk of serious harm — call 911, the 988 Suicide & Crisis Lifeline, or text HOME to 741741 (Crisis Text Line).
Call (857) 312-1697Our family support program provides education and community for anyone affected by a loved one’s self-harm or mental health condition.
Topics include understanding self-harm, family communication, recognizing warning signs, and building a recovery-supportive home.
Trailhead Treatment Center is located in the medical and behavioral health corridor of Salem, New Hampshire. We provide self-harm 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.
