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★★★★★ 5.0 Stars — [X Reviews]

Opioid Addiction Treatment in Salem, NH

Evidence-based opioid addiction treatment through our PHP and IOP programs. Medication-assisted treatment with Vivitrol, Sublocade, and Brixadi (injectable only) — combined with individualized therapy in a supportive, family-style environment.

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Recognize the Signs

Signs & Symptoms of Opioid Use Disorder

Opioid use disorder can develop from prescription painkillers, heroin, or synthetic opioids like fentanyl. Recognizing the signs early is the first step toward getting help.

Mild In its early stages, opioid use disorder may look like taking more medication than prescribed or using it longer than intended, making unsuccessful attempts to cut down, or spending significant time obtaining, using, or recovering from opioids. You might find yourself craving opioids between doses, or noticing that what started as pain management is becoming something more.

Moderate As the disorder progresses, the signs become harder to ignore. Pinpoint pupils, excessive drowsiness, and nodding off are common physical signs. Track marks or skin infections may appear. You may find yourself doctor shopping, borrowing medication, or turning to illicit sources to maintain supply. Failing to fulfill responsibilities at work, school, or home becomes routine.

Severe At this stage, the body and brain are deeply dependent. Tolerance builds rapidly — needing higher doses to feel the same effects. Withdrawal symptoms hit hard when you stop: muscle aches, vomiting, diarrhea, cold flashes, goosebumps, and intense cravings. Use continues despite serious physical harm, overdose risk, and devastating personal consequences, and the inability to stop feels overwhelming.

If you or a loved one is experiencing any of these signs at any severity level, help is available. Recovery begins with a single step.

Start Opioid Addiction Treatment Today

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

Treatment Programs for Opioid Addiction

Programs That Treat Opioid Use Disorder

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 or Evening

Intensive Outpatient (IOP)

Step-down from PHP. 3.5-hour sessions with flexible scheduling — morning or evening tracks to fit your life and responsibilities.

IOP Details →
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Mon–Thu, 6pm–9pm

IOP Evening Program

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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Vivitrol, Sublocade, Brixadi & More

Medication-Assisted Treatment

Our clinical team manages MAT for opioid addiction. Vivitrol, Sublocade, and Brixadi combined with counseling and behavioral therapy.

MAT Details →
JCAHO Accreditation
Pending
NH
Licensed
24-48hr Rapid Admission
In-Network Provider
What Our Clients Say
M

“[Client testimonial placeholder — The staff genuinely cares about your recovery. My counselor understood addiction firsthand and helped me build real coping skills for opioid cravings. The MAT program was a lifeline.]”

[Client Name] • Opioid Treatment Graduate
S

“[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
J

“[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 Opioid Treatment

11 Advantages of Our Opioid Addiction Program

Evidence-based therapies specifically designed for opioid use disorder, including CBT, DBT, and targeted relapse prevention strategies that address the unique challenges of opioid addiction, withdrawal management, and overdose prevention.
clinical evaluation and medication management within 24 hours of PHP admission. MAT options including Vivitrol, Sublocade, and Brixadi available same-day.
Structured group therapy targeting opioid-specific triggers, cravings, and unhealthy thought patterns driving addictive behavior. Daily skills practice, not just lectures.
Morning 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.
Vivitrol (naltrexone), Sublocade (buprenorphine extended-release), and Brixadi (buprenorphine extended-release) for opioid cravings and withdrawal, managed by our clinical team. All injectable only. Client choice on taper vs. maintenance approach.
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 nature-based therapy at local nature trails 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

Opioid Recovery Timeline

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.

Weeks 1–2 — Foundation

Stabilization & Assessment

Clinical assessment NP eval within 24hrs Medication plan Group therapy intro DBT/CBT foundation
Weeks 3–4 — Building

Active Treatment

Daily group therapy Weekly individual sessions Psychoeducation Goal setting Sober activities
Weeks 5–8 — Integration

Integration & Step-Down

PHP to IOP transition Real-life application Family therapy Relapse prevention Community engagement
Weeks 9–12+ — Sustaining

Maintenance & Aftercare

OP or continued IOP Alumni program External referrals Family support groups Long-term planning

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.

[PHOTO]
Alysia LaGambina
LCMHC, CCTP

Oversees all clinical operations and treatment planning. Specializes in evidence-based approaches for alcohol and substance use disorders.

[PHOTO]
[Lead Therapist]
LADC, Master’s

10+ years treating opioid addiction. Leads group therapy and individual counseling sessions with compassion and expertise.

[PHOTO]
[prescribing provider]
NP

Manages medication-assisted treatment with injectable medications including Vivitrol, Sublocade, and Brixadi. 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: Yoga & Meditation Studio]

Yoga & Meditation Studio

Calm decompression space when you need a moment.

[Photo: Wellness Room]

Wellness Room

Yoga, meditation, breathwork, and sound therapy sessions for holistic wellness and community connection.

[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

24-48hr
Rapid Admission
low
Counselor Caseload
24-48h
Admission Timeline
18+
Adults Served
The Reality in New Hampshire

Opioid Use in New Hampshire

~490
Annual Opioid Overdose Deaths
New Hampshire saw approximately 490 opioid-related overdose deaths in 2023, one of the highest per-capita rates in the nation.
NH Office of the Chief Medical Examiner, 2023
80%+
Overdose Deaths Involve Fentanyl
More than 80% of opioid overdose deaths in NH now involve illicitly manufactured fentanyl, making the crisis deadlier than ever.
NH DHHS Drug Monitoring Initiative, 2023
3.8%
NH Adults with Opioid Use Disorder
An estimated 3.8% of New Hampshire adults meet criteria for opioid use disorder, significantly above the national average.
SAMHSA NSDUH, 2022–2023
Insurance We Accept

Insurance Coverage for Opioid Treatment

We accept most major insurance plans. Verify your coverage in minutes.

[Insurance Provider — TBD]
Harvard Pilgrim / Tufts [verification pending]
[Insurance Provider — TBD]
[Insurance Provider — TBD]
Medicaid [verification pending]

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 Opioid Addiction

Supporting someone through addiction 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.

Educate Yourself About Addiction

Opioid addiction is a medical condition that changes brain chemistry — not a moral failing. Understanding the disease model helps you respond with compassion rather than frustration.

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, making excuses, or shielding them from consequences delays the moment they recognize they need help. Let natural consequences unfold.

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 Al-Anon, and maintain your own routines and social connections.

Have the Conversation When They’re Sober

Use “I” statements: “I’m worried about you” rather than “You have a problem.” Choose a calm moment and offer specific help rather than ultimatums.

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 opioid addiction to resist treatment. 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 Al-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 intoxicated or angry
  • 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, severe withdrawal, 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 opioid 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

Opioid Addiction Treatment in Salem, NH & Beyond

Trailhead Treatment Center is located in the medical and behavioral health corridor of Salem, New Hampshire. We provide opioid addiction treatment with MAT 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. Licensed in New Hampshire.

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

Opioid Addiction Treatment FAQ

Common signs include increased tolerance (needing higher doses for the same effects), withdrawal symptoms when not using (flu-like symptoms, muscle aches, nausea, sweating, insomnia), inability to stop or control use, doctor shopping, using more than prescribed, and continuing despite negative consequences.
Treatment length varies by individual need. Our PHP program typically lasts 20–30 days, IOP runs 60–90 days, and medication-assisted treatment (MAT) may be ongoing for months or longer. Most clients benefit from a step-down approach with long-term MAT continuation.
Trailhead does not provide medical detox on-site. However, we coordinate closely with trusted detox facilities and can often admit clients to our PHP program within 24–48 hours of completing detox. Our admissions team will help arrange the transition.
Our clinical team prescribes injectable MAT medications including Vivitrol (naltrexone), Sublocade (buprenorphine extended-release), and Brixadi (buprenorphine extended-release). These are injectable only — we do not prescribe daily oral medications like Suboxone or methadone on-site. Medication is always combined with therapy.
No. Injectable medications like Vivitrol, Sublocade, and Brixadi are FDA-approved treatments that reduce cravings and withdrawal symptoms without producing the euphoric high of opioids. They stabilize brain chemistry so clients can engage effectively in therapy. MAT is always combined with counseling and behavioral therapy.
Absolutely. Our Evening IOP (6–9 PM, Monday through Thursday) is specifically designed for working adults. We also offer telehealth options and flexible scheduling across morning and evening tracks.
Most major insurance plans cover opioid addiction treatment, including MAT. We are working to accept [Insurance Provider — TBD], Harvard Pilgrim / Tufts [verification pending], [Insurance Provider — TBD], [Insurance Provider — TBD], and Medicaid [verification pending]. Our admissions team can verify your benefits in minutes.
We use a combination of evidence-based therapies including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Acceptance and Commitment Therapy (ACT), trauma-informed care, EMDR, relapse prevention, and holistic approaches like breathwork, yoga, and meditation.
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+.
Our differentiators include same-day injectable MAT initiation, a family-style environment where staff know every client by name, flexible scheduling across morning and evening tracks, staff with both professional credentials and lived recovery experience, individualized care, and admission within 24–48 hours when clinically appropriate.

Begin Your Recovery Journey Today

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

Call Now — (857) 312-1697