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Bipolar Disorder Treatment in Salem, NH

Evidence-based bipolar disorder treatment with mood stabilization, flexible scheduling, psychiatric medication management, and a compassionate approach to lasting stability.

24-48hr
Admission
4:1
Staff Ratio
Dual
NH & MA Licensed
Psych
NP On-Site
Recognize the Signs

Signs & Symptoms of Bipolar Disorder

Bipolar disorder involves distinct mood episodes. Understanding the different phases can help determine the right level of care.

Manic Episodes

Abnormally elevated or irritable mood lasting days or weeks
Racing thoughts and rapid speech that others can’t keep up with
Decreased need for sleep without feeling tired — sometimes sleeping only 2–3 hours
Impulsive or risky behavior: reckless spending, sexual indiscretion, grandiose plans

Depressive Episodes

Persistent sadness, hopelessness, or emptiness lasting weeks or longer
Loss of interest or pleasure in activities you once enjoyed
Significant changes in appetite, weight, or sleep patterns
Difficulty concentrating, making decisions, or completing daily tasks

Mixed & Severe Features

Simultaneous manic and depressive symptoms — agitation with despair
Rapid cycling between mood states within days or hours
Psychotic features during severe episodes (hallucinations, delusions)
Suicidal ideation or self-harm during depressive or mixed episodes

Experiencing any of these symptoms? Our clinical team can help determine the right level of care.

Get a Free Assessment

Start Bipolar Disorder Treatment Today

Same-day admissions available. Most insurance accepted. Confidential.

Treatment Programs

Programs for Bipolar Disorder

Multiple levels of care designed to meet you where you are in your stabilization journey. Step up or down as your needs evolve.

Partial Hospitalization Program

Our most intensive outpatient level. Full-day programming with psychiatric assessments, group therapy, individual sessions, and holistic activities. Ideal for those stabilizing after a mood episode or needing intensive structure.

Learn More About PHP
ScheduleMon–Fri, 9am–3:30pm
Duration20–30 days
IncludesLunch provided
NP AccessWithin 24 hours
TherapyWeekly individual

Intensive Outpatient Program

A structured step-down from PHP. Continued mood-focused group therapy and individual sessions with more flexibility for work, school, or family commitments.

Learn More About IOP
ScheduleMon–Fri, 9am–12:30pm
Duration60–90 days
FlexibilitySwitch sessions daily
TherapyWeekly individual

Evening Professional Track

Designed specifically for working professionals. The same evidence-based programming as our daytime IOP, delivered in the evening so you can maintain your career.

Learn More
ScheduleMon–Thu, 6pm–9pm
Ideal ForWorking adults
FlexibilityMix AM/PM daily
TherapyWeekly individual

Outpatient Program

Step-down support for continued stability. Less intensive than IOP but maintains therapeutic momentum with weekly mood-management groups and individual sessions.

Learn More About OP
Schedule1–3 sessions/week
DurationOngoing as needed
FocusMood stability
TherapyWeekly individual

Telehealth Services

Full access to our programming from anywhere. Secure video platform for groups, individual therapy, and psychiatric consultations. Same clinical rigor, added convenience.

Learn More About Telehealth
PlatformHIPAA-compliant video
OptionsFull or hybrid attendance
StatesNH & MA residents
GroupsLive participation

Medication Management

Psychiatric medications are critical for bipolar disorder stability. Our on-site Nurse Practitioner manages mood stabilizers, lithium, and anticonvulsants combined with therapy for comprehensive care.

Learn More About Medication Mgmt
MedicationsLithium, Mood Stabilizers
ProviderOn-site NP
EvalWithin 24 hours
ApproachClient-directed
JCAHO Accredited
NH Licensed
MA Licensed
LegitScript Certified
Client Reviews

What Our Clients Say

★★★★★

“[Client testimonial about bipolar disorder treatment at Trailhead — the staff understood my mood episodes and helped me find the right medication. The structured schedule gave me stability I hadn’t felt in years.]”

— [Client Name], Google Review
★★★★★

“[Client testimonial about the personalized approach — my therapist understood me and the NP got my medication right within the first week. I finally feel hopeful.]”

— [Client Name], Google Review
★★★★★

“[Client testimonial about bipolar-specific treatment — the combination of CBT skills and proper medication management was exactly what I needed. My mood has been stable for months now.]”

— [Client Name], Google Review
★★★★★

“[Family member testimonial — the family support program helped us understand bipolar disorder and learn how to support our loved one through mood episodes. We couldn’t have done this without Trailhead.]”

— [Family Member], Google Review
Why Trailhead

11 Reasons to Choose Trailhead for Bipolar Treatment

01

Live at Home, Heal During the Day

Intensive daily programming while maintaining your home life, family connections, and daily routines.

02

Flexible Scheduling

Mix morning, afternoon, or evening sessions to fit your work, family, or personal commitments. Switch tracks daily.

03

On-Site NP Within 24 Hours

Every client sees our Nurse Practitioner within a day of admission for medication evaluation and health assessment.

04

Mood Stabilizers & Psychiatric Medications

Lithium, valproate, lamotrigine, and atypical antipsychotics to stabilize mood cycling, managed by our on-site NP.

05

Daily DBT & CBT Skills Groups

Dialectical behavior therapy and cognitive behavioral therapy build the emotional regulation, distress tolerance, and mood-awareness skills essential for lasting stability.

06

Weekly Individual Therapy

One-on-one sessions with a licensed therapist at every program level — not just when insurance allows it.

07

Client-Driven Approach

Your therapeutic modality is individualized — CBT, DBT, IPSRT, psychoeducation. We adapt to you, not the other way around.

08

Rapid Admission

Multiple weekly admission opportunities. Begin programming within 24 to 48 hours of your first call.

09

Family-Style Environment

Staff know every client by name. Shared lunches build fellowship. This isn’t a factory — it’s a family.

10

Holistic & Experiential

Yoga, meditation, breathwork, equine therapy, and structured recreational activities complement evidence-based mood disorder treatment.

11

Dual State Licensing

Licensed in both New Hampshire and Massachusetts, ensuring broad regional access and insurance acceptance.

Recovery Timeline

Your Path Through Bipolar Treatment

01

Weeks 1–2: Mood Stabilization

Your first weeks focus on psychiatric assessment, mood stabilizer initiation or adjustment, and building your treatment team.

  • Comprehensive psychiatric and biopsychosocial evaluation
  • NP evaluation within 24 hours
  • Mood stabilizer initiation or adjustment (lithium, valproate, lamotrigine)
  • Therapist and case manager assignment
02

Weeks 3–4: Active Treatment

Immerse in intensive therapeutic programming. Daily group sessions, individual therapy, and mood-management skill building.

  • Daily DBT, CBT, and IPSRT skills groups
  • Weekly individual therapy sessions
  • Psychoeducation on bipolar disorder and mood cycling
  • Medication adherence strategies and mood charting
03

Weeks 5–8: Integration

Apply your new skills to real-life situations. Step down from PHP to IOP as you build stability and confidence.

  • Real-world mood management and trigger identification
  • Sleep hygiene, routine building, circadian rhythm work
  • Family therapy and psychoeducation on bipolar
  • Transition planning begins
04

Weeks 9–12+: Long-Term Stability

Continued outpatient support, alumni program, and aftercare coordination to sustain your mood stability long-term.

  • Step-down to OP or ongoing individual therapy
  • Alumni program enrollment
  • Ongoing medication management and monitoring
  • External provider referrals and episode prevention planning
Our Facility

Tour Trailhead

Group Room Photo

Group Therapy Rooms

Comfortable spaces designed for open dialogue during group sessions.

Meditation Room Photo

Meditation Room

Quiet sanctuary for mindfulness practice and breathwork.

Serenity Room Photo

Serenity Room

Private space for decompression and sensory regulation.

Dining Area Photo

Dining Area

Where fellowship happens — shared lunches and community bonds.

Game Room Photo

Recreation Room

Ping pong, foosball, Xbox — recovery can be fun.

Outdoor Area Photo

Outdoor Space

Fresh air and green space for breaks between sessions.

Your Clinical Team

Meet the People Behind Your Recovery

Photo

[Clinical Director]

LCMHC, CCTP
[Clinical Director] oversees all clinical operations at Trailhead, bringing specialized training in mood disorders and evidence-based bipolar treatment.
Photo

[Lead Therapist]

LADC, Master’s Degree
With over 10 years of experience in mood disorder treatment, [Lead Therapist] specializes in DBT and CBT skills groups and individual therapy for bipolar and related conditions.
Photo

[Nurse Practitioner]

APRN, Psychiatric NP
Our on-site NP manages mood stabilizers, psychiatric evaluations, medication titration, and ongoing medication management for all clients.
Photo

[Case Manager]

5+ Years Behavioral Health
Your advocate for life beyond treatment — employment support, life skills, resume building, paperwork assistance, and community resource coordination.
The Reality

Bipolar Disorder in America

0
Million U.S. Adults Affected
Approximately 2.8% of the U.S. adult population is diagnosed with bipolar disorder each year.
%0
Cases Are Severe
The vast majority of bipolar disorder cases are classified as severe, significantly impairing daily functioning.
%0
Avg. Years to Diagnosis
Many people with bipolar disorder wait years before receiving an accurate diagnosis and appropriate treatment.
Insurance & Payment

We Accept Most Major Plans

Anthem Blue Cross Blue Shield
Point 32 Health (Harvard Pilgrim)
Point 32 Health (Tufts)
Tricare
Uprise Health (Laborers Union)
WellSense (NH Medicaid)

Don’t see your provider? Call us — we work with many plans and offer affordable self-pay options.

Verify Coverage

Check Your Insurance

Confidential, no obligation — takes 30 seconds.

Your information is secure and confidential. HIPAA protected.

By the Numbers

Trailhead at a Glance

Staff-to-Client Ratio
4:1
Counselor Caseload
12:1
Admission Timeline
24-48hr
Client Capacity
~70

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 Bipolar Disorder

Supporting someone with bipolar disorder is challenging. These evidence-based approaches can help.

📚

Educate Yourself

Bipolar disorder is a neurological condition, not a character flaw. Understanding the illness helps you respond with compassion during mood episodes.

🛑

Encourage Medication

Medication adherence is critical for bipolar stability. Gently support their commitment to staying on prescribed mood stabilizers even when they feel “fine.”

🤝

Recognize Episodes

Learn to identify early warning signs of manic or depressive episodes. Early intervention during the onset of an episode can prevent escalation.

👥

Family Therapy

Individual family therapy sessions and monthly Zoom education groups on mood disorders, family systems, and supporting stability.

💚

Self-Care First

Your mental health matters. Caregiver burnout is real. Consider therapy for yourself and maintain your own routines and social connections.

💬

Start the Talk

Choose a stable moment. Use “I” statements: “I’ve noticed some changes and I’m concerned” not “You’re acting manic again.”

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 with bipolar disorder to resist treatment, especially during manic episodes. These approaches can help.

Consider a Professional Intervention

A structured, guided conversation led by a mental health professional can help your loved one see the real impact of untreated bipolar disorder on themselves and those around them. Professionals know how to frame the conversation with compassion rather than confrontation.

Use Motivational Approaches

Rather than confrontation, express concern with empathy. Ask open-ended questions: “What would your life look like with more stable moods?” Focus on how treatment could improve relationships, career, and daily functioning. Let them arrive at their own motivation.

Set Clear Boundaries

Boundaries protect your wellbeing and can motivate change. Be specific about what behaviors you can and cannot accept during mood episodes. Consistently enforcing healthy boundaries — while expressing love — helps create an environment where treatment becomes the natural next step.

Understand the Stages of Change

People move through precontemplation, contemplation, preparation, action, and maintenance. Your loved one may not be ready for action yet — but that doesn’t mean they won’t be. Meeting them where they are is more effective than pushing them where you want them to be.

Know When to Call for Help

If there’s immediate danger — suicidal thoughts, psychotic symptoms, severe manic behavior, or risk of harm to self or others — call 911 or the 988 Suicide & Crisis Lifeline immediately. Bipolar crises can escalate quickly and professional intervention saves lives.

Our admissions team can guide you even if your loved one isn’t ready.

Call (857) 312-1697

Monthly Family Education Groups

Our family support program provides education and community for anyone affected by a loved one’s bipolar disorder.

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

Topics include understanding mood episodes, caregiver self-care, family systems, and building a stability-supportive home.

Call for Family Support
Service Area

Bipolar Disorder Treatment in Salem, NH & Beyond

Trailhead Treatment Center is located in the medical and behavioral health corridor of Salem, New Hampshire. We provide bipolar disorder treatment for adults throughout greater New Hampshire and northern Massachusetts.

Trailhead Treatment Center
103 Stiles Rd, Suites 1 & 2
Salem, NH 03079

(857) 312-1697

Conveniently accessible via I-93 and Route 28. Dually licensed in NH & MA.

Salem Derry (~15 min) Nashua (~25 min) Manchester (~35 min) Concord (~55 min) Lowell, MA (~20 min) Boston, MA (~45 min) Northern MA
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Frequently Asked Questions

Bipolar Disorder Treatment FAQ

Common signs include dramatic mood swings between manic highs (elevated energy, decreased sleep, impulsive behavior) and depressive lows (sadness, fatigue, hopelessness). Episodes can last days to weeks and significantly impair work, relationships, and daily functioning.
Bipolar I involves full manic episodes that last at least 7 days or require hospitalization, often with depressive episodes as well. Bipolar II involves hypomanic episodes (less severe mania lasting at least 4 days) and more prominent depressive episodes. Both require treatment, and our clinical team can assess which type you may have.
Not necessarily. Our PHP program provides intensive daily structure for those stepping down from inpatient or those who need a high level of care without hospitalization. If you are in acute crisis, we can coordinate with hospitals and admit you to PHP once stabilized.
Treatment length varies by individual need and episode severity. PHP typically lasts 20–30 days, IOP runs 60–90 days, and ongoing outpatient support continues as needed. Bipolar disorder is a lifelong condition, so ongoing medication management is essential.
Medication is a cornerstone of bipolar treatment. Our on-site Nurse Practitioner manages mood stabilizers (lithium, valproate, lamotrigine), atypical antipsychotics, and other medications. Medication is always combined with therapy for the best outcomes.
We use CBT, DBT, Interpersonal and Social Rhythm Therapy (IPSRT), psychoeducation, and holistic approaches including yoga, meditation, breathwork, and equine therapy. Your treatment plan is individualized to your mood patterns and needs.
Yes — family involvement is encouraged. We offer individual family therapy sessions and monthly Zoom family education groups covering mood disorders, family systems, and caregiver support. Open to any family member 18+.
Most major insurance plans cover bipolar disorder treatment. We’re in-network with Anthem BCBS, Point 32 Health, Tricare, Uprise Health, and WellSense NH Medicaid. Our admissions team can verify your benefits in minutes.
Absolutely. Our Evening Professional Track (6–9 PM, Mon–Thu) is designed for working adults. We also offer afternoon IOP sessions and telehealth. You can switch between time slots daily based on your schedule.
We plan for aftercare from day one. Options include stepping down to IOP or OP, enrolling in our alumni program, referrals to external psychiatrists and therapists, continued family support groups, and ongoing medication management coordination.

Begin Your Recovery Journey Today

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

Call Now — (857) 312-1697