Integrated dual-diagnosis treatment addressing addiction and mental health simultaneously. Flexible scheduling, medication management, and a family-style approach to lasting recovery.
Co-occurring disorders — when addiction and mental health conditions exist together — are more common than most people realize. Recognizing the overlap is the first step toward integrated treatment.
Recognizing these overlapping patterns? Our clinical team specializes in integrated dual-diagnosis assessment.
Get a Free AssessmentSame-day admissions available. Integrated dual-diagnosis care. Most insurance accepted. Confidential.
Multiple levels of integrated care designed to treat addiction and mental health conditions simultaneously. Step up or down as your needs evolve.
Our most intensive outpatient level for dual-diagnosis clients. Full-day programming integrating addiction treatment with psychiatric care, individual therapy, and holistic activities. Ideal for those needing intensive structure for both conditions.
Learn More About PHPA structured step-down from PHP that continues integrated dual-diagnosis care. Group therapy addressing both addiction and mental health, plus individual sessions with more flexibility for work, school, or family commitments.
Learn More About IOPDesigned for working professionals managing co-occurring disorders. The same integrated dual-diagnosis programming as our daytime IOP, delivered in the evening so you can maintain your career while addressing both conditions.
Learn MoreStep-down support for continued dual-diagnosis recovery. Less intensive than IOP but maintains therapeutic momentum for both addiction and mental health with weekly groups and individual sessions.
Learn More About OPFull access to our integrated dual-diagnosis programming from anywhere. Secure video platform for groups, individual therapy, and psychiatric consultations. Same clinical rigor for both conditions, added convenience.
Learn More About TelehealthComprehensive psychiatric medication management for both addiction and mental health conditions. Our on-site Nurse Practitioner manages MAT medications alongside antidepressants, anxiolytics, and mood stabilizers for truly integrated pharmacological care.
Learn More About MAT“[Client testimonial about dual-diagnosis recovery at Trailhead — for the first time, both my addiction and depression were treated together. The staff made me feel like family from day one.]”
“[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 testimonial about integrated treatment — treating my anxiety and substance use together changed everything. The DBT skills helped me manage both conditions. I’m in the best place I’ve ever been.]”
“[Family member testimonial — the family program helped us understand how addiction and mental illness feed each other. Learning to support both conditions was life-changing for our whole family.]”
Both conditions treated simultaneously by the same clinical team — not separate tracks that never communicate. One unified treatment plan.
Mix morning, afternoon, or evening sessions to fit your work, family, or personal commitments. Switch tracks daily.
Every client sees our Nurse Practitioner within a day of admission for medication evaluation and health assessment.
Our NP manages both addiction medications and psychiatric medications together — antidepressants, anxiolytics, mood stabilizers, and MAT in one coordinated plan.
Dialectical behavior therapy is uniquely effective for co-occurring disorders — building emotional regulation, distress tolerance, and mindfulness skills that address both addiction and mental health.
One-on-one sessions with a licensed therapist at every program level — not just when insurance allows it.
Your therapeutic modality is individualized — CBT, ACT, trauma-focused therapy, 12-Step, SMART Recovery. We adapt to your unique combination of conditions.
Multiple weekly admission opportunities. Begin programming within 24 to 48 hours of your first call.
Staff know every client by name. Shared lunches build fellowship. This isn’t a factory — it’s a family.
Yoga, meditation, breathwork, equine therapy, and sober recreational activities complement evidence-based treatment.
Licensed in both New Hampshire and Massachusetts, ensuring broad regional access and insurance acceptance.
Your first weeks focus on thorough dual-diagnosis evaluation — understanding the full picture of both your addiction and mental health conditions.
Immerse in intensive therapeutic programming that addresses both conditions in every session. Daily groups, individual therapy, and skill-building exercises.
Apply your new dual-diagnosis coping skills to real-life situations. Step down from PHP to IOP as you build independence managing both conditions.
Continued outpatient support for both conditions, alumni program, and aftercare coordination to sustain recovery and mental health stability long-term.
Don’t see your provider? Call us — we work with many plans and offer affordable self-pay options.
Confidential, no obligation — takes 30 seconds.
Your information is secure and confidential. HIPAA protected.
Take the next step. Our team is here to guide you through the process.
Supporting someone with both addiction and mental health conditions is uniquely challenging. These evidence-based approaches can help.
Our family support program is open to all family members 18+, past and present clients.
Call for Family SupportIt’s common for people struggling with co-occurring disorders to resist treatment. These approaches can help.
A structured, guided intervention led by a certified specialist can break through denial and help your loved one see the real impact of their substance use and untreated mental health on themselves and those around them. Professional interventionists know how to frame the conversation with compassion rather than confrontation.
Rather than confrontation, express concern with empathy. Motivational interviewing techniques focus on their own reasons for wanting change. Ask open-ended questions: “What would your life look like if you felt better and were in control?” Let them arrive at their own motivation.
Follow through on consequences you’ve communicated. Boundaries protect your wellbeing and can motivate change. Be specific about behaviors — not diagnoses. Then follow through consistently — empty threats enable continued avoidance of treatment for both conditions.
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.
If there’s immediate danger — suicidal thoughts, severe withdrawal symptoms, psychotic episodes, or risk of harm to self or others — call 911 or the 988 Suicide & Crisis Lifeline immediately. Co-occurring disorders can escalate quickly when either condition is untreated.
Our admissions team can guide you even if your loved one isn’t ready.
Call (857) 312-1697Our family support program provides education and community for anyone affected by a loved one’s co-occurring disorders.
Topics include codependency, family systems, dual-diagnosis education, and building a home environment that supports recovery from both conditions.
Trailhead Treatment Center is located in the medical and behavioral health corridor of Salem, New Hampshire. We provide integrated dual-diagnosis treatment for adults throughout greater New Hampshire and northern Massachusetts.
Conveniently accessible via I-93 and Route 28. Dually licensed in NH & MA.
Your recovery begins with a single phone call. We’ll handle the rest.