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Depression Treatment in Salem, NH

Evidence-based depression treatment with flexible scheduling, medication management, and a compassionate approach to lasting mental wellness.

24-48hr
Admission
4:1
Staff Ratio
Dual
NH & MA Licensed
Meds
Management
Recognize the Signs

Signs & Symptoms of Depression

Depression exists on a spectrum. Understanding where you or your loved one falls can help determine the right level of care.

Mild

Persistent sadness or low mood lasting most of the day, nearly every day
Loss of interest or pleasure in activities you once enjoyed
Changes in sleep patterns — sleeping too much or difficulty falling asleep
Fatigue or loss of energy even after adequate rest

Moderate

Difficulty concentrating, remembering details, or making decisions
Significant changes in appetite or weight — eating too much or too little
Withdrawing from friends, family, and social activities
Feelings of worthlessness, excessive guilt, or hopelessness about the future

Severe

Thoughts of death, self-harm, or suicide — seek immediate help if present
Inability to perform daily tasks — getting out of bed, hygiene, going to work
Physical symptoms such as chronic pain, headaches, or digestive issues with no clear cause
Feeling emotionally numb or disconnected from life for weeks or months

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

Get a Free Assessment

Start Depression Treatment Today

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

Treatment Programs

Programs for Depression

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

Partial Hospitalization Program

Our most intensive outpatient level. Full-day programming with clinical assessments, group therapy, individual sessions, and holistic activities. Ideal for those needing intensive structure and daily therapeutic support for depression.

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 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 progress. Less intensive than IOP but maintains therapeutic momentum with weekly groups and individual sessions for ongoing mental health management.

Learn More About OP
Schedule1–3 sessions/week
DurationOngoing as needed
FocusMaintenance & wellness
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

Our on-site Nurse Practitioner provides psychiatric medication management including SSRIs, SNRIs, and other antidepressants. Medication is carefully titrated alongside therapy to optimize your treatment outcomes.

Learn More About Our Approach
MedicationsSSRIs, SNRIs & more
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 depression treatment at Trailhead — the staff made me feel like family from day one. The flexible scheduling let me keep working while getting the help I needed.]”

— [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 depression treatment — the combination of DBT skills and medication management was exactly what I needed. I finally feel like myself again.]”

— [Client Name], Google Review
★★★★★

“[Family member testimonial — the family support program helped us understand depression and rebuild our relationship. We couldn’t have done this without Trailhead.]”

— [Family Member], Google Review
Why Trailhead

11 Reasons to Choose Trailhead for Depression 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

Medication Management — SSRIs & SNRIs

Evidence-based antidepressant medications carefully selected and monitored by our on-site Nurse Practitioner to support your recovery.

05

Daily DBT Skills Groups

Dialectical behavior therapy builds the emotional regulation, distress tolerance, and mindfulness skills essential for lasting recovery.

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, ACT, 12-Step, SMART Recovery. 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 wellness-focused recreational activities complement evidence-based treatment.

11

Dual State Licensing

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

Recovery Timeline

Your Path Through Depression Treatment

01

Weeks 1–2: Stabilization

Your first weeks focus on clinical assessment, medication evaluation, and building your treatment team.

  • Comprehensive biopsychosocial evaluation
  • NP evaluation within 24 hours
  • Antidepressant medication initiation if appropriate
  • Therapist and case manager assignment
02

Weeks 3–4: Active Treatment

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

  • Daily DBT, CBT, and ACT skills groups
  • Weekly individual therapy sessions
  • Psychoeducation on depression and brain chemistry
  • Coping skills and wellness planning begins
03

Weeks 5–8: Integration

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

  • Real-world skill application exercises
  • Equine therapy, hiking, holistic wellness activities
  • Family therapy and support groups
  • Transition planning begins
04

Weeks 9–12+: Maintenance

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

  • Step-down to OP or ongoing individual therapy
  • Alumni program enrollment
  • Ongoing medication management
  • External provider referrals
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 trauma processing and evidence-based mental health treatment.
Photo

[Lead Therapist]

LADC, Master’s Degree
With over 10 years of experience in mental health counseling, [Lead Therapist] specializes in DBT skills groups and individual therapy for mood disorders including depression.
Photo

[Nurse Practitioner]

APRN, Psychiatric NP
Our on-site NP manages psychiatric medication, evaluations, and ongoing medication management for all clients including antidepressant optimization.
Photo

[Case Manager]

5+ Years Behavioral Health
Your advocate for life beyond treatment — employment support, life skills, resume building, and coordination with outside providers for continued care.
The Reality

Depression in New Hampshire

%0
NH Adults With Depression
Over 1 in 5 New Hampshire adults report experiencing a depressive episode.
%0
Go Untreated
More than half of adults with depression do not receive adequate treatment.
%0
Respond to Treatment
Up to 80% of people with depression improve significantly with proper 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 Depression

Supporting someone through depression is challenging. These evidence-based approaches can help.

📚

Educate Yourself

Depression is a medical condition, not a personal weakness. Understanding the science of depression helps you respond with compassion.

🛑

Be Present

You don’t need to fix their depression. Simply being present, listening without judgment, and showing up consistently is more powerful than advice.

🤝

Encourage Treatment

Gently encourage professional help. Offer to help research options, drive to appointments, or sit with them while they make the call.

👥

Family Therapy

Individual family therapy sessions and monthly Zoom education groups on supporting a loved one with depression and building a healing home environment.

💚

Self-Care First

Your mental health matters too. Consider your own therapy, maintain your routines, and don’t neglect your own social connections.

💬

Start the Talk

Choose a calm moment. Use “I” statements: “I’m worried about you” not “You have a problem.”

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 depression to resist treatment. These approaches can help.

Consider a Professional Intervention

A structured, compassionate conversation led by a mental health professional can help your loved one understand how depression is affecting their life. Professional guidance ensures the conversation stays supportive rather than confrontational.

Use Motivational Approaches

Rather than pushing, express concern with empathy. Ask open-ended questions: “What would feeling better look like for you?” Let them arrive at their own motivation for seeking help. Focus on their pain, not your frustration.

Set Clear Boundaries

Boundaries protect your wellbeing while showing love. Be clear about what you can and cannot do: “I will support you in getting help, but I cannot be your only source of support.” Healthy boundaries prevent caregiver burnout and model self-care.

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, self-harm behavior, or talk of not wanting to be alive — call 911 or the 988 Suicide & Crisis Lifeline immediately. Depression can become a life-threatening emergency and should be taken seriously.

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 depression.

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

Topics include understanding depression, communication strategies, caregiver self-care, and building a healing-supportive home.

Call for Family Support
Service Area

Depression Treatment in Salem, NH & Beyond

Trailhead Treatment Center is located in the medical and behavioral health corridor of Salem, New Hampshire. We provide depression 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

Depression Treatment FAQ

Common signs include persistent sadness lasting two weeks or more, loss of interest in activities you used to enjoy, changes in sleep or appetite, difficulty concentrating, fatigue, feelings of worthlessness or guilt, and in severe cases, thoughts of death or suicide.
Normal sadness is temporary and tied to a specific event. Depression persists for weeks or months, affects multiple areas of your life, and often has no clear trigger. If low mood is interfering with your ability to work, maintain relationships, or take care of yourself, it’s worth seeking a professional assessment.
No. You do not need to be in crisis to benefit from depression treatment. In fact, seeking help earlier often leads to better outcomes. Our admissions team can help determine the right level of care based on your current symptoms and needs.
Treatment length varies by individual need. PHP typically lasts 20–30 days, IOP runs 60–90 days, and ongoing outpatient support continues as needed. Antidepressant medications often take 4–6 weeks to reach full effect, so consistent participation is important.
Yes. Our on-site Nurse Practitioner can prescribe SSRIs (like sertraline, escitalopram), SNRIs (like venlafaxine, duloxetine), and other antidepressants as appropriate. Medication is always combined with therapy for the most comprehensive approach.
We use CBT, DBT, ACT, behavioral activation, mindfulness-based cognitive therapy, and holistic approaches including yoga, meditation, breathwork, and equine therapy. Your treatment plan is individualized to your needs and symptom profile.
Yes — family involvement is encouraged. We offer individual family therapy sessions and monthly Zoom family education groups covering communication strategies, understanding depression, and building a supportive home environment. Open to any family member 18+.
Most major insurance plans cover mental health treatment including depression. 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 therapists, continued family support groups, and ongoing medication management.

Begin Your Recovery Journey Today

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

Call Now — (857) 312-1697