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MDMA Addiction Treatment in Salem, NH

Evidence-based MDMA and ecstasy addiction treatment with flexible scheduling, supportive medications for serotonin recovery, and a family-style approach to lasting healing.

24-48hr
Admission
4:1
Staff Ratio
Dual
NH & MA Licensed
Med
Support Available
Recognize the Signs

Signs & Symptoms of MDMA Addiction

MDMA (ecstasy/molly) addiction develops as the brain’s serotonin system is depleted. Understanding the signs can help determine the right level of care.

Mild

Using MDMA more frequently than initially intended — from occasional to regular use
Needing higher doses to achieve the same euphoric effects (tolerance)
Jaw clenching, teeth grinding (bruxism), and muscle tension during and after use
Mild mood dips or “Tuesday blues” in the days following use

Moderate

Severe serotonin depletion — persistent low mood, irritability, and emotional flatness between uses
Neglecting work, school, or family responsibilities due to MDMA use or multi-day recovery periods
Social life revolving entirely around party or rave scenes where MDMA is available
Sleep disturbances, loss of appetite, and difficulty regulating body temperature

Severe

Severe depression and anxiety between uses — only feeling “normal” when high on MDMA
Cognitive impairment — memory problems, difficulty concentrating, confusion
Continued use despite awareness of neurotoxic damage and worsening mental health
Panic attacks, depersonalization, or paranoia stemming from chronic serotonin depletion

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

Get a Free Assessment

Start MDMA Addiction Treatment Today

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

Treatment Programs

Programs for MDMA Addiction

Multiple levels of care designed to meet you where you are in recovery. 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 stepping down from detox 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 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 recovery. Less intensive than IOP but maintains therapeutic momentum with weekly groups and individual sessions.

Learn More About OP
Schedule1–3 sessions/week
DurationOngoing as needed
FocusRelapse prevention
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

Supportive Medications

While there is no FDA-approved medication specifically for MDMA addiction, our on-site Nurse Practitioner prescribes antidepressants (SSRIs) and other supportive medications to help restore serotonin levels, manage depression, anxiety, and sleep disturbances during recovery.

Learn More About Med Support
FocusSerotonin recovery
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 MDMA recovery 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 MDMA-specific treatment — the combination of DBT skills and antidepressant support helped me recover from the depression. I’m celebrating 6 months clean.]”

— [Client Name], Google Review
★★★★★

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

— [Family Member], Google Review
Why Trailhead

11 Reasons to Choose Trailhead for MDMA Treatment

01

Live at Home, Heal During the Day

Intensive daily programming while maintaining your home life, family connections, and sober living arrangement.

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

Serotonin Recovery — Antidepressant Support

Our on-site NP prescribes SSRIs and supportive medications to help restore depleted serotonin levels and manage the depression and anxiety that follow chronic MDMA use.

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 sober 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 MDMA Treatment

01

Weeks 1–2: Stabilization

Your first weeks focus on clinical assessment, addressing serotonin depletion symptoms, medication evaluation for depression and anxiety, and building your treatment team.

  • Comprehensive biopsychosocial evaluation
  • NP evaluation within 24 hours
  • Antidepressant and supportive medication initiation as needed
  • 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 MDMA’s impact on serotonin and the brain
  • Relapse prevention 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, sober 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 recovery long-term.

  • Step-down to OP or ongoing individual therapy
  • Alumni program enrollment
  • Sober living coordination if needed
  • 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 addiction treatment.
Photo

[Lead Therapist]

LADC, Master’s Degree
With over 10 years of experience in addiction counseling, [Lead Therapist] specializes in DBT skills groups and individual therapy for substance use disorders.
Photo

[Nurse Practitioner]

APRN, Psychiatric NP
Our on-site NP manages medication-assisted treatment, psychiatric evaluations, 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, court paperwork, and sober living coordination.
The Reality

MDMA in New Hampshire

0
Million+ Annual US Users
MDMA use continues to rise nationally, particularly among young adults aged 18–25.
%0
of “Molly” Is Adulterated
Street MDMA often contains fentanyl, meth, or bath salts — dramatically increasing overdose risk.
%0
Seek Treatment
The vast majority of people struggling with MDMA dependence never seek or receive professional help.
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 MDMA Addiction

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

📚

Educate Yourself

MDMA addiction is a real condition driven by serotonin depletion. Understanding how ecstasy changes brain chemistry helps you respond with compassion rather than judgment.

🛑

Stop Enabling

Stop covering for their behavior or shielding them from consequences. Enabling delays the moment they seek help.

🤝

Set Boundaries

Communicate limits with love. “I care about you, and I won’t support behaviors that fuel your addiction.”

👥

Family Therapy

Individual family therapy sessions and monthly Zoom education groups on codependency, family systems, and recovery.

💚

Self-Care First

Your mental health matters. Consider therapy, join Al-Anon, and maintain your own routines and social connections.

💬

Start the Talk

Choose a sober 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 MDMA addiction to resist treatment, often minimizing the severity of their use. These approaches can help.

Consider a Professional Intervention

A structured, guided intervention led by a certified specialist can break through denial and help your loved one see the real impact of their MDMA use on their mental health, relationships, and brain function. Professional interventionists know how to frame the conversation with compassion rather than confrontation.

Use Motivational Approaches

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 without MDMA?” Let them arrive at their own motivation.

Set Clear Boundaries

Follow through on consequences you’ve communicated. Boundaries protect your wellbeing and can motivate change. Be specific: “If you use MDMA again, I won’t be here when you get back.” Then follow through consistently — empty threats enable continued use.

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, serotonin syndrome symptoms (high fever, seizures, rapid heartbeat), or risk of harm to self or others — call 911 or the 988 Suicide & Crisis Lifeline immediately. MDMA-related emergencies require immediate medical attention.

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 MDMA 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

MDMA Addiction Treatment in Salem, NH & Beyond

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

MDMA Addiction Treatment FAQ

Yes. While MDMA may not produce the same physical dependence as opioids or alcohol, it can create strong psychological dependence. Users develop tolerance rapidly, requiring higher doses for the same effect. The cycle of euphoria followed by severe serotonin-depletion crashes drives compulsive use patterns.
MDMA works by flooding the brain with serotonin — the neurotransmitter responsible for mood, sleep, and emotional regulation. Repeated use depletes serotonin reserves, leading to severe depression, anxiety, irritability, and cognitive problems between uses. This depletion can take months to fully recover from, even after stopping use.
MDMA withdrawal is primarily psychological rather than physically dangerous. However, the severe depression, anxiety, and suicidal thoughts that can accompany serotonin depletion are serious and warrant professional support. Our clinical team provides medication and therapy to manage these symptoms safely.
Treatment length varies by individual need and severity of serotonin depletion. PHP typically lasts 20–30 days, IOP runs 60–90 days, and ongoing outpatient support continues as needed. Full serotonin recovery can take 3–6 months or longer, so extended support is often recommended.
There is no FDA-approved medication specifically for MDMA addiction. However, our on-site NP prescribes antidepressants (SSRIs) to support serotonin recovery, sleep aids for insomnia, and anti-anxiety medications as needed. These supportive medications significantly improve comfort and outcomes during recovery.
Research suggests that serotonin function can recover with sustained abstinence, though the timeline depends on frequency and duration of use. Most people report significant improvement in mood, sleep, and cognitive function within 3–6 months. Our treatment supports this recovery process with medication and holistic approaches.
Yes — polysubstance use is common among MDMA users. Many clients also use alcohol, cannabis, or other substances. Our treatment plans address all substances simultaneously with individualized therapy, and our NP manages any co-occurring medication needs.
Most major insurance plans cover substance use disorder treatment, including MDMA addiction. 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 sober living coordination.

Begin Your Recovery Journey Today

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

Call Now — (857) 312-1697