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OCD Treatment in Salem, NH

Evidence-based OCD treatment with Exposure and Response Prevention therapy, flexible scheduling, medication management, and a compassionate approach to lasting relief.

24-48hr
Admission
4:1
Staff Ratio
Dual
NH & MA Licensed
ERP
Gold Standard
Recognize the Signs

Signs & Symptoms of OCD

Obsessive-compulsive disorder manifests in different ways. Understanding the symptom types can help determine the right level of care.

Obsessions (Intrusive Thoughts)

Persistent, unwanted thoughts about contamination, germs, or illness
Intrusive fears of harming yourself or others — even though you never would
Intense need for symmetry, order, or things to feel “just right”
Disturbing thoughts about taboo subjects (religious, sexual, violent) that cause extreme distress

Compulsions (Ritualistic Behaviors)

Excessive handwashing, cleaning, or sanitizing beyond what’s reasonable
Checking locks, appliances, or switches repeatedly before leaving
Counting, tapping, or repeating actions a specific number of times
Seeking constant reassurance from others that everything is “okay”

Severe Impact

Rituals consuming more than an hour per day, disrupting work and relationships
Avoidance of people, places, or situations that trigger obsessions
Inability to leave the house, hold a job, or maintain relationships due to OCD
Knowing the thoughts are irrational but being unable to stop the cycle

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

Get a Free Assessment

Start OCD Treatment Today

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

Treatment Programs

Programs for OCD

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

Partial Hospitalization Program

Our most intensive outpatient level. Full-day programming with OCD-focused assessments, ERP therapy, group sessions, and holistic activities. Ideal for severe OCD that requires intensive daily 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 ERP therapy, group sessions, and individual treatment 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 ERP sessions and individual therapy.

Learn More About OP
Schedule1–3 sessions/week
DurationOngoing as needed
FocusOCD maintenance
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 combined with ERP therapy for comprehensive OCD treatment. Our on-site Nurse Practitioner manages SSRIs and other medications to reduce obsessive thought patterns.

Learn More About Medication Mgmt
MedicationsSSRIs (high-dose)
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 OCD treatment at Trailhead — the ERP therapy was challenging but life-changing. The staff understood my intrusive thoughts without judgment and helped me reclaim my life.]”

— [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 OCD-specific treatment — the combination of ERP and medication finally broke the cycle of compulsions. I can leave my house without checking locks 20 times now.]”

— [Client Name], Google Review
★★★★★

“[Family member testimonial — the family support program helped us understand OCD and how to stop accommodating the rituals. We couldn’t have done this without Trailhead.]”

— [Family Member], Google Review
Why Trailhead

11 Reasons to Choose Trailhead for OCD 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

Targeted Medication for OCD

High-dose SSRIs and augmentation strategies to reduce obsessive thought patterns, managed by our on-site NP.

05

ERP Therapy (Gold Standard for OCD)

Exposure and Response Prevention therapy — the most effective treatment for OCD — gradually reduces anxiety by facing triggers without performing rituals.

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 — ERP, CBT, ACT, mindfulness-based approaches. 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 mindfulness activities complement evidence-based OCD treatment.

11

Dual State Licensing

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

Recovery Timeline

Your Path Through OCD Treatment

01

Weeks 1–2: Assessment & Psychoeducation

Your first weeks focus on comprehensive OCD assessment, building an exposure hierarchy, medication evaluation, and understanding the OCD cycle.

  • Comprehensive OCD and biopsychosocial evaluation
  • NP evaluation within 24 hours
  • SSRI initiation or adjustment if clinically appropriate
  • Therapist and case manager assignment
02

Weeks 3–4: Active ERP Therapy

Immerse in intensive ERP therapy. Graduated exposure exercises, individual sessions, and anxiety tolerance building.

  • Daily ERP exercises with therapist guidance
  • Weekly individual therapy sessions
  • Psychoeducation on the OCD cycle and brain mechanisms
  • Response prevention strategies and habit reversal
03

Weeks 5–8: Real-World Integration

Apply ERP skills to real-life situations and triggers. Step down from PHP to IOP as you build confidence in managing OCD independently.

  • In-vivo exposure exercises in real-world settings
  • Mindfulness, yoga, and anxiety management
  • Family therapy and accommodation reduction
  • Transition planning begins
04

Weeks 9–12+: Maintenance & Prevention

Continued outpatient support, alumni program, and aftercare coordination to maintain your progress long-term.

  • Step-down to OP or ongoing individual ERP therapy
  • Alumni program enrollment
  • Ongoing medication management as needed
  • External provider referrals and OCD relapse prevention
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 anxiety disorders and evidence-based OCD treatment.
Photo

[Lead Therapist]

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

[Nurse Practitioner]

APRN, Psychiatric NP
Our on-site NP manages psychiatric medications for OCD including high-dose SSRIs and augmentation strategies, 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, paperwork assistance, and community resource coordination.
The Reality

OCD in America

%0
U.S. Adults Have OCD
Approximately 1 in 40 adults in the United States lives with obsessive-compulsive disorder.
0
Years Avg. Before Treatment
People with OCD often suffer for over a decade before receiving proper diagnosis and evidence-based treatment.
%0
Respond to ERP
Research shows that approximately 70% of people with OCD experience significant improvement with ERP therapy.
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 OCD

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

📚

Educate Yourself

OCD is a neurological condition, not a personality quirk. Understanding the obsession-compulsion cycle helps you respond with compassion instead of frustration.

🛑

Stop Accommodating

Participating in rituals or providing reassurance may seem helpful but actually reinforces OCD. Gradually reducing accommodation supports treatment progress.

🤝

Be Patient

ERP therapy is hard work. Your loved one will face anxiety deliberately as part of treatment. Support them through discomfort without rescuing them from it.

👥

Family Therapy

Individual family therapy sessions and monthly Zoom education groups on OCD accommodation, family systems, and supporting treatment.

💚

Self-Care First

Your mental health matters. Living with someone’s OCD can be exhausting. Consider therapy for yourself and maintain your own routines and social connections.

💬

Start the Talk

Choose a calm moment. Use “I” statements: “I’ve noticed you’re struggling and I want to help you find support” not “You need to stop doing that.”

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 OCD to resist treatment. Fear of facing triggers in ERP can feel overwhelming. These approaches can help.

Consider a Professional Intervention

A structured conversation facilitated by a mental health professional can help your loved one understand how OCD is limiting their life. Therapists trained in OCD can explain ERP in a way that reduces fear and builds hope for meaningful improvement.

Use Motivational Approaches

Rather than confrontation, express concern with empathy. Ask open-ended questions: “What would your life look like if the rituals took up less time?” Focus on what OCD is taking away from them. Let them arrive at their own motivation.

Set Clear Boundaries

Boundaries protect your wellbeing and can motivate change. Gradually reduce your participation in OCD rituals and reassurance-seeking. Be specific about what you will and won’t accommodate, while expressing love and support for treatment.

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, severe depression from OCD, self-harm, or risk of harm to self or others — call 911 or the 988 Suicide & Crisis Lifeline immediately. OCD-related despair can escalate to crisis and professional help is essential.

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 OCD.

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

Topics include understanding OCD, reducing accommodation, family systems, and building a treatment-supportive home.

Call for Family Support
Service Area

OCD Treatment in Salem, NH & Beyond

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

OCD Treatment FAQ

Common signs include intrusive, unwanted thoughts (obsessions) about contamination, harm, symmetry, or taboo subjects, combined with repetitive behaviors (compulsions) like checking, washing, counting, or seeking reassurance. The key indicator is that these thoughts cause significant distress and the rituals consume meaningful time.
OCD is far more than being tidy. It involves distressing, ego-dystonic thoughts (meaning you don’t want them) and compulsions driven by intense anxiety, not preference. People with OCD don’t enjoy their rituals — they feel trapped by them. If your thoughts and behaviors are causing significant distress or taking up more than an hour a day, it may be OCD.
Exposure and Response Prevention (ERP) is the gold-standard therapy for OCD. It involves gradually exposing you to situations that trigger obsessions while helping you resist performing the associated compulsions. Over time, your brain learns that the anxiety decreases on its own without rituals.
Treatment length varies by OCD severity. PHP typically lasts 20–30 days, IOP runs 60–90 days, and ongoing outpatient support continues as needed. Many people notice meaningful improvement in ERP within 12–20 sessions.
Yes. SSRIs at higher-than-typical doses are the first-line medication for OCD. Our on-site NP can manage these medications and add augmentation strategies if needed. Medication works best when combined with ERP therapy.
ERP involves temporary increases in anxiety during exposures, but this is planned and controlled with your therapist. The anxiety peaks and then naturally decreases (a process called habituation). Over time, triggers produce less and less anxiety. Most clients report feeling better within weeks.
Yes — family involvement is critical for OCD treatment. We offer individual family therapy sessions and monthly Zoom family education groups covering OCD accommodation reduction, family systems, and supporting treatment. Open to any family member 18+.
Most major insurance plans cover OCD 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 OCD specialists, continued family support groups, and ongoing maintenance ERP sessions.

Begin Your Recovery Journey Today

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

Call Now — (857) 312-1697