Evidence-based OCD treatment with Exposure and Response Prevention therapy, flexible scheduling, medication management, and a compassionate approach to lasting relief.
Obsessive-compulsive disorder manifests in different ways. Understanding the symptom types can help determine the right level of care.
Experiencing any of these symptoms? Our clinical team can help determine the right level of care.
Get a Free AssessmentSame-day admissions available. Most insurance accepted. Confidential.
Multiple levels of care designed to meet you where you are in your healing journey. Step up or down as your needs evolve.
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 PHPA 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 IOPDesigned specifically for working professionals. The same evidence-based programming as our daytime IOP, delivered in the evening so you can maintain your career.
Learn MoreStep-down support for continued progress. Less intensive than IOP but maintains therapeutic momentum with weekly ERP sessions and individual therapy.
Learn More About OPFull access to our programming from anywhere. Secure video platform for groups, individual therapy, and psychiatric consultations. Same clinical rigor, added convenience.
Learn More About TelehealthPsychiatric 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“[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 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 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.]”
“[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.]”
Intensive daily programming while maintaining your home life, family connections, and daily routines.
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.
High-dose SSRIs and augmentation strategies to reduce obsessive thought patterns, managed by our on-site NP.
Exposure and Response Prevention therapy — the most effective treatment for OCD — gradually reduces anxiety by facing triggers without performing rituals.
One-on-one sessions with a licensed therapist at every program level — not just when insurance allows it.
Your therapeutic modality is individualized — ERP, CBT, ACT, mindfulness-based approaches. We adapt to you, not the other way around.
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 mindfulness activities complement evidence-based OCD treatment.
Licensed in both New Hampshire and Massachusetts, ensuring broad regional access and insurance acceptance.
Your first weeks focus on comprehensive OCD assessment, building an exposure hierarchy, medication evaluation, and understanding the OCD cycle.
Immerse in intensive ERP therapy. Graduated exposure exercises, individual sessions, and anxiety tolerance building.
Apply ERP skills to real-life situations and triggers. Step down from PHP to IOP as you build confidence in managing OCD independently.
Continued outpatient support, alumni program, and aftercare coordination to maintain your progress 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 OCD is 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 with OCD to resist treatment. Fear of facing triggers in ERP can feel overwhelming. These approaches can help.
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.
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.
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.
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 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) 312-1697Our family support program provides education and community for anyone affected by a loved one’s OCD.
Topics include understanding OCD, reducing accommodation, family systems, and building a treatment-supportive home.
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.
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.