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Panic Disorder Treatment in Salem, NH

Evidence-based panic disorder treatment with CBT, exposure therapy, and breathwork techniques to help you regain control and live without fear.

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

Signs & Symptoms of Panic Disorder

Panic disorder involves recurrent, unexpected panic attacks and persistent worry about future episodes. Understanding the severity can help determine the right level of care.

Early Warning Signs

Sudden episodes of intense fear or discomfort that peak within minutes
Racing heart, pounding heartbeat, or heart palpitations during attacks
Shortness of breath or a sensation of being smothered
Persistent worry about when the next panic attack will occur

Escalating Symptoms

Chest pain or tightness that mimics a heart attack during episodes
Dizziness, lightheadedness, or feeling faint during panic attacks
Tingling or numbness in the hands, feet, or face
Feelings of unreality (derealization) or being detached from yourself (depersonalization)

Severe / Agoraphobia

Avoiding places, situations, or activities for fear of triggering a panic attack
Inability to leave home, drive, or be in crowds without extreme distress (agoraphobia)
Constant fear of losing control, “going crazy,” or dying during an attack
Significant impairment in work, relationships, and daily functioning due to avoidance behaviors

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

Get a Free Assessment

Start Panic Disorder Treatment Today

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

Treatment Programs

Programs for Panic Disorder

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

Partial Hospitalization Program

Our most intensive outpatient level. Full-day programming with CBT-based panic protocols, exposure therapy, group sessions, and breathwork. Ideal for severe panic disorder or agoraphobia requiring 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 CBT skills groups, exposure practice, and individual therapy 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 panic disorder 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 focused on panic management.

Learn More About OP
Schedule1–3 sessions/week
DurationOngoing as needed
FocusSymptom management
TherapyWeekly individual

Telehealth Services

Full access to our panic disorder programming from anywhere. Secure video platform for CBT sessions, exposure coaching, and psychiatric consultations. Especially helpful for clients with agoraphobia.

Learn More About Telehealth
PlatformHIPAA-compliant video
OptionsFull or hybrid attendance
StatesNH & MA residents
GroupsLive participation

Medication Management

When clinically appropriate, our on-site Nurse Practitioner can prescribe SSRIs, SNRIs, or short-term anxiolytics to help stabilize panic symptoms while therapy takes effect. Medication is always combined with CBT.

Learn More About Medication
MedicationsSSRIs, SNRIs, PRN
ProviderOn-site NP
EvalWithin 24 hours
ApproachTherapy-first model
JCAHO Accredited
NH Licensed
MA Licensed
LegitScript Certified
Client Reviews

What Our Clients Say

★★★★★

“[Client testimonial about panic disorder treatment at Trailhead — the staff made me feel safe from day one. The CBT techniques gave me tools I use every day to manage my anxiety.]”

— [Client Name], Google Review
★★★★★

“[Client testimonial about the personalized approach — my therapist understood my panic attacks and the exposure therapy helped me face situations I’d been avoiding for years.]”

— [Client Name], Google Review
★★★★★

“[Client testimonial about panic-specific treatment — I thought I was having heart attacks. Learning they were panic attacks and getting proper treatment changed my life.]”

— [Client Name], Google Review
★★★★★

“[Family member testimonial — watching my spouse get their life back from panic disorder was incredible. The family education helped us understand what they were going through.]”

— [Family Member], Google Review
Why Trailhead

11 Reasons to Choose Trailhead for Panic Disorder Treatment

01

CBT — The Gold Standard for Panic

Cognitive behavioral therapy is the most researched and effective treatment for panic disorder. Our clinicians are specifically trained in panic-focused CBT protocols.

02

Graduated Exposure Therapy

Systematic, guided exposure to feared sensations and situations — at your pace. We help you face what panic has made you avoid.

03

On-Site NP Within 24 Hours

Every client sees our Nurse Practitioner within a day of admission for psychiatric evaluation, medication review, and health assessment.

04

Breathwork & Somatic Techniques

Learn diaphragmatic breathing, progressive muscle relaxation, and grounding exercises that interrupt the panic cycle in real time.

05

Interoceptive Exposure

Controlled exercises that safely recreate panic-like sensations (elevated heart rate, dizziness) so your brain learns these feelings are not dangerous.

06

Weekly Individual Therapy

One-on-one sessions with a licensed therapist at every program level — not just when insurance allows it.

07

Flexible Scheduling

Mix morning, afternoon, or evening sessions to fit your work, family, or personal commitments. Switch tracks daily.

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 connection. This isn’t a factory — it’s a family.

10

Holistic & Experiential

Yoga, meditation, breathwork, mindfulness, and recreational activities complement evidence-based treatment for whole-person healing.

11

Dual State Licensing

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

Treatment Timeline

Your Path Through Panic Disorder Treatment

01

Weeks 1–2: Assessment & Psychoeducation

Your first weeks focus on comprehensive clinical assessment, understanding your panic patterns, and building your treatment team.

  • Comprehensive biopsychosocial evaluation
  • NP evaluation within 24 hours
  • Panic disorder psychoeducation — understanding the fight-or-flight cycle
  • Therapist and case manager assignment
02

Weeks 3–4: CBT & Exposure Therapy

Immerse in intensive therapeutic programming. Daily CBT skills groups, guided exposure exercises, and breathwork training.

  • Daily CBT and mindfulness skills groups
  • Weekly individual therapy sessions
  • Interoceptive exposure — learning panic sensations are not dangerous
  • Cognitive restructuring of catastrophic thinking
03

Weeks 5–8: Real-World Application

Apply your new skills to real-life situations. Gradually face avoided places and activities. Step down from PHP to IOP as confidence builds.

  • In-vivo exposure to previously avoided situations
  • Yoga, meditation, and breathwork practice
  • Family therapy and psychoeducation
  • Transition planning begins
04

Weeks 9–12+: Maintenance & Prevention

Continued outpatient support, alumni program, and aftercare coordination to maintain your progress and prevent setbacks.

  • Step-down to OP or ongoing individual therapy
  • Alumni program enrollment
  • Setback prevention planning
  • 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

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[Clinical Director]

LCMHC, CCTP
[Clinical Director] oversees all clinical operations at Trailhead, bringing specialized training in anxiety disorders, CBT protocols, and evidence-based mental health treatment.
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[Lead Therapist]

LADC, Master’s Degree
With over 10 years of experience in anxiety treatment, [Lead Therapist] specializes in CBT, exposure therapy, and skills groups for panic disorder and agoraphobia.
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

Panic Disorder in America

M0
Americans Affected
Approximately 6 million U.S. adults live with panic disorder in any given year.
%0
Respond to Treatment
Up to 70–90% of people with panic disorder improve significantly with proper CBT treatment.
%0
Go Untreated
Over a third of people with panic disorder never receive treatment, suffering needlessly for years.
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 Panic Disorder

Supporting someone with panic disorder requires patience and understanding. These approaches can help.

📚

Learn About Panic

Panic attacks are not “just anxiety.” They are a real physiological response. Understanding the fight-or-flight cycle helps you respond with empathy.

🛑

Don’t Accommodate Avoidance

While well-intentioned, helping them avoid feared situations reinforces the panic cycle. Gently encourage facing fears alongside professional support.

🤝

Stay Calm During Attacks

Your calm presence is powerful. Speak slowly, encourage deep breathing, and reassure them the panic will pass — it always does.

👥

Family Therapy

Individual family therapy sessions help you understand panic disorder and learn how to support your loved one’s treatment without enabling avoidance.

💚

Self-Care First

Your mental health matters too. Caring for someone with panic disorder can be draining. Maintain your own routines and seek support when needed.

💬

Encourage Treatment

Choose a calm moment. Use “I” statements: “I’ve noticed you’re struggling and I want to help you find support.”

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 panic disorder to resist treatment. These approaches can help.

Normalize Seeking Help

Many people with panic disorder believe they should be able to “handle it” on their own. Help them understand that panic disorder is a treatable medical condition, and that seeking professional help is a sign of strength, not weakness.

Share the Success Rates

CBT for panic disorder has one of the highest success rates in all of mental health treatment — 70 to 90% of people improve significantly. Sharing this data can help someone resistant to treatment see that effective help exists.

Offer to Go With Them

For someone with panic disorder, the idea of going to a new place can itself trigger anxiety. Offer to accompany them to the first appointment, drive them, or sit in the waiting room. Reducing the logistical barriers can make all the difference.

Start Small — Telehealth Option

If leaving the house feels impossible, Trailhead offers full telehealth programming. Your loved one can begin treatment from the safety of home and gradually work toward in-person sessions as they build confidence through exposure therapy.

Know When to Call for Help

If your loved one is experiencing suicidal thoughts, severe depression alongside panic, or is unable to care for themselves due to agoraphobia — call 911 or the 988 Suicide & Crisis Lifeline immediately. Panic disorder is highly treatable, but crisis situations require immediate intervention.

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 supporting a loved one through panic disorder treatment.

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

Topics include understanding anxiety disorders, supporting treatment without enabling avoidance, and building a healing-supportive home.

Call for Family Support
Service Area

Panic Disorder Treatment in Salem, NH & Beyond

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

Panic Disorder Treatment FAQ

Panic disorder is characterized by recurrent, unexpected panic attacks — sudden surges of intense fear that peak within minutes. It also involves persistent worry about future attacks and behavioral changes to avoid them. It is a real, treatable medical condition, not a character flaw.
While anxiety tends to build gradually and linger, panic attacks are sudden and intense. They typically peak within 10 minutes and involve physical symptoms like racing heart, chest pain, shortness of breath, dizziness, and a feeling of losing control or dying. Many people mistake their first panic attack for a heart attack.
Yes. About one-third of people with panic disorder develop agoraphobia — the fear and avoidance of places or situations where escape might be difficult or help unavailable during a panic attack. Early treatment with CBT and exposure therapy can prevent agoraphobia from developing or worsening.
Treatment length varies by individual need and severity. PHP typically lasts 20–30 days, IOP runs 60–90 days, and ongoing outpatient support continues as needed. Many clients see significant improvement within 8–12 weeks of CBT-focused treatment.
When clinically appropriate, our on-site NP can prescribe SSRIs or SNRIs, which are first-line medications for panic disorder. Short-term anxiolytics may be used during the stabilization phase. Medication is always combined with CBT for best outcomes.
Our primary approach is CBT with exposure therapy — the gold standard for panic disorder. This includes cognitive restructuring, interoceptive exposure, in-vivo exposure, breathwork, mindfulness, and progressive muscle relaxation. Treatment is individualized to your specific symptoms and triggers.
Yes — family involvement is encouraged. We offer individual family therapy sessions and monthly Zoom family education groups. Families learn how to support treatment without accommodating avoidance behaviors. Open to any family member 18+.
Most major insurance plans cover mental health treatment including panic disorder. 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 Healing Journey Today

Your path to freedom from panic begins with a single phone call. We’ll handle the rest.

Call Now — (857) 312-1697