Compassionate, evidence-based self-harm treatment with DBT, individual therapy, and a safe environment to build healthier coping skills.
Self-harm is a coping mechanism, not a choice. Understanding the warning signs can help you or your loved one get the right support.
In crisis? Call the 988 Suicide & Crisis Lifeline (call or text 988) or text HOME to 741741 (Crisis Text Line).
Our clinical team can help determine the right level of care.
Get a Free AssessmentSame-day admissions available. Most insurance accepted. Confidential and judgment-free.
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 DBT skills training, individual therapy, safety planning, and holistic activities. Ideal for those needing intensive structure and daily support.
Learn More About PHPA structured step-down from PHP. Continued DBT skills groups and individual therapy with more flexibility for work, school, or family commitments.
Learn More About IOPDesigned specifically for working professionals. The same DBT-focused programming as our daytime IOP, delivered in the evening so you can maintain your career while getting help.
Learn MoreStep-down support for continued healing. Less intensive than IOP but maintains therapeutic momentum with weekly groups and individual sessions focused on coping skills.
Learn More About OPFull access to our self-harm treatment programming from anywhere. Secure video platform for DBT groups, individual therapy, and psychiatric consultations. Same clinical rigor, added convenience.
Learn More About TelehealthWhen clinically appropriate, our on-site Nurse Practitioner can prescribe medications to address underlying depression, anxiety, or emotional dysregulation that often co-occurs with self-harm. Medication always complements DBT therapy.
Learn More About Medication“[Client testimonial about self-harm treatment at Trailhead — the staff never judged me. They helped me understand why I was hurting myself and gave me real tools to cope differently.]”
“[Client testimonial about DBT — learning distress tolerance skills changed everything for me. For the first time I have ways to handle intense emotions without hurting myself.]”
“[Client testimonial about the safe environment — I was terrified to talk about self-harm. The group made me realize I wasn’t alone and that healing was possible.]”
“[Family member testimonial — the family program helped us understand self-harm is a coping mechanism, not attention-seeking. We learned how to support without enabling.]”
Dialectical behavior therapy is the most researched and effective treatment for self-harm. Our clinicians are specifically trained in comprehensive DBT protocols.
Learn to survive emotional crises without resorting to self-harm. Ice diving, TIPP skills, and crisis survival strategies give you real alternatives in the moment.
Every client sees our Nurse Practitioner within a day of admission for psychiatric evaluation, safety assessment, and medication review.
Build skills to identify, understand, and manage intense emotions before they escalate to the point where self-harm feels like the only option.
Collaborative, individualized safety plans created with your therapist — specific steps, contacts, and coping strategies for high-risk moments.
One-on-one sessions with a licensed therapist at every program level — not just when insurance allows it.
Self-harm carries stigma. At Trailhead, there is no judgment — only understanding. We meet you where you are with compassion and clinical expertise.
Multiple weekly admission opportunities. Begin programming within 24 to 48 hours of your first call.
Staff know every client by name. Shared lunches build connection. This isn’t a factory — it’s a family.
Yoga, meditation, breathwork, art therapy, and mindfulness activities complement evidence-based treatment for whole-person healing.
Licensed in both New Hampshire and Massachusetts, ensuring broad regional access and insurance acceptance.
Your first weeks focus on comprehensive clinical assessment, safety planning, psychiatric evaluation, and building your treatment team.
Immerse in intensive DBT programming. Daily skills groups, individual therapy, and practice building healthier coping strategies.
Apply your new DBT skills to real-life stressors. Step down from PHP to IOP as you build confidence in your ability to cope safely.
Continued outpatient support, alumni program, and aftercare coordination to maintain your progress and prevent setbacks.
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.
Discovering that someone you love is hurting themselves is frightening. These approaches can help you respond effectively.
Our family support program is open to all family members 18+, past and present clients.
Call for Family SupportIt’s common for people struggling with self-harm to resist treatment. These approaches can help.
Choose a calm, private moment. Use “I” statements: “I’ve noticed some marks on your arms and I’m worried about you. I care about you and I want to help.” Avoid confrontation, ultimatums, or demands to stop immediately — shame drives self-harm deeper into secrecy.
Self-harm carries enormous shame. Normalize that many people struggle with it and that effective treatment exists. Share that DBT has helped thousands of people develop healthier coping skills. Frame treatment as gaining new tools, not “fixing” them.
Give them options: “Would you prefer to talk to a therapist, call a crisis line, or let me help you find a program?” Offering choices respects their autonomy. For Trailhead, telehealth is available if in-person feels too overwhelming at first.
Even if they refuse treatment today, keep the door open. Check in regularly without pressuring. Let them know you care and that help is available whenever they’re ready. Isolation worsens self-harm — your consistent presence matters more than you know.
If there is immediate danger — suicidal statements, deep wounds requiring medical attention, or escalating self-harm severity — call 911 immediately. You can also call the 988 Suicide & Crisis Lifeline (call or text 988) or text HOME to 741741 (Crisis Text Line). Do not leave them alone.
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 supporting a loved one through self-harm treatment.
Topics include understanding self-harm, family communication skills, setting supportive boundaries, and building a healing-supportive home.
Trailhead Treatment Center is located in the medical and behavioral health corridor of Salem, New Hampshire. We provide self-harm treatment for adults throughout greater New Hampshire and northern Massachusetts.
Conveniently accessible via I-93 and Route 28. Dually licensed in NH & MA.
Your path to healthier coping begins with a single phone call. We’ll handle the rest.
