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Anxiety Treatment in Salem, New Hampshire

Anxiety doesn’t announce itself all at once. It arrives quietly — a worried thought becomes a racing mind, and before long, the line between caution and constant dread disappears entirely. At Trailhead, we understand that journey, because our clinicians have dedicated their careers to helping people reclaim calm. We offer evidence-based treatment with the flexibility, compassion, and clinical rigor that lasting healing demands.
24-48hr Admission Timeline
4:1 Staff-to-Client Ratio
Medication Management On-Site
Dual NH & MA Licensed
Recognize the Signs

Signs & Symptoms of Anxiety

Anxiety disorders exist on a spectrum. Understanding where you or your loved one falls can help determine the right chapter of treatment.

Mild
Persistent worry that feels disproportionate to the situation — what starts as reasonable concern becomes a loop that won’t stop.
Restlessness or feeling keyed up, as though you’re always waiting for something bad to happen.
Difficulty concentrating or finding that your mind goes blank when you need to focus most.
Muscle tension, jaw clenching, or headaches that seem connected to periods of heightened worry.
Moderate
Avoidance of situations, places, or activities due to fear of triggering anxiety — your world starts shrinking.
Sleep disruption — difficulty falling asleep, staying asleep, or waking with a racing mind in the early hours.
Irritability that seems out of proportion to circumstances, straining relationships at home and work.
Physical symptoms like rapid heartbeat, shortness of breath, or digestive problems with no medical explanation.
Severe
Panic attacks — sudden episodes of intense fear with chest pain, dizziness, shaking, or a feeling of losing control.
Inability to leave the house, attend work, or engage in daily activities due to overwhelming fear.
Constant sense of impending doom that dominates every waking moment and makes normal functioning impossible.
Complete social withdrawal — avoiding all interactions because the anxiety of being around others is unbearable.

If any of these resonated, our clinical team can help determine the right level of care.

Get a Free Assessment

Your path to calm starts with a single call

Same-day admissions available. Most insurance accepted. Completely confidential.

Treatment Programs

Programs for Anxiety

Multiple levels of care designed to meet you where you are. Step up or down as your healing evolves — each chapter builds on the last.

i.

Partial Hospitalization Program

Our most intensive outpatient level. Full-day programming with clinical assessments, group therapy, individual sessions, holistic activities, and daily lunch. The foundation for lasting change.

Mon–Fri, 9am–3:30pm 20–30 days Lunch included
ii.

Intensive Outpatient Program

A structured step-down from PHP. Continued group therapy and individual sessions with more flexibility for work, school, or family. Morning, afternoon, or evening tracks.

Mon–Fri, 9am–12:30pm 60–90 days Switch tracks daily
iii.

Evening Professional Track

Designed for working adults who can’t attend daytime programming. The same evidence-based IOP curriculum, delivered in the evening.

Mon–Thu, 6pm–9pm For working professionals
iv.

Outpatient Program

Step-down support for continued healing momentum. Less intensive than IOP but maintains therapeutic continuity with weekly groups and individual sessions.

1–3 sessions/week Ongoing as needed
v.

Telehealth Services

Full access to our programming from anywhere. HIPAA-compliant video sessions for groups, individual therapy, and psychiatric consultations.

Full or hybrid attendance NH & MA residents
vi.

Medication Management

Evidence-based psychiatric medications (SSRIs, buspirone) combined with therapy. Our on-site Nurse Practitioner manages your medication plan with your input, monitoring response and adjusting as needed.

On-site NP Eval within 24 hours Collaborative approach
JCAHO Accredited NH Licensed MA Licensed LegitScript Certified HIPAA Compliant
What They Say

Stories from Healing

“[Client testimonial about anxiety treatment at Trailhead — the staff made me feel safe from the very first day. The flexible scheduling meant I didn’t have to choose between getting help and keeping my job.]”
— [Client Name] • Google Review
“[Client testimonial about the personalized approach — my therapist truly understood what I was going through. Learning exposure techniques and CBT skills changed everything for me.]”
— [Client Name] • Google Review
“[Family member testimonial — the family support program helped us understand anxiety as a medical condition, not something they could just “get over.” We learned how to support healing without accommodating avoidance. It saved our family.]”
— [Family Member] • Google Review
Why Trailhead

11 Reasons to Choose Trailhead for Anxiety Treatment

1. Live at home, heal during the day. Our outpatient model means you sleep in your own bed, maintain family connections, and practice coping skills in the real world from day one.

→ No residential stay required

2. Flexible scheduling across three tracks. Morning, afternoon, or evening sessions — switch daily based on your work, family, or personal commitments. Our Evening Professional Track (6–9 PM) is built specifically for working adults.

→ Switch tracks daily — no penalty
→ Switch tracks daily — no penalty

3. On-site Nurse Practitioner within 24 hours. Every client meets our NP within a day of admission for psychiatric evaluation, health assessment, and medication initiation if appropriate.

4. Medication management for anxiety. SSRIs and buspirone can significantly reduce anxiety symptoms and help you engage more fully in therapy. Your choice on approach — we support collaborative, patient-directed decisions.

→ SSRIs & buspirone available
→ SSRIs & buspirone available

5. Daily DBT skills groups provide the emotional regulation, distress tolerance, and mindfulness foundation that makes lasting healing possible.

6. Weekly individual therapy with a licensed therapist at every program level. One-on-one sessions aren’t a luxury — they’re a standard.

7. Client-driven therapy choice. CBT, ACT, exposure therapy, DBT — your modality is based on your preferences and clinical needs, not a rigid curriculum.

→ Your healing, your approach
→ Your healing, your approach

8. Rapid admission. Multiple weekly admission opportunities. No months-long waitlists — begin programming within 24 to 48 hours of your first call.

9. A family-style environment where staff know every client by name. Shared lunches build fellowship. This isn’t a factory — it’s a family.

10. Holistic & experiential programming including yoga, meditation, breathwork, equine therapy at Blue Sky Farm, and activities designed to rebuild confidence and reduce avoidance.

11. Dual state licensing in both New Hampshire and Massachusetts ensures broad regional access and insurance acceptance across both states.

Treatment Timeline

Your Path Through Anxiety Treatment

Weeks 1–2 • Assessment & Stabilization
The First Pages
Reaching out is the hardest part, and it’s behind you. Your first days at Trailhead focus on settling in, meeting your team, and beginning to understand the tools that will help you reclaim calm.
  • Comprehensive biopsychosocial evaluation
  • NP psychiatric evaluation and medication assessment within 24 hours
  • Medication initiation (SSRIs/buspirone) if clinically appropriate
  • Therapist and case manager assignment
Weeks 3–4 • Active Treatment
Finding Your Voice
Now the real work begins. Daily groups, individual sessions, and skill-building exercises help you understand the patterns that feed anxiety — and build new responses to replace them.
  • Daily DBT, CBT, and exposure-based skills groups
  • Weekly individual therapy sessions
  • Psychoeducation on how anxiety affects the brain and body
  • Coping strategy development and safety planning
Weeks 5–8 • Integration
Writing New Chapters
You start applying what you’ve learned to real life. Step down from PHP to IOP. Gradually face the situations you’ve been avoiding. Discover that life beyond anxiety isn’t just manageable — it can be genuinely free.
  • Gradual exposure exercises in real-world settings
  • Equine therapy, hiking, mindfulness activities
  • Family therapy and monthly support groups
  • Transition planning and aftercare coordination
Weeks 9–12+ • Maintenance
The Story Continues
Healing doesn’t end when programming does. Outpatient support, alumni connection, and aftercare referrals ensure you’re never writing this chapter alone.
  • Step-down to OP or ongoing individual therapy
  • Alumni program enrollment
  • Medication monitoring and adjustment as needed
  • External provider referrals
Our Space

Tour Trailhead

Group Room

Group Therapy Rooms

Comfortable spaces for open dialogue and therapeutic connection.

Meditation Room

Meditation Room

Quiet sanctuary for mindfulness and breathwork.

Serenity Room

Serenity Room

Private space for decompression and sensory regulation.

Dining Area

Dining Area

Where fellowship happens — shared lunches and community.

Game Room

Recreation Room

Ping pong, foosball, Xbox — healing can include joy.

Outdoor

Outdoor Space

Fresh air and green space between sessions.

Your Team

The People Behind Your Healing

[Clinical Director]

LCMHC, CCTP

Oversees all clinical operations at Trailhead. Specialized training in trauma processing and evidence-based anxiety treatment.

* Years of clinical experience in behavioral health

[Lead Therapist]

LICSW, Master’s Degree

Over a decade of experience in mental health counseling. Specializes in CBT, exposure therapy, and DBT skills groups for anxiety disorders.

* Combines professional credentials with deep clinical expertise

[Nurse Practitioner]

APRN, Psychiatric NP

Manages psychiatric medication, evaluations, and ongoing medication management. Available within 24 hours of admission.

* On-site for all PHP and IOP clients
The Local Picture

Anxiety in New Hampshire

Anxiety disorders are the most common mental health condition in the United States, and New Hampshire is no exception. Approximately 19.1% of adults nationwide experience an anxiety disorder in any given year1, with New Hampshire reporting rates that exceed the national average. Among those affected, nearly 36.9% receive treatment2 — meaning nearly two-thirds of people living with debilitating anxiety are doing so without professional help.

The consequences ripple through every part of life. Anxiety disorders are a leading cause of workplace disability, relationship breakdown, and reduced quality of life. In New Hampshire, limited access to outpatient mental health providers leaves many communities underserved3. Behind every statistic is a family, a community, and a person whose life could look very different with the right support. At Trailhead, we believe treatment changes these numbers — one person at a time.
National Institute of Mental Health (NIMH), 2022 prevalence data for anxiety disorders among U.S. adults.
Anxiety & Depression Association of America (ADAA) and NIMH, 2022–2023 treatment utilization estimates.
NH Department of Health and Human Services, mental health workforce and access reports, 2022–2023.
Coverage

Insurance We Accept

We work with most major insurance providers. Verify your coverage in minutes.

Provider Network Status
Anthem Blue Cross Blue Shield In-Network
Point 32 Health (Harvard Pilgrim) In-Network
Point 32 Health (Tufts) In-Network
Tricare In-Network
Uprise Health In-Network
WellSense (NH Medicaid) In-Network

Don’t see your provider? We may still be able to help. Call or submit the form below.

Verify Benefits

Check Your Coverage

Submit the form below and our admissions team will verify your benefits within minutes.

Your information is secure and confidential. We will never share your data.

At a Glance

Trailhead by the Numbers

Trailhead Treatment Center maintains an approximate 4:1 staff-to-client ratio, with roughly 16 staff members supporting up to 60–70 clients at any given time. Each counselor carries a caseload of about 12 clients, which means there is space — real space — for the kind of individualized attention that makes treatment work. Admissions can be completed within 24 to 48 hours of an initial call, with multiple admission windows available each week. Our facility in Salem, New Hampshire serves adults ages 18 to 80, offering co-ed programming across every level of care. We are licensed in both New Hampshire and Massachusetts, with JCAHO and CARF accreditations pending.

The hardest part is the first call

Once you make it, we handle everything else. Admissions, insurance, scheduling — all of it.

For Families

How to Help a Loved One with Anxiety

Dear Family Member,

If you are reading this, you are probably worried about someone you love. That worry is a sign of something good — it means you haven’t given up. And we want you to know: you shouldn’t.

Anxiety is a medical condition, not a character flaw. The person you knew before the anxiety took hold is still there. But they need professional help to find their way back — and you may need guidance too.

Start by educating yourself. Understand how anxiety hijacks the brain’s threat-detection system, why it is not simply “worrying too much,” and why telling someone to “just relax” rarely helps. Stop accommodating their avoidance — driving them everywhere, answering their reassurance-seeking questions, or rearranging your life around their fears. While these come from love, accommodation reinforces the anxiety cycle.

Be supportive without enabling avoidance. “I love you, and I believe you can handle more than anxiety tells you.” Have the conversation gently, using “I” statements rather than accusations. Offer specific next steps: “I found a program in Salem — can we call together?”

Take care of yourself, too. Consider therapy, a support group, or our monthly family education groups on Zoom. You cannot pour from an empty cup. Trailhead offers individual family therapy sessions and ongoing family support — for all family members ages 18 and up, past and present clients.

With hope,
The Clinical Team at Trailhead Treatment Center
When They Resist

What If They Refuse Treatment?

Resistance to treatment is common with anxiety. It doesn’t mean healing is impossible — it means a different approach may be needed. Below, our clinical team answers the questions families ask most.

They say their anxiety isn’t “that bad.” How do I respond?
People with anxiety often minimize their symptoms because they’ve been living with them for so long that constant worry feels normal. Gently point out the concrete ways anxiety is affecting their life: “I’ve noticed you haven’t been to [social event, work function, family gathering] in months. That’s not like you.” Help them see that treatment isn’t for the worst-case scenario — it’s for getting their life back.
What if the idea of treatment itself causes them anxiety?
This is extremely common and makes perfect sense — the very condition that needs treatment makes seeking treatment feel impossible. Offer to remove barriers: “I’ll make the call. I’ll drive you. You don’t have to do this alone.” Remind them that our admissions team talks to anxious people every day and will move at their pace. Telehealth is also available if coming in person feels overwhelming at first.
They tried medication before and it didn’t work. Now what?
One medication not working does not mean medication won’t work. There are many options, and finding the right fit often takes clinical expertise and patience. More importantly, medication alone is rarely sufficient for anxiety — it works best combined with therapy like CBT and exposure techniques. Our NP and therapists work together to create a comprehensive plan, not just write a prescription.
How do we know when it’s serious enough for treatment?
There is no minimum threshold of suffering required to deserve help. If anxiety is affecting their health, relationships, work, or daily functioning, treatment is appropriate. Waiting for things to get worse is unnecessary and counterproductive. The best time to seek treatment is right now.
What should we do in the meantime?
Take care of yourself. Attend a support group or family therapy. Educate yourself about anxiety as a medical condition. Stop accommodating avoidance behaviors, even though it feels unkind. And when they’re ready — or when there’s a window of willingness, even a small one — have the information ready. We can admit clients within 24 to 48 hours of a call.

Your family deserves peace

Our family support program is open to all family members ages 18+, past and present clients.

Service Area

Anxiety Treatment Near You

Trailhead Treatment Center is located in Salem, New Hampshire — minutes from the Massachusetts border and easily accessible from communities across southern New Hampshire and northeastern Massachusetts.

103 Stiles Rd, Suites 1 & 2, Salem, NH 03079
Salem, NH Nashua, NH Manchester, NH Derry, NH Londonderry, NH Windham, NH Pelham, NH Hudson, NH Haverhill, MA Lawrence, MA Methuen, MA Andover, MA Lowell, MA North Andover, MA
Call (857) 312-1697
[Map Placeholder]
Common Questions

Frequently Asked Questions About Anxiety Treatment

How do I know if I need treatment for anxiety?

If anxiety is interfering with your ability to work, maintain relationships, or enjoy daily life — or if you find yourself avoiding situations, places, or activities due to fear — treatment may be appropriate. You don’t need to be having panic attacks to deserve help. Our clinical team can conduct a free assessment over the phone to help determine the right level of care.

• • •

What does a typical day in PHP look like?

PHP clients attend Monday through Friday, 9:00 AM to 3:30 PM. A typical day includes group therapy (CBT, DBT, or ACT), an individual session with your assigned clinician, psychoeducation, holistic activities like breathwork or yoga, and lunch. You go home each evening — this is outpatient treatment, not residential.

• • •

What is the difference between PHP and IOP?

PHP (Partial Hospitalization Program) is full-day treatment, typically 5–6 hours per day, 5 days a week. IOP (Intensive Outpatient Program) is a step-down offering 3–4 hours per day with more scheduling flexibility — morning, afternoon, or evening tracks. Both include group and individual therapy. Most clients start in PHP and transition to IOP as they progress.

• • •

Do you offer medication for anxiety?

Yes. Our on-site Nurse Practitioner manages psychiatric medications including SSRIs and buspirone, which are first-line treatments for anxiety disorders. Medication can be started within 24 hours of your PHP admission. We avoid benzodiazepines as a first approach due to dependency concerns. Medication decisions are always collaborative — you choose what feels right with clinical guidance.

• • •

Will my insurance cover anxiety treatment?

Most major insurance plans cover mental health treatment. We are in-network with Anthem BCBS, Point 32 Health (Harvard Pilgrim and Tufts), Tricare, Uprise Health, and WellSense (NH Medicaid). Use the verification form above or call our admissions team — we can typically verify benefits within minutes.

• • •

How quickly can I start treatment?

Most clients begin treatment within 24 to 48 hours of their initial call. We have multiple admission windows each week. If your situation is urgent, same-day admission may be available when clinically appropriate.

• • •

Do you treat anxiety along with other conditions?

Yes. Many clients present with co-occurring conditions — anxiety alongside depression, PTSD, trauma, or other mental health challenges. Our clinical team is trained to treat dual diagnosis conditions comprehensively. Your treatment plan is individualized to address everything you’re dealing with.

This page is information. Treatment is action.

When you’re ready to move from reading to healing, we’re here.

Call (857) 312-1697