When a mental health condition and a substance use disorder exist together, each one amplifies the other. Recognizing the overlap is the first step toward integrated treatment.
If any of these resonated, our clinical team can help determine the right level of integrated care.
Get a Free AssessmentSame-day admissions available. Most insurance accepted. Completely confidential.
Multiple levels of integrated care designed to treat addiction and mental health simultaneously. Step up or down as your recovery evolves — each chapter builds on the last.
Our most intensive outpatient level for dual-diagnosis clients. Full-day programming with psychiatric assessments, integrated group therapy addressing both addiction and mental health, individual sessions, holistic activities, and daily lunch.
A structured step-down from PHP that continues integrated treatment for both conditions. Group therapy, individual sessions, and psychiatric support with flexibility for work, school, or family. Morning, afternoon, or evening tracks.
Designed for working adults managing co-occurring disorders who can’t attend daytime programming. The same evidence-based dual-diagnosis IOP curriculum, delivered in the evening.
Step-down support for continued integrated recovery. Less intensive than IOP but maintains therapeutic continuity for both addiction and mental health with weekly groups and individual sessions.
Full access to our dual-diagnosis programming from anywhere. HIPAA-compliant video sessions for groups, individual therapy, and psychiatric consultations.
FDA-approved medications for addiction combined with psychiatric medication management for mental health conditions. Our on-site Nurse Practitioner coordinates your full medication plan — addressing both sides of the dual diagnosis.
“[Client testimonial about co-occurring disorders recovery at Trailhead — for the first time, someone was treating my depression AND my addiction at the same time. I finally understood why past treatment never stuck.]”— [Client Name] • Google Review
“[Client testimonial about dual-diagnosis care — the combination of psychiatric medication management and therapy groups changed everything. I didn’t realize how much my anxiety was driving my substance use until Trailhead helped me see the connection.]”— [Client Name] • Google Review
“[Family member testimonial — we tried three other programs that only treated the addiction. Trailhead was the first place that addressed my son’s PTSD alongside his substance use. That made all the difference.]”— [Family Member] • Google Review
1. True integrated treatment. We don’t treat addiction in one room and mental health in another. Every group, every session, every treatment plan addresses both conditions simultaneously — because that’s what the research demands.
2. Psychiatric care from day one. Our on-site Nurse Practitioner evaluates every client within 24 hours of admission for both addiction medications and psychiatric medications. No waiting weeks for a psych referral.
3. 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 managing dual diagnoses.
4. MAT plus psychiatric medication management. Vivitrol and Naltrexone for addiction cravings alongside antidepressants, mood stabilizers, or anxiolytics for mental health — all coordinated by one clinical team under one roof.
5. Daily DBT skills groups provide the emotional regulation, distress tolerance, and mindfulness foundation that is essential for managing both addiction and mental health conditions.
6. Weekly individual therapy with a licensed therapist trained in dual-diagnosis care at every program level. One-on-one sessions aren’t a luxury — they’re a standard.
7. Trauma-informed care throughout. Many co-occurring disorders have roots in trauma. Our clinicians are trained in trauma processing, EMDR, and trauma-focused CBT to address what lies beneath both conditions.
8. Rapid admission. Multiple weekly admission opportunities. No months-long waitlists — begin integrated 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 sober recreational activities — all proven to benefit both addiction recovery and mental health stabilization.
11. Dual state licensing in both New Hampshire and Massachusetts ensures broad regional access and insurance acceptance across both states for dual-diagnosis treatment.
We work with most major insurance providers for dual-diagnosis treatment. 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.
Submit the form below and our admissions team will verify your benefits for dual-diagnosis treatment within minutes.
Your information is secure and confidential. We will never share your data.
Once you make it, we handle everything else. Admissions, insurance, scheduling — all of it.
If you are reading this, you are probably worried about someone you love — someone who seems to be struggling with both their mental health and substance use. That worry is a sign of something good. It means you haven’t given up. And we want you to know: you shouldn’t.
Co-occurring disorders are more common than most people realize. Depression and alcohol. Anxiety and opioids. PTSD and any number of substances. These are not separate problems — they are deeply intertwined, each one making the other worse. And treating only one while ignoring the other is why so many past treatment attempts may have failed.
Start by educating yourself. Understand that both addiction and mental illness are medical conditions — not character flaws, not choices. The person you knew before all of this is still there. But they need integrated professional help to find their way back — and you may need guidance too.
Set clear boundaries, and mean them. “I love you, and I will support your recovery — but I will not participate in behaviors that support your addiction or allow your mental health to go untreated.” Have the conversation when they are stable. Offer specific next steps: “I found a dual-diagnosis program in Salem — can we call together?”
Take care of yourself, too. Consider therapy, NAMI family support groups, 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.
Resistance to treatment is especially common with co-occurring disorders. Many people don’t believe both conditions need to be treated, or they feel overwhelmed by the idea of addressing everything at once. Below, our clinical team answers the questions families ask most.
Our family support program is open to all family members ages 18+, past and present clients.
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 03079Co-occurring disorders — also called dual diagnosis — refers to having both a mental health condition and a substance use disorder at the same time. Common combinations include depression and alcohol use, anxiety and opioid use, PTSD and substance use, and bipolar disorder with addiction. These conditions interact and amplify each other, making integrated treatment essential.
Research consistently shows that treating addiction and mental health in isolation leads to poorer outcomes and higher relapse rates. When conditions are treated together by one clinical team, the treatment plan can address the interplay between them — for example, how untreated anxiety triggers substance use, or how withdrawal worsens depression. Integrated care breaks the cycle.
PHP clients attend Monday through Friday, 9:00 AM to 3:30 PM. A typical day includes integrated group therapy (CBT, DBT, or ACT addressing both conditions), an individual session with your assigned clinician, psychoeducation on co-occurring disorders, holistic activities like breathwork or yoga, and lunch. You go home each evening — this is outpatient treatment, not residential.
Yes. Our on-site Nurse Practitioner manages both types of medication under one coordinated plan. This might include Vivitrol or Naltrexone for addiction cravings alongside antidepressants, mood stabilizers, or anti-anxiety medications for the mental health condition. All medication decisions are collaborative and client-directed.
Most major insurance plans cover co-occurring disorders 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.
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.
We treat a wide range of co-occurring mental health conditions including depression, anxiety disorders, PTSD, bipolar disorder, trauma, personality disorders, and more. Every client receives a comprehensive psychiatric evaluation to identify all conditions present, and the treatment plan is individualized to address everything you’re dealing with.
When you’re ready to move from reading to recovering, we’re here.
