Depression exists on a spectrum. Understanding where you or your loved one falls can help determine the right chapter of treatment.
If any of these resonated, our clinical team can help determine the right level of care.
Get a Free AssessmentSame-day admissions available. Most insurance accepted. Completely confidential.
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.
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.
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.
Designed for working adults who can’t attend daytime programming. The same evidence-based IOP curriculum, delivered in the evening.
Step-down support for continued healing momentum. Less intensive than IOP but maintains therapeutic continuity with weekly groups and individual sessions.
Full access to our programming from anywhere. HIPAA-compliant video sessions for groups, individual therapy, and psychiatric consultations.
Evidence-based psychiatric medications (SSRIs, SNRIs) combined with therapy. Our on-site Nurse Practitioner manages your medication plan with your input, monitoring response and adjusting as needed.
“[Client testimonial about depression treatment at Trailhead — the staff made me feel like family 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. The combination of CBT skills and medication management changed everything for me.]”— [Client Name] • Google Review
“[Family member testimonial — the family support program helped us understand depression as a medical condition, not a personal weakness. We learned how to support healing without enabling avoidance. It saved our family.]”— [Family Member] • Google Review
1. Live at home, heal during the day. Our outpatient model means you sleep in your own bed, maintain family connections, and build coping skills in the real world from day one.
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.
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 depression. SSRIs and SNRIs are first-line treatments that can significantly improve mood, energy, and motivation. Your choice on approach — we support collaborative, patient-directed decisions.
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, DBT, behavioral activation — your modality is based on your preferences and clinical needs, not a rigid curriculum.
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 recreational activities designed to rebuild joy and connection.
11. Dual state licensing in both New Hampshire and Massachusetts ensures broad regional access and insurance acceptance across both states.
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.
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.
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. That worry is a sign of something good — it means you haven’t given up. And we want you to know: you shouldn’t.
Depression is a medical condition, not a character flaw. The person you knew before the depression 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 depression changes the brain, why it is not simply “feeling sad,” and why willpower alone is rarely enough. Avoid minimizing their experience — saying “just cheer up” or “things could be worse” can deepen their isolation. Instead, validate their pain while encouraging professional support.
Be present without trying to fix everything. “I see you’re struggling, and I’m here for 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.
Resistance to treatment is common with depression. 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.
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 03079If depression is affecting your health, relationships, work, or daily functioning — or if you’ve been struggling for more than two weeks with persistent sadness, loss of interest, or hopelessness — treatment may be appropriate. You don’t need to be in crisis to deserve help. Our clinical team can conduct a free assessment over the phone to help determine the right level of care.
PHP clients attend Monday through Friday, 9:00 AM to 3:30 PM. A typical day includes group therapy (CBT, DBT, or behavioral activation), 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.
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.
Yes. Our on-site Nurse Practitioner manages psychiatric medications including SSRIs (such as sertraline and escitalopram) and SNRIs (such as venlafaxine and duloxetine). Medication can be started within 24 hours of your PHP admission. Medication decisions are always collaborative — you choose what feels right with clinical guidance.
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.
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.
Yes. Our IOP program offers morning (9 AM), afternoon (12:30 PM), and evening (6 PM) tracks specifically designed for people who need to maintain employment. You can even switch between time slots on a daily basis. Telehealth options provide additional flexibility.
Yes. Many clients present with co-occurring conditions — depression alongside anxiety, 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.
When you’re ready to move from reading to healing, we’re here.
