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MDMA & Ecstasy Addiction Treatment in Salem, New Hampshire

Ecstasy was supposed to be recreational — something for weekends, festivals, connection. But MDMA floods the brain with serotonin so intensely that normal life begins to feel flat, empty, and unreachable without it. The crashes get longer, the doses get higher, and the line between use and dependency disappears. At Trailhead, we understand the unique neurotoxic toll of MDMA and offer evidence-based treatment with the clinical depth and compassion that lasting recovery demands.
24-48hr Admission Timeline
4:1 Staff-to-Client Ratio
CBT Focused Approach
Dual NH & MA Licensed
Recognize the Signs

Signs & Symptoms of MDMA Addiction

MDMA and ecstasy addiction may develop more subtly than other substances, but the psychological dependence and neurological damage can be profound. Recognizing the signs early matters.

Early Warning Signs
Increasing frequency of use — what was once occasional at events becomes weekly or even more frequent.
Taking higher doses to achieve the same euphoric effects, as tolerance develops rapidly with MDMA.
Extended “comedown” periods of depression, anxiety, and irritability lasting days after each use.
Organizing social life primarily around events and settings where MDMA will be available.
Moderate
Persistent difficulty with memory, concentration, and cognitive function even during periods of non-use.
Neglecting responsibilities at work, school, or home because of use or the multi-day recovery period afterward.
Using MDMA alone or outside of social settings — a shift from recreational to compulsive use.
Sleep disruption, jaw clenching, teeth grinding, and chronic muscle tension that doesn’t resolve.
Severe
Severe depression or anxiety between uses — the brain’s serotonin system depleted to the point where normal mood regulation fails.
Panic attacks, depersonalization, or persistent emotional numbness that doesn’t lift.
Continued use despite knowing it is causing cognitive impairment, emotional instability, or relationship destruction.
Inability to experience joy, connection, or emotional warmth without the drug — profound serotonin-related anhedonia.

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

Get a Free Assessment

Your recovery story starts with a single call

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

Treatment Programs

Programs for MDMA Addiction

Multiple levels of care designed to meet you where you are. Step up or down as your recovery 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 structured support needed to rebuild after MDMA dependency.

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 recovery 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
JCAHO Accredited NH Licensed MA Licensed LegitScript Certified HIPAA Compliant
What They Say

Stories from Recovery

“[Client testimonial about MDMA recovery at Trailhead — I didn’t even realize I was addicted until I couldn’t feel happy without it. The depression after rolling was destroying me. The team here helped me understand what was happening in my brain and gave me tools to heal.]”
— [Client Name] • Google Review
“[Client testimonial about the personalized approach — my therapist understood that MDMA addiction looks different from other drugs. They didn’t judge my history with club culture — they just helped me find a path forward that actually worked.]”
— [Client Name] • Google Review
“[Family member testimonial — we noticed our son changing — the mood swings, the memory problems, the emotional flatness between events. The family program helped us understand what MDMA was doing to his brain and how to support his recovery.]”
— [Family Member] • Google Review
Why Trailhead

10 Reasons to Choose Trailhead for MDMA Treatment

1. Live at home, heal during the day. Our outpatient model means you sleep in your own bed, maintain family connections, and build recovery 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 planning for co-occurring depression, anxiety, or sleep disorders caused by MDMA use.

4. CBT-focused approach for serotonin recovery. Cognitive Behavioral Therapy is the cornerstone of our MDMA treatment protocol. Our clinicians help you restructure thought patterns, manage the emotional lows of serotonin depletion, and build healthy coping skills.

→ Evidence-based serotonin recovery
→ Evidence-based serotonin recovery

5. Daily DBT skills groups provide the emotional regulation, distress tolerance, and mindfulness foundation that is essential during the period when the brain’s serotonin system is recovering from MDMA damage.

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, 12-Step, SMART Recovery — your modality is based on your preferences and clinical needs, not a rigid curriculum.

→ Your recovery, your approach
→ Your recovery, 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 sober recreational activities — healthy ways to experience joy and connection without substances.

Recovery Timeline

Your Path Through MDMA Treatment

Weeks 1–2 • Stabilization
The First Pages
The aftermath of chronic MDMA use often includes depression, anxiety, brain fog, and emotional flatness. Your first days at Trailhead focus on stabilization, meeting your clinical team, and beginning to understand that these symptoms are your brain healing — not permanent damage.
  • Comprehensive biopsychosocial evaluation
  • NP evaluation and psychiatric assessment within 24 hours
  • Sleep regulation and mood stabilization planning
  • 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 psychological patterns behind your MDMA use — the social pressures, the desire for connection, the escape from underlying pain — and build new ways to meet those needs.
  • Daily CBT, DBT, and ACT skills groups
  • Weekly individual therapy sessions
  • Psychoeducation on MDMA’s impact on the serotonin system
  • Relapse prevention planning begins
Weeks 5–8 • Integration
Writing New Chapters
You start applying what you’ve learned to real life. Step down from PHP to IOP. Build a support network outside of the scenes where MDMA was central. Discover that genuine emotional connection — the thing ecstasy promised — is actually possible sober.
  • Real-world skill application exercises
  • Equine therapy, hiking, sober activities
  • Family therapy and monthly support groups
  • Transition planning and aftercare coordination
Weeks 9–12+ • Maintenance
The Story Continues
Recovery doesn’t end when programming does. The brain’s serotonin system continues to heal over months. 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
  • Sober living coordination if 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 — recovery can be fun.

Outdoor

Outdoor Space

Fresh air and green space between sessions.

Your Team

The People Behind Your Recovery

[Clinical Director]

LCMHC, CCTP

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

* Years of clinical experience in behavioral health

[Lead Therapist]

LADC, Master’s Degree

Over a decade of experience in addiction counseling. Specializes in CBT and DBT skills groups for substance use disorders including club drug dependencies.

* Combines professional credentials with lived recovery experience

[Nurse Practitioner]

APRN, Psychiatric NP

Manages psychiatric evaluations, medication for co-occurring depression and anxiety, and ongoing wellness monitoring. Available within 24 hours of admission.

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

MDMA & Ecstasy Use in New Hampshire

MDMA use remains a significant concern in New Hampshire, particularly among young adults aged 18–25. Nationally, approximately 2.2 million Americans reported past-year MDMA use1, with New England’s festival and nightlife scenes contributing to regional availability. What makes today’s MDMA landscape especially dangerous is the prevalence of adulterated pills — many ecstasy tablets tested by the DEA contain methamphetamine, fentanyl, or other synthetic substances2.

Beyond the overdose risk from adulterated supply, chronic MDMA use causes measurable damage to the brain’s serotonin system. Studies show that heavy MDMA users demonstrate significantly reduced serotonin transporter availability3, leading to lasting problems with mood regulation, memory, sleep, and emotional processing. At Trailhead, we believe treatment changes these outcomes — one person at a time.
SAMHSA National Survey on Drug Use and Health (NSDUH), 2022–2023 national estimates.
DEA National Drug Threat Assessment, 2023. Ecstasy/MDMA adulterant analysis.
National Institute on Drug Abuse (NIDA), MDMA Research Reports, 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 MDMA Addiction

Dear Family Member,

If you are reading this, you may have noticed changes in someone you love — mood swings that seem extreme, depression that lingers for days after a night out, memory problems, emotional withdrawal. MDMA and ecstasy can look like “just partying” from the outside, but the neurological toll is real and cumulative.

MDMA addiction is a medical condition. The drug depletes the brain’s serotonin reserves — the chemical responsible for mood, sleep, and emotional connection. Over time, the person using it literally cannot feel normal without it. Understanding this is the first step toward helping without judging.

Start by educating yourself. Learn how MDMA affects the brain and why the person you love may not see the problem clearly. The drug creates an illusion of emotional depth and connection that makes sober life feel flat by comparison. This isn’t a choice — it’s neurochemistry.

Set clear boundaries with love. “I care about you, and I’m worried about what this is doing to you.” Have the conversation when they are sober, 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 or our monthly family education groups on Zoom. 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 Won’t Go

What If They Refuse Treatment?

Resistance to treatment for MDMA is common — many people don’t consider ecstasy addictive or see their use as problematic until the consequences become undeniable.

They say ecstasy isn’t addictive. How do I respond?
Rather than arguing the science, focus on what you observe: “I’ve noticed you’re depressed for days after you use. I’ve noticed your memory is getting worse. I’m worried.” You don’t need to convince them it’s addictive. You need them to see that it’s harming them — regardless of the label.
What if they get angry when we bring it up?
Defensiveness is normal, especially when someone’s social identity is tied to the scenes where MDMA is used. Choose a time when they are sober and relatively calm. Use “I” statements: “I’m scared about what’s happening” rather than “You have a drug problem.” Plant the seed and give it time.
Can we force them into treatment?
In most cases, no — and forced treatment tends to be less effective anyway. What you can do is set clear boundaries and follow through on consequences. “I love you, and I refuse to watch you damage your brain and your future without saying something.” Boundaries protect you and can create the conditions for them to choose help.
How do we know when it’s “bad enough” for treatment?
If MDMA is affecting their mood, cognitive function, relationships, or ability to enjoy life without the drug, treatment is appropriate. You don’t need to wait for an overdose or a crisis. The best time to seek treatment is right now — before the neurological damage deepens.
What should we do in the meantime?
Take care of yourself. Consider therapy or family support groups. Educate yourself about MDMA’s effects on the serotonin system. Keep the lines of communication open without enabling. 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

MDMA 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 MDMA Treatment

How do I know if I need treatment for MDMA or ecstasy use?

If MDMA is affecting your mood, memory, relationships, work, or ability to enjoy life without the drug — or if the comedowns are getting longer and more severe — treatment may be appropriate. 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.

• • •

Is there medication for MDMA addiction?

There is no FDA-approved medication specifically for MDMA addiction. However, our Nurse Practitioner can prescribe medications to manage the depression, anxiety, sleep disturbances, and emotional instability that accompany MDMA withdrawal and serotonin depletion. Treatment focuses on behavioral therapies — particularly CBT — which are the most effective approaches for club drug dependencies.

• • •

How long does it take the brain to recover from MDMA?

Research suggests that the brain’s serotonin system can begin significant recovery within 3–6 months of sustained abstinence, with continued improvement over 12–18 months. Cognitive function, mood stability, and the ability to experience natural emotional warmth all improve progressively. Our treatment programs support you through the critical early months.

• • •

Will my insurance cover MDMA treatment?

Most major insurance plans cover substance use 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 MDMA alongside other substance use?

Yes. Many clients who use MDMA also use other substances — alcohol, marijuana, cocaine, or other club drugs. Our clinical team is trained to treat polysubstance use disorders as well as dual diagnosis conditions like anxiety, depression, PTSD, and trauma. 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 recovering, we’re here.

Call (857) 312-1697