Mental health conditions exist on a spectrum. You don’t need to be in crisis to deserve support — but recognizing where you are can help determine the right level of care.
If any of these resonated, our clinical team can help determine the right level of care. No substance use diagnosis is required.
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 progress evolves — each chapter builds on the last. No substance use diagnosis is required for any program.
Our most intensive outpatient level. Full-day programming with psychiatric assessments, group therapy, individual sessions, holistic activities, and daily lunch. The foundation for meaningful change when mental health symptoms are significantly impacting your life.
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 available.
Designed for working adults who can’t attend daytime programming. The same evidence-based IOP curriculum, delivered in the evening so you don’t have to choose between getting help and maintaining your career.
Step-down support for continued progress. Less intensive than IOP but maintains therapeutic continuity with weekly groups and individual sessions as you build stability in your daily life.
Full access to our programming from anywhere. HIPAA-compliant video sessions for groups, individual therapy, and psychiatric consultations — ideal for those with transportation barriers or scheduling constraints.
Our on-site Nurse Practitioner provides psychiatric evaluations, medication prescribing, and ongoing medication management. Antidepressants, mood stabilizers, anxiolytics, and other psychiatric medications — all coordinated with your therapy plan.
“[Client testimonial about mental health treatment at Trailhead — I was drowning in depression and anxiety but didn’t think I qualified for intensive treatment because I wasn’t struggling with substances. Trailhead showed me that my mental health alone was reason enough to get serious help.]”— [Client Name] • Google Review
“[Client testimonial about the personalized approach — the combination of DBT skills groups and medication management gave me tools I’d never had before. For the first time in years, I feel like myself again.]”— [Client Name] • Google Review
“[Family member testimonial — watching my daughter struggle with PTSD was heartbreaking. The team at Trailhead treated her with so much care and compassion. The family therapy sessions helped us understand what she was going through and how to support her.]”— [Family Member] • Google Review
1. No substance use diagnosis required. Our mental health programs are open to anyone struggling with depression, anxiety, PTSD, bipolar disorder, trauma, or other conditions — regardless of whether substance use is involved.
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 psychiatric care within 24 hours. Every client meets our Nurse Practitioner within a day of admission for a full psychiatric evaluation and medication assessment. No waiting weeks for an external referral.
4. Expert medication management. Antidepressants, mood stabilizers, anxiolytics, and other psychiatric medications — all prescribed and managed by our on-site NP in coordination with your therapy plan.
5. Daily DBT skills groups provide the emotional regulation, distress tolerance, interpersonal effectiveness, and mindfulness foundation that is essential for managing mental health conditions.
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 modalities. CBT, DBT, ACT, trauma-focused therapy — your approach is based on your preferences and clinical needs, not a rigid one-size-fits-all 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 connection. This isn’t a factory — it’s a community that genuinely cares.
10. Holistic & experiential programming including yoga, meditation, breathwork, equine therapy at Blue Sky Farm, and recreational activities — all proven to support emotional healing and mental health recovery.
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 for mental health 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 mental health 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. Maybe they’ve been withdrawing. Maybe the depression has gotten worse. Maybe the anxiety has taken over their life in ways you never expected. That worry is a sign of something good — it means you haven’t given up. And we want you to know: you shouldn’t.
Mental illness is a medical condition, not a character flaw. The person you knew before the symptoms took hold is still there. But they may need professional help to find their way back — and you may need guidance too.
Start by educating yourself. Learn about their specific condition — depression, anxiety, PTSD, bipolar disorder, or whatever they’re facing. Understand that it’s not something they can simply “snap out of,” and that telling them to “just think positive” can actually make things worse. Validate their experience instead.
Offer specific help, not vague support. Instead of “Let me know if you need anything,” try “I found a mental health program in Salem that could help — can we look at it together?” or “I’ll drive you to your first appointment.” Concrete offers reduce the overwhelming feeling of taking that first step.
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 mental health treatment is common. Stigma, fear, and the illness itself can all create barriers. It doesn’t mean recovery 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 03079No. Our mental health programs are open to anyone struggling with depression, anxiety, PTSD, bipolar disorder, trauma, or other mental health conditions — regardless of whether substance use is involved. You do not need a substance use diagnosis to receive intensive outpatient mental health treatment at Trailhead.
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.
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 provides full psychiatric medication management — including antidepressants, mood stabilizers, anti-anxiety medications, and other psychiatric medications. Evaluations can be completed within 24 hours of admission. All medication decisions are collaborative and client-directed.
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. Unlike many private practices with months-long waitlists, Trailhead offers rapid access to intensive mental health care.
We treat a wide range of mental health conditions including major depression, generalized anxiety disorder, social anxiety, panic disorder, PTSD, complex trauma, bipolar disorder, adjustment disorders, and more. Every client receives a comprehensive psychiatric evaluation to identify all conditions present, and the treatment plan is individualized to your specific needs.
When you’re ready to move from reading to recovering, we’re here.
