PTSD symptoms typically fall into four categories. Understanding how they manifest 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, trauma-focused 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, prazosin for nightmares) combined with therapy. Our on-site Nurse Practitioner manages your medication plan with your input, monitoring response and adjusting as needed.
“[Client testimonial about PTSD treatment at Trailhead — the staff understood trauma in a way that 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. The combination of CPT and medication management changed everything for me.]”— [Client Name] • Google Review
“[Family member testimonial — the family support program helped us understand PTSD as a medical condition, not a sign of weakness. We learned how to support healing without walking on eggshells. 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 practice 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 PTSD. SSRIs are first-line pharmacotherapy for PTSD, and prazosin can significantly reduce trauma-related nightmares. Your choice on approach — we support collaborative, patient-directed decisions.
5. Trauma-focused therapy modalities including Cognitive Processing Therapy (CPT) and Prolonged Exposure (PE) — the gold-standard treatments for PTSD recommended by the VA and APA.
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. CPT, PE, DBT, EMDR-informed approaches — 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 grounding activities designed to help regulate the nervous system.
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.
PTSD is a medical condition, not a character flaw or a sign of weakness. The person you knew before the trauma 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 trauma rewires the brain’s fear response, why it is not something they can simply “get over,” and why well-meaning advice like “just move on” can deepen their isolation. Learn about triggers and avoid personalizing their reactions — their anger, withdrawal, or hypervigilance is the disorder, not a reflection of how they feel about you.
Be patient and consistent. “I’m here for you, and I’m not going anywhere.” Have conversations about treatment gently, using “I” statements rather than accusations. Offer specific next steps: “I found a program in Salem with trauma specialists — can we call together?”
Take care of yourself, too. Secondary traumatic stress is real. 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 PTSD. Avoidance is a core symptom of the disorder itself. 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 you have experienced or witnessed a traumatic event and are now dealing with intrusive memories, nightmares, avoidance behaviors, emotional numbness, or hypervigilance that persists beyond a month, you may have PTSD. You don’t need a formal diagnosis to seek 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 (CPT, 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.
Cognitive Processing Therapy (CPT) helps you examine and reframe the unhelpful beliefs that developed after trauma — beliefs like “it was my fault” or “the world is entirely unsafe.” Prolonged Exposure (PE) involves gradually and safely confronting trauma-related memories and situations you’ve been avoiding. Both are gold-standard PTSD treatments recommended by the VA and APA, with extensive research supporting their effectiveness.
Yes. Our on-site Nurse Practitioner manages psychiatric medications including SSRIs (the first-line pharmacotherapy for PTSD) and prazosin, which can significantly reduce trauma-related nightmares. 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 including PTSD. 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. Many clients present with co-occurring conditions — PTSD alongside depression, anxiety, substance use, 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.