Home Admissions Insurance Contact Call (857) 312-1697
Home / Treatments / PTSD

PTSD Treatment in Salem, New Hampshire

Post-traumatic stress disorder doesn’t announce itself all at once. It arrives in fragments — a flashback triggered by a sound, a nightmare that won’t stop recurring, a hypervigilance that makes even safe places feel dangerous. At Trailhead, we understand that journey, because our clinicians specialize in trauma-focused care. We offer evidence-based treatment with the flexibility, compassion, and clinical rigor that lasting healing demands.
24-48hr Admission Timeline
4:1 Staff-to-Client Ratio
Medication Management On-Site
Dual NH & MA Licensed
Recognize the Signs

Signs & Symptoms of PTSD

PTSD symptoms typically fall into four categories. Understanding how they manifest can help determine the right chapter of treatment.

Re-Experiencing
Intrusive, unwanted memories of the traumatic event that surface without warning and feel as real as the original experience.
Recurring nightmares or disturbing dreams related to the trauma that disrupt sleep night after night.
Flashbacks — feeling as if the traumatic event is happening again, complete with physical sensations of fear and helplessness.
Intense emotional or physical distress when encountering reminders of the trauma — a smell, a sound, a place.
Avoidance & Numbing
Avoiding people, places, activities, or conversations that serve as reminders of the traumatic event.
Emotional numbness — feeling detached from others, unable to experience positive emotions, or disconnected from your own life.
Loss of interest in activities you once enjoyed, as though the capacity for pleasure has been switched off.
Inability to remember important aspects of the traumatic event — gaps in memory that feel unsettling.
Hyperarousal & Reactivity
Hypervigilance — being constantly on edge, scanning for threats, unable to feel safe even in familiar environments.
Exaggerated startle response — jumping at sudden noises or movements that others barely notice.
Difficulty sleeping, concentrating, or making decisions — your nervous system is stuck in survival mode.
Irritability, anger outbursts, or self-destructive behavior that feels out of character and beyond your control.

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

Get a Free Assessment

Your healing story starts with a single call

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

Treatment Programs

Programs for PTSD

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.

i.

Partial Hospitalization Program

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.

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 healing 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
vi.

Medication Management

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.

On-site NP Eval within 24 hours Collaborative approach
JCAHO Accredited NH Licensed MA Licensed LegitScript Certified HIPAA Compliant
What They Say

Stories from Healing

“[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
Why Trailhead

11 Reasons to Choose Trailhead for PTSD Treatment

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.

→ 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 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.

→ SSRIs & prazosin available
→ SSRIs & prazosin available

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.

→ Your healing, your approach
→ Your healing, 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 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.

Treatment Timeline

Your Path Through PTSD Treatment

Weeks 1–2 • Safety & Stabilization
The First Pages
Reaching out is the hardest part, and it’s behind you. Your first days at Trailhead focus on establishing safety, meeting your team, and building the stabilization skills that form the foundation for deeper trauma work.
  • Comprehensive biopsychosocial and trauma evaluation
  • NP psychiatric evaluation and medication assessment within 24 hours
  • Medication initiation (SSRIs/prazosin) if clinically appropriate
  • Therapist and case manager assignment
Weeks 3–4 • Active Trauma Processing
Finding Your Voice
Now the real work begins. Trauma-focused therapy, daily skills groups, and individual sessions help you process what happened and develop new ways of relating to traumatic memories.
  • Cognitive Processing Therapy (CPT) or Prolonged Exposure (PE)
  • Daily DBT skills groups for emotional regulation
  • Psychoeducation on how trauma affects the brain and nervous system
  • Grounding and safety planning
Weeks 5–8 • Integration
Writing New Chapters
You start applying what you’ve learned to real life. Step down from PHP to IOP. Gradually re-engage with situations you’ve been avoiding. Discover that life beyond trauma isn’t just manageable — it can feel safe again.
  • Real-world exposure and skill application exercises
  • Equine therapy, hiking, somatic experiencing activities
  • Family therapy and monthly support groups
  • Transition planning and aftercare coordination
Weeks 9–12+ • Maintenance
The Story Continues
Healing doesn’t end when programming does. 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
  • Medication monitoring and adjustment as needed
  • External provider referrals for specialized trauma care
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 — healing can include joy.

Outdoor

Outdoor Space

Fresh air and green space between sessions.

Your Team

The People Behind Your Healing

[Clinical Director]

LCMHC, CCTP

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

* Years of clinical experience in behavioral health and trauma

[Lead Therapist]

LICSW, Master’s Degree

Over a decade of experience in trauma-focused mental health counseling. Specializes in CPT, prolonged exposure, and DBT skills groups.

* Combines professional credentials with deep clinical expertise

[Nurse Practitioner]

APRN, Psychiatric NP

Manages psychiatric medication, evaluations, and ongoing medication management including prazosin for trauma-related nightmares. Available within 24 hours of admission.

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

PTSD in New Hampshire

PTSD affects approximately 3.6% of U.S. adults in any given year, with lifetime prevalence estimated at 6.8%1. In New Hampshire, the impact is compounded by the state’s high rates of military service and first-responder employment, as well as elevated rates of interpersonal violence and childhood adverse experiences. Among those with PTSD, fewer than half receive adequate treatment2 — meaning millions of Americans are living with a treatable condition without professional support.

The consequences extend far beyond the individual. PTSD is strongly linked to depression, anxiety, substance use, relationship breakdown, and suicide. In New Hampshire, limited access to trauma-specialized outpatient care leaves many people without viable treatment options3. Behind every statistic is a family, a community, and a person whose life could look very different with the right support. At Trailhead, we believe treatment changes these numbers — one person at a time.
National Institute of Mental Health (NIMH) and National Comorbidity Survey Replication, 2022 prevalence data.
NIMH and U.S. Department of Veterans Affairs, 2022–2023 treatment utilization estimates.
NH Department of Health and Human Services, mental health workforce and access reports, 2022–2023.
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 PTSD

Dear Family Member,

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.

With hope,
The Clinical Team at Trailhead Treatment Center
When They Resist

What If They Refuse Treatment?

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.

They say talking about it will make it worse. Is that true?
This is one of the most common fears, and it’s understandable. However, research consistently shows that evidence-based trauma therapies like CPT and Prolonged Exposure actually reduce PTSD symptoms by helping the brain process traumatic memories rather than keeping them trapped. Avoidance provides temporary relief but maintains the disorder long-term. Treatment is designed to be safe and paced — therapists are trained to ensure you never go faster than you can handle.
They seem fine most of the time. Do they really need treatment?
Many people with PTSD become skilled at hiding their symptoms or structuring their lives to avoid triggers. That doesn’t mean they’re fine — it means they’re working incredibly hard to appear functional. Look for subtler signs: are they avoiding certain places or situations? Have they become more withdrawn? Are they sleeping poorly or easily startled? If their world is shrinking to accommodate the trauma, treatment can help expand it again.
They’re a veteran and say “everyone deals with this.” What do I say?
Military culture often normalizes trauma responses, but there is a difference between stress and PTSD. Validate their experience without minimizing it: “I know many people go through difficult things. But the way this is affecting your sleep, your mood, and our relationship tells me something more is going on. Seeking help isn’t weakness — it takes more courage than pushing through alone.” Trailhead accepts Tricare and has experience with military and first-responder populations.
How do we know when it’s serious enough for treatment?
There is no minimum threshold of suffering required to deserve help. If PTSD symptoms are affecting their health, relationships, work, or daily functioning, treatment is appropriate. Waiting for things to get worse is unnecessary and can make the condition harder to treat. The best time to seek treatment is right now.
What should we do in the meantime?
Take care of yourself — secondary traumatic stress is real, and you deserve support too. Attend a support group or family therapy. Educate yourself about PTSD as a medical condition. Be patient, consistent, and avoid pressuring them into conversations about the trauma itself. 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

PTSD 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 PTSD Treatment

How do I know if I have PTSD?

If 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.

• • •

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 (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.

• • •

What are CPT and Prolonged Exposure?

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.

• • •

Do you offer medication for PTSD?

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.

• • •

Will my insurance cover PTSD treatment?

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.

• • •

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 PTSD along with other conditions?

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.

This page is information. Treatment is action.

When you’re ready to move from reading to healing, we’re here.

Call (857) 312-1697