If you are in immediate danger or experiencing a medical emergency, please call 911. For emotional crisis support available 24/7, reach out to the following resources:
Self-harm takes many forms and is often hidden. Understanding these warning signs can help you recognize when you or someone you love needs professional support.
If any of these resonated, our clinical team can help determine the right level of care. You do not need to be in crisis to reach out.
Get a Free AssessmentSame-day assessments available. Most insurance accepted. Completely confidential.
Multiple levels of care designed to meet you where you are. Each program builds distress tolerance, emotional regulation, and healthier coping skills — at a pace that feels safe.
Our most intensive outpatient level. Full-day programming centered on DBT skills training, individual therapy, safety planning, and therapeutic activities. The foundation for building new ways to manage emotional pain.
A structured step-down from PHP. Continued DBT groups, individual therapy, and real-world skill practice with more flexibility for work, school, or family. Morning, afternoon, or evening tracks.
Designed for working adults who cannot attend daytime programming. The same evidence-based DBT curriculum and therapeutic support, delivered in the evening.
Step-down support for continued progress. Less intensive than IOP but maintains therapeutic continuity with weekly groups and individual sessions focused on long-term coping strategies.
Full access to our programming from anywhere. HIPAA-compliant video sessions for groups, individual therapy, and psychiatric consultations — especially valuable when leaving home feels overwhelming.
Our on-site Nurse Practitioner provides comprehensive psychiatric evaluation and medication management for co-occurring conditions such as depression, anxiety, or PTSD that often underlie self-harm behaviors.
“[Client testimonial about self-harm recovery at Trailhead — for the first time, I learned that I could sit with difficult emotions without needing to hurt myself. The DBT skills changed how I relate to my own pain.]”— [Client Name] • Google Review
“[Client testimonial about the safety and compassion of the treatment environment — no one made me feel ashamed. My therapist helped me understand why I was hurting myself and gave me real tools to stop.]”— [Client Name] • Google Review
“[Family member testimonial — we were terrified and did not know how to help. Trailhead taught us how to support our loved one without panic or judgment. The family sessions were essential for all of us.]”— [Family Member] • Google Review
1. DBT is our core treatment model. Dialectical Behavior Therapy is the gold standard for self-harm treatment. Our daily DBT skills groups teach distress tolerance, emotional regulation, interpersonal effectiveness, and mindfulness — the four pillars of lasting change.
2. Individualized safety planning. Every client receives a personalized safety plan developed collaboratively with their therapist. This plan identifies triggers, warning signs, coping strategies, and emergency contacts — and it evolves as treatment progresses.
3. Live at home, heal during the day. Our outpatient model means you sleep in your own bed, maintain family connections, and practice new coping skills in your real environment from day one.
4. 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.
5. On-site psychiatric care within 24 hours. Our Nurse Practitioner evaluates every client for co-occurring conditions — depression, anxiety, PTSD, and others — that frequently drive self-harm behaviors. Medication decisions are always collaborative.
6. Weekly individual therapy with a licensed therapist at every program level. One-on-one sessions are not a luxury — they are the space where deeper therapeutic work happens.
7. No shame, no judgment. Our clinical team treats self-harm as a coping response to pain, not as a character flaw. You will never be shamed for your behaviors. Instead, we help you understand them and find alternatives.
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 community. This is not a factory — it is a place where people genuinely care.
10. Holistic & experiential programming including yoga, meditation, breathwork, art therapy, equine therapy at Blue Sky Farm, and recreational activities that help reconnect you with positive experiences.
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 frightened about someone you love. That fear is understandable — and the fact that you are seeking information means you have not given up. Please do not.
Self-harm is a coping mechanism, not a manipulation tactic. The person you love is using physical pain to manage emotional pain that feels unbearable. They need professional help to learn new ways of coping — and you may need guidance too.
Start by educating yourself. Understand that self-harm is often rooted in emotional dysregulation, trauma, or mental health conditions like depression, anxiety, or PTSD. Resist the urge to react with anger, panic, or ultimatums — these responses, while natural, can deepen shame and drive the behavior further underground.
Approach the conversation with calm and care. Choose a private moment. Use “I” statements: “I have noticed you seem to be struggling, and I want to help.” Avoid demanding they stop immediately — self-harm cannot simply be willed away. Offer specific next steps: “I found a treatment program in Salem that specializes in this — can we call together?”
Take care of yourself, too. Consider therapy for yourself, support groups, or our monthly family education groups on Zoom. You cannot support someone else effectively if you are depleted. Trailhead offers individual family therapy sessions and ongoing family support — for all family members ages 18 and up, past and present clients.
If your loved one is in immediate danger, call 911. For 24/7 crisis support, call or text 988 (Suicide & Crisis Lifeline) or text HOME to 741741 (Crisis Text Line).
Resistance to treatment is common with self-harm. Shame, fear, and the belief that they can handle it alone often prevent people from accepting help. 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 self-harm is occurring at all — regardless of frequency or severity — professional treatment can help. You do not need to meet a certain threshold of harm to deserve support. Our clinical team can conduct a free assessment over the phone to help determine the right level of care for your situation.
PHP clients attend Monday through Friday, 9:00 AM to 3:30 PM. A typical day includes DBT skills groups (distress tolerance, emotional regulation, mindfulness), 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.
Dialectical Behavior Therapy (DBT) is an evidence-based treatment originally developed specifically for people who self-harm. It teaches four core skill sets: distress tolerance (surviving crises without making things worse), emotional regulation (understanding and managing intense emotions), mindfulness (staying present), and interpersonal effectiveness (communicating needs). Research consistently shows DBT reduces self-harm behaviors more effectively than standard therapy alone.
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. Self-harm frequently co-occurs with depression, anxiety, PTSD, borderline personality disorder, and other conditions. Our clinical team is trained to treat the whole person — not just one symptom. Your treatment plan is individualized to address everything you are dealing with, including any co-occurring conditions.
When you are ready to move from reading to healing, we are here. Call or text 988 for immediate crisis support.
