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

Xanax Addiction Treatment in Salem, New Hampshire

Xanax is one of the most commonly prescribed — and most commonly misused — medications in America. Its fast-acting relief from anxiety and panic makes it feel essential, but the brain adapts quickly. Within weeks, what started as a prescription becomes a dependency. Stopping feels terrifying, and doing it alone can be dangerous. At Trailhead, we provide the medically supervised taper and clinical support that safe Xanax recovery requires.
24-48hr Admission Timeline
4:1 Staff-to-Client Ratio
MAT Medical Taper Protocols
Dual NH & MA Licensed
Recognize the Signs

Signs & Symptoms of Xanax Addiction

Xanax (alprazolam) is a short-acting benzodiazepine, which means dependence can develop rapidly — sometimes within just a few weeks of regular use. Recognizing the progression is critical.

Mild
Taking Xanax more frequently or in higher doses than prescribed — an extra half-pill here becomes a full extra dose there.
Feeling anxious or panicked at the thought of running out, or counting remaining pills with growing concern.
Using Xanax for situations it wasn’t prescribed for — social events, sleep, general stress — beyond the original indication.
Noticing that the same dose no longer provides the same relief it did when you first started.
Moderate
Rapidly increasing tolerance — needing 2mg, 3mg, or more when 0.5mg once did the job. Xanax tolerance escalates faster than most benzodiazepines.
Rebound anxiety between doses that feels worse than the original condition — a hallmark of short-acting benzo dependence.
Doctor shopping, obtaining Xanax from multiple sources, or purchasing it without a prescription.
Cognitive impairment — memory blackouts, slurred speech, impaired coordination — that you or others have noticed.
Severe
Seizures or severe withdrawal symptoms when doses are missed — Xanax’s short half-life makes withdrawal onset rapid and intense.
Combining Xanax with alcohol, opioids, or other depressants — a combination responsible for thousands of overdose deaths annually.
Complete inability to function without Xanax — panic attacks, tremors, depersonalization, or perceptual disturbances when unmedicated.
Continued use despite overdose scares, legal problems, relationship destruction, or job loss.

If any of these resonated, our clinical team can help determine the right level of care. Never stop Xanax abruptly — medical supervision is essential.

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 Xanax Addiction

Xanax recovery requires careful medical management alongside intensive therapeutic support. Our programs are designed to address both the physical dependence and the underlying anxiety that drove the use.

i.

Partial Hospitalization Program

Our most intensive outpatient level. Full-day programming with clinical assessments, group therapy, individual sessions, holistic activities, and daily lunch. Essential structure during the critical Xanax taper period.

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 available.

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. Many Xanax users are high-functioning professionals — this track was built for them.

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 — especially important during the prolonged Xanax post-acute withdrawal period.

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. Ideal for clients in the extended post-taper recovery phase.

Full or hybrid attendance NH & MA residents
vi.

Medication-Assisted Treatment

Safe Xanax discontinuation typically involves switching to a longer-acting benzodiazepine (such as diazepam) for a controlled, gradual taper. Our on-site Nurse Practitioner designs individualized taper schedules that minimize withdrawal severity and seizure risk.

On-site NP Cross-taper protocols Seizure prevention
JCAHO Accredited NH Licensed MA Licensed LegitScript Certified HIPAA Compliant
What They Say

Stories from Recovery

“[Client testimonial about Xanax recovery at Trailhead — I had been on Xanax for six years and was terrified to stop. The NP switched me to a longer-acting benzo and tapered me so gradually I barely noticed. The therapy gave me real tools for my anxiety.]”
— [Client Name] • Google Review
“[Client testimonial about the flexible scheduling — I’m a professional who couldn’t take time off work. The evening IOP let me get treatment without anyone at my office knowing. The staff treated my situation with total discretion.]”
— [Client Name] • Google Review
“[Family member testimonial — we thought the Xanax was helping her anxiety. It took us a long time to realize the medication had become the problem. Trailhead helped our whole family understand what was happening and how to support her recovery.]”
— [Family Member] • Google Review
Why Trailhead

11 Reasons to Choose Trailhead for Xanax Treatment

1. Expert cross-taper protocols. Xanax’s short half-life makes direct tapering difficult. Our NP typically transitions clients to a longer-acting benzodiazepine for a smoother, safer taper with fewer withdrawal spikes.

→ Short-acting to long-acting conversion

2. 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
→ No residential stay required

3. 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.

4. On-site Nurse Practitioner within 24 hours. Every client meets our NP within a day of admission for medication evaluation, health assessment, and taper protocol initiation.

→ Individualized taper schedules
→ Individualized taper schedules

5. Evidence-based anxiety treatment. DBT skills groups provide the emotional regulation, distress tolerance, and mindfulness foundation that replaces Xanax with genuine coping capacity.

6. Weekly individual therapy with a licensed therapist at every program level. One-on-one sessions address the underlying anxiety, panic disorder, or trauma that led to Xanax dependence.

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 — natural anxiety management that replaces chemical sedation.

11. Dual state licensing in both New Hampshire and Massachusetts ensures broad regional access and insurance acceptance across both states.

Recovery Timeline

Your Path Through Xanax Treatment

Weeks 1–2 • Assessment & Cross-Taper
The First Pages
The hardest part is behind you — you’ve asked for help. Your first days at Trailhead focus on comprehensive evaluation and initiating the cross-taper from short-acting Xanax to a longer-acting equivalent for a safer, smoother withdrawal process.
  • Comprehensive biopsychosocial evaluation
  • NP evaluation and cross-taper protocol design within 24 hours
  • Transition from alprazolam to longer-acting benzodiazepine
  • Therapist and case manager assignment
Weeks 3–8 • Active Taper & Treatment
Finding Your Voice
Now the real work begins. Daily groups, individual sessions, and skill-building exercises help you develop anxiety management tools while your taper continues under close medical supervision. The goal: learn to handle what Xanax was handling for you.
  • Daily DBT, CBT, and ACT skills groups for anxiety management
  • Weekly individual therapy for underlying panic/anxiety
  • Gradual taper with weekly NP check-ins
  • Relapse prevention planning begins
Weeks 9–16 • Integration
Writing New Chapters
You start applying what you’ve learned to real life. Step down from PHP to IOP. Build a support network. The taper nears completion — and you discover that managing anxiety without Xanax is not only possible, it feels liberating.
  • Real-world anxiety management skill application
  • Equine therapy, yoga, breathwork, sober activities
  • Family therapy and monthly support groups
  • Transition planning and aftercare coordination
Weeks 17–24+ • Maintenance
The Story Continues
Xanax recovery often involves an extended post-acute withdrawal period. Anxiety, insomnia, and cognitive fog can linger for months. Outpatient support, alumni connection, and aftercare referrals ensure you’re never navigating this alone.
  • Step-down to OP or ongoing individual therapy
  • Post-acute withdrawal symptom management
  • Alumni program enrollment
  • External provider referrals and sober living coordination
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, including benzodiazepine and Xanax dependence.

* Years of clinical experience in behavioral health

[Lead Therapist]

LADC, Master’s Degree

Over a decade of experience in addiction counseling. Specializes in DBT skills groups and anxiety management for clients recovering from Xanax dependence.

* Combines professional credentials with lived recovery experience

[Nurse Practitioner]

APRN, Psychiatric NP

Designs and manages individualized Xanax cross-taper protocols, psychiatric evaluations, and ongoing medication management. Available within 24 hours of admission.

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

Xanax & Benzodiazepine Use in New Hampshire

Alprazolam (Xanax) is the most commonly prescribed benzodiazepine in the United States, with over 21 million prescriptions dispensed annually1. Its rapid onset and short duration make it particularly prone to dependence — and particularly dangerous to stop without medical supervision. In New Hampshire and across New England, benzodiazepine prescribing rates remain above the national average.

The consequences are devastating and measurable. Benzodiazepines, including Xanax, were involved in approximately 12,499 overdose deaths nationwide in 20212. In over 65% of those deaths, opioids were also present3 — making the combination of Xanax and opioids one of the deadliest drug interactions in America. At Trailhead, we believe medically supervised treatment changes these numbers — one person at a time.
IQVIA National Prescription Audit and ClinCalc DrugStats Database, 2022–2023.
CDC WONDER database, NIDA Research Report, 2021–2022 data.
NIDA Research Report on Benzodiazepines and Opioids, 2022.
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 Xanax Addiction

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.

Xanax addiction is a medical condition, not a character flaw. It often starts with a doctor’s prescription for legitimate anxiety or panic attacks — that makes it uniquely difficult for families to recognize. The person you knew before the dependence took hold is still there. But they need professional help to find their way back.

Start by educating yourself. Understand that Xanax changes brain chemistry rapidly, creating physical dependence that willpower alone cannot overcome. Critically important: never take someone’s Xanax away, flush their pills, or pressure them to stop cold turkey. Abrupt Xanax cessation can cause seizures and is potentially life-threatening. The safe path is always a medically supervised taper.

Set clear boundaries, and mean them. “I love you, and I will not participate in behaviors that support your dependence.” Have the conversation when they are clearheaded, using “I” statements rather than accusations. Offer specific next steps: “I found a program in Salem that specializes in Xanax tapers — can we call together?”

Take care of yourself, too. Consider therapy, 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.

With hope,
The Clinical Team at Trailhead Treatment Center
When They Won’t Go

What If They Refuse Treatment?

Resistance to treatment is common, especially when Xanax was originally prescribed by a trusted doctor. It doesn’t mean recovery is impossible — it means a different approach may be needed.

Should we stage an intervention?
A professional intervention can be powerful, but it’s not always the right first step. We recommend working with a licensed interventionist who uses evidence-based methods — not the confrontational approach you may have seen on television. The goal is to create a moment of clarity, not a crisis. If you’d like guidance, our admissions team can help connect you with local intervention professionals.
They say it’s just their anxiety medication — how is it addiction?
This is the most common defense with Xanax. It was prescribed for real anxiety, and it does provide real relief — but the brain adapts. When someone needs escalating doses, panics when they run low, takes it for reasons beyond the original prescription, or can’t function without it, dependence has developed. The prescription’s legitimacy doesn’t prevent the brain from becoming physically dependent on the drug.
Can we just take the Xanax away?
Absolutely not. This is a potentially fatal mistake. Xanax withdrawal can cause grand mal seizures, psychosis, and other life-threatening complications — especially with its short half-life, where withdrawal can begin within hours of a missed dose. Never dispose of, hide, or withhold someone’s Xanax without medical guidance. The only safe path is a professionally managed taper.
How do we know when it’s “bad enough” for treatment?
There is no minimum threshold of suffering required to deserve help. If Xanax is causing problems in their health, relationships, work, or daily functioning — or if they can’t stop despite wanting to — treatment is appropriate. Waiting for a “rock bottom” is a myth that costs lives. The best time to seek treatment is right now.
What should we do in the meantime?
Take care of yourself. Attend family therapy or support groups. Educate yourself about Xanax dependence as a medical condition. 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

Xanax 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 Xanax Treatment

How do I know if I’m addicted to Xanax or just dependent?

Physical dependence and addiction overlap but aren’t identical. Physical dependence means your body has adapted to the drug and you’ll experience withdrawal without it. Addiction adds compulsive use despite negative consequences, cravings, and loss of control over dosing. In either case, medical supervision is needed to safely discontinue Xanax. Our clinical team can help determine the appropriate level of care.

• • •

Why can’t I just stop taking Xanax?

Xanax is a short-acting benzodiazepine, meaning it enters and leaves your system quickly. This rapid cycling creates intense withdrawal between doses. Abrupt cessation can trigger seizures, psychosis, and other life-threatening complications. A medically supervised taper — often involving a cross-taper to a longer-acting benzodiazepine — is the only safe way to discontinue.

• • •

What does a Xanax taper look like?

Our NP typically converts the Xanax dose to an equivalent amount of a longer-acting benzodiazepine (such as diazepam), then gradually reduces the dose over weeks or months. This approach smooths out the withdrawal spikes that make Xanax particularly difficult to taper directly. The schedule is individualized and adjusted based on your symptoms.

• • •

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.

• • •

Will my insurance cover Xanax addiction 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.

• • •

Can I work while in treatment?

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. Many of our Xanax clients are working professionals — the evening track was designed with them in mind.

• • •

How long does post-acute withdrawal from Xanax last?

Post-acute withdrawal symptoms (PAWS) from Xanax can include anxiety, insomnia, cognitive difficulties, and mood instability that persist for weeks to months after the taper is complete. This is normal and temporary. Our extended outpatient support helps you manage these symptoms with evidence-based strategies rather than returning to medication.

This page is information. Treatment is action.

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

Call (857) 312-1697