Integrated dual diagnosis treatment addressing both substance use and mental health conditions simultaneously. One team, one plan, complete care.
Multiple levels of integrated care designed to treat substance use and mental health conditions together — not as separate problems.
Our highest level of outpatient care. Structured daily groups including DBT, CBT, and psychoeducation addressing both substance use and mental health. On-site NP for integrated medication management within 24 hours.
Learn more →Step-down from PHP or direct entry. Three scheduling options. Weekly individual therapy and daily group sessions targeting both conditions with an integrated treatment plan.
Learn more →Designed for working adults. Same evidence-based programming in evening hours so you can maintain your career while addressing both substance use and mental health.
Learn more →Ongoing individual and group therapy for sustained recovery from both conditions. Ideal for clients stepping down from IOP or needing flexible, long-term dual diagnosis support.
Learn more →Attend groups and individual sessions remotely. Full therapeutic experience from the comfort of your home with secure video platform.
Learn more →MAT options (Vivitrol, Naltrexone) plus psychiatric medications (SSRIs, mood stabilizers, etc.) managed together by our on-site Nurse Practitioner. One prescriber, one coordinated plan.
Learn more →Trailhead Treatment Center is ☑ State Licensed by the State of New Hampshire for substance use and mental health treatment, with ☑ Dual Licensing serving clients from both NH and MA. ☑ JCAHO Accreditation in progress.
Real experiences from people who found integrated care for both conditions.
“[Client testimonial about dual diagnosis recovery — placeholder. For years I was treated for depression and addiction separately, and nothing worked. Trailhead treated both together and everything clicked.]”
“[Client testimonial about integrated medication management — placeholder. Having one NP manage both my psychiatric meds and MAT made everything simpler and more effective.]”
“[Client testimonial about the evening program — placeholder. I could work during the day and get treatment for my anxiety and substance use in the evening. That flexibility saved my career and my life.]”
Why treating both conditions together produces better outcomes than treating them separately.
A structured journey addressing substance use and mental health simultaneously.
A comfortable, home-like environment designed to support your recovery journey.
Multiple group therapy rooms provide comfortable, private spaces for evidence-based sessions including DBT, CBT, and ACT skills groups. Each room accommodates small groups for focused, intimate therapeutic work addressing both substance use and mental health.
One phone call can change everything. Reach out — we’re here to help.
Licensed clinicians trained in both substance use and mental health treatment — no referrals back and forth.
Experienced in integrated dual diagnosis treatment with expertise in both substance use disorders and mental health conditions. Leads the clinical team with compassion.
Dual-credentialed in addiction and mental health counseling. Specializes in treating both conditions simultaneously with integrated evidence-based approaches.
Manages both MAT medications and psychiatric medications. One prescriber coordinating all medications ensures safety and effectiveness across both conditions.
Connects clients with community resources, assists with life skills, employment, and housing. Ensures continuity of care beyond treatment for both conditions.
When substance use and mental health conditions exist together, each one makes the other worse. Recognizing both is the first step.
Don’t wait for the perfect moment — reach out today and let us help you find your way.
Understanding how common co-occurring disorders are helps reinforce why integrated treatment matters.
We work with most major insurance plans to make dual diagnosis treatment accessible.
Find out what your plan covers in minutes. No obligation, completely confidential.
HIPAA protected. No obligation. Self-pay and financial assistance available.
More staff means more personalized attention
From call to program start within 24–48 hours
Right-sized for community, not a number
Adults of all ages welcome
Supporting someone with co-occurring disorders is complex. These tips can help you navigate both conditions.
Substance use and mental health conditions feed each other. Your loved one isn’t choosing one over the other — they’re trapped in a cycle where each condition makes the other worse.
When someone has co-occurring disorders, willpower alone isn’t enough. Both conditions need professional treatment — ideally at the same time, by the same team.
The biggest mistake is treating one condition without the other. Trailhead addresses both simultaneously, which research shows produces significantly better outcomes.
Trailhead offers monthly Zoom family education groups. Open to all family members 18+, past and present clients. Curriculum covers both conditions, codependency, and family systems.
You can’t pour from an empty cup. Seek your own therapy, attend support groups, and prioritize your mental health too.
Recovery from co-occurring disorders is a longer journey. Acknowledge progress in either area — attending therapy, taking medications, showing up sober. Every step counts.
Our family support program is open to all family members 18+. Call (857) 312-1697
It’s painful when someone you love won’t accept help. Here are steps that can make a difference.
The idea that someone must “hit rock bottom” is a myth. Earlier intervention leads to better outcomes, especially with co-occurring disorders.
Express concern without judgment. “I’ve noticed...” instead of “You always...”. Motivational interviewing techniques can help guide the conversation.
Boundaries aren’t ultimatums — they’re statements of what you will and won’t accept. Enforce them consistently with love.
A trained interventionist can facilitate a structured conversation. This is not about ambushing — it’s about organized, loving support.
If there’s immediate danger — overdose, withdrawal seizures, threats of self-harm — call 911. For guidance on next steps, call us anytime.
Our admissions team can guide you through next steps — even if your loved one isn’t ready yet.
☎ Call (857) 312-1697You don’t have to navigate this alone. Our family program provides education, support, and community.
We provide integrated co-occurring disorders treatment for clients throughout Salem, NH, and Greater New Hampshire. Conveniently located just minutes off Route 93 with dual NH/MA licensing.
Co-occurring disorders (also called dual diagnosis) means having both a substance use disorder and a mental health condition at the same time. Common combinations include depression + alcohol use, anxiety + opioid use, PTSD + substance use, and bipolar disorder + addiction.
Research consistently shows that treating both conditions simultaneously produces better outcomes than treating them separately. When one condition goes untreated, it typically causes relapse in the other.
Our clinical team creates one unified treatment plan addressing both conditions. Therapy groups cover skills for both substance use and mental health. Our NP manages all medications together from a single coordinated plan.
Depending on the conditions, we may use MAT (Vivitrol, Naltrexone) for substance use alongside psychiatric medications (SSRIs, mood stabilizers, etc.) for mental health. Our NP manages all medications on-site.
Absolutely. Our Evening Professional Track (6–9 PM, Mon–Thu) is specifically designed for working adults who need treatment without disrupting their careers.
Most major insurance plans cover co-occurring disorders treatment under both substance use and mental health parity laws. Use our verification form or call us to check your specific coverage.
We treat mental health conditions both with and without co-occurring substance use. You do not need a substance use diagnosis to receive treatment at Trailhead.
Yes. We offer family therapy sessions and monthly Zoom family education groups. These are open to any family member 18+, covering both conditions, codependency, communication, and family systems.
We use CBT, DBT, ACT, motivational interviewing, 12-Step facilitation, SMART Recovery principles, and relapse prevention — all adapted for both substance use and mental health treatment.
Truly integrated treatment (one team, one plan), dual-credentialed staff, NP managing all medications together, 12:1 counselor caseloads, flexible scheduling, and same-day admissions.
You don’t have to wait for the storm to pass. Call today — a brighter path is waiting.
