Evidence-based OCD treatment through our PHP and IOP programs. Individualized care from licensed clinicians specializing in CBT with Exposure and Response Prevention (ERP).
Multiple levels of care, all designed around evidence-based OCD treatment and your personal wellness goals.
Our highest level of outpatient care. Structured daily groups including CBT with ERP, psychoeducation, and anxiety management. On-site NP for medication management within 24 hours of admission.
Learn more →Step-down from PHP or direct entry. Three scheduling options to fit your life. Weekly individual therapy and daily group sessions focused on OCD symptom management.
Learn more →Designed for working adults. Same evidence-based programming in evening hours so you can maintain your career while receiving treatment for OCD.
Learn more →Ongoing individual and group therapy for sustained wellness. Ideal for clients stepping down from IOP or those needing flexible, long-term support for OCD management.
Learn more →Attend groups and individual sessions remotely. Full therapeutic experience from the comfort of your home with secure video platform.
Learn more →SSRIs at therapeutic doses and clomipramine options managed by our on-site Nurse Practitioner. Medication works alongside ERP therapy to reduce obsessive-compulsive symptoms.
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 have found relief from OCD at Trailhead.
“[Client testimonial about OCD treatment at Trailhead — placeholder. The ERP therapy was challenging but life-changing. I finally feel like I’m in control again.]”
“[Client testimonial about the flexible scheduling and medication support — placeholder. Finding the right SSRI dose combined with therapy made all the difference in managing my intrusive thoughts.]”
“[Client testimonial about the supportive environment — placeholder. The therapists here really understood OCD. They didn’t just tell me to stop — they taught me how to respond differently.]”
What makes our approach to OCD different — and effective.
A structured journey from assessment to lasting symptom management.
A comfortable, home-like environment designed to support your treatment journey.
Multiple group therapy rooms provide comfortable, private spaces for evidence-based sessions including CBT, ERP, and psychoeducation groups. Each room accommodates small groups for focused, intimate therapeutic work.
One phone call can change everything. Reach out — we’re here to help.
Licensed clinicians with professional credentials and deep experience in anxiety and OCD disorders — they understand the journey.
Experienced in mental health treatment with specialized training in anxiety and OCD disorders. Leads the clinical team with compassion and expertise.
Specializes in OCD treatment with focus on ERP and CBT. Trained in building exposure hierarchies and guiding clients through response prevention.
Manages all psychiatric medications including SSRIs and clomipramine for OCD. Evaluates new clients within 24 hours and provides ongoing medication oversight throughout treatment.
Connects clients with community resources, assists with life skills, employment, and housing. Ensures continuity of care beyond treatment.
OCD involves a cycle of obsessions and compulsions. Understanding the signs can help guide the right treatment approach for you or a loved one.
Don’t wait for the perfect moment — reach out today and let us help you break the cycle.
Understanding the scope of OCD helps reinforce why seeking treatment matters.
We work with most major insurance plans to make OCD 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 OCD is challenging. These tips can make the journey easier for everyone.
Learn about OCD as a brain-based condition, not a personality quirk. Understanding the obsession-compulsion cycle helps reduce frustration and opens the door to compassion.
It’s natural to want to help by providing reassurance or participating in rituals, but this actually reinforces OCD. Gently declining to accommodate compulsions is an act of love.
Exposure therapy is uncomfortable by design. Your loved one may seem more anxious at first — that’s part of the process. Encourage them to keep going, not to retreat.
Trailhead offers monthly Zoom family education groups. Open to all family members 18+, past and present clients. Curriculum covers how families can support ERP and avoid accommodation.
You can’t pour from an empty cup. Seek your own therapy, connect with OCD support communities, and prioritize your mental health too.
OCD recovery is gradual. When your loved one resists a compulsion or faces a fear, acknowledge the courage it takes. Progress, not perfection, is the goal.
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.
OCD tends to worsen without treatment. Earlier intervention leads to better outcomes and prevents the cycle from becoming deeply entrenched. Start the conversation now.
Express concern without judgment. “I’ve noticed the rituals are taking more of your time...” instead of “Why can’t you just stop?” Validate that the distress is real.
If you’ve been participating in rituals or providing reassurance, work on reducing this gradually. Abrupt changes can increase distress, but gradual shifts send a clear message.
A therapist experienced in OCD can help you navigate the conversation and develop strategies. Sometimes family therapy is the first step toward individual treatment.
If OCD is causing severe impairment — inability to work, leave the house, or care for themselves — professional intervention is critical. 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 OCD treatment for clients throughout Salem, NH, and Greater New Hampshire. Conveniently located just minutes off Route 93 with dual NH/MA licensing.
Key signs include persistent intrusive thoughts (obsessions) that cause distress, and repetitive behaviors or mental acts (compulsions) performed to reduce that distress. Common themes include contamination, harm, symmetry, and taboo thoughts.
PHP typically lasts 20–30 days, followed by IOP for 60–90 days. OCD is a chronic condition that responds well to ERP and medication. Many clients continue with outpatient therapy long-term for maintenance.
Exposure and Response Prevention (ERP) involves gradually facing feared situations (exposures) while resisting the urge to perform compulsions (response prevention). Research shows ERP is the most effective therapy for OCD, with 60–80% of patients showing significant improvement.
SSRIs at higher therapeutic doses are first-line medication for OCD. Clomipramine is also highly effective. Our on-site NP tailors medication plans to complement ERP therapy for optimal results.
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 are accepted, including Anthem BCBS, Point 32, Tricare, and WellSense NH Medicaid. Use our verification form or call us to check your coverage.
No. OCD is a serious mental health condition involving distressing, unwanted thoughts and time-consuming compulsions. It goes far beyond preferences for cleanliness or organization. The disorder causes significant impairment in daily life.
Yes. We offer family therapy sessions and monthly Zoom family education groups. These are open to any family member 18+, covering how to support ERP, reduce accommodation, and understand OCD.
Clients step down to IOP or OP, join our alumni program, receive external therapist referrals (ERP-trained preferred), and maintain access to family support groups for continued growth.
Family-style environment, flexible scheduling options, clinicians experienced in ERP, 12:1 counselor caseloads, on-site NP for SSRI management, and same-day admissions when clinically appropriate.
You don’t have to wait for the storm to pass. Call today — a brighter path is waiting.