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Home Treatments OCD
★★★★★ 5.0 Stars — [X Reviews on Google]

OCD Treatment in Salem, NH

Evidence-based OCD treatment through our PHP and IOP programs. Individualized care from licensed clinicians specializing in CBT with Exposure and Response Prevention (ERP).

Treatment Programs

Programs for OCD Treatment

Multiple levels of care, all designed around evidence-based OCD treatment and your personal wellness goals.

Partial Hospitalization Program (PHP)

Mon–Fri, 9:00 AM – 3:30 PM • 20–30 days

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.

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Intensive Outpatient Program (IOP)

Morning, Afternoon, or Evening • 60–90 days

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.

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Evening Professional Track

Mon–Thu, 6:00 PM – 9:00 PM

Designed for working adults. Same evidence-based programming in evening hours so you can maintain your career while receiving treatment for OCD.

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Outpatient Program (OP)

Once per week • Ongoing maintenance

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.

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Telehealth

Virtual sessions • All program levels

Attend groups and individual sessions remotely. Full therapeutic experience from the comfort of your home with secure video platform.

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Medication Management

Integrated with all programs

SSRIs at therapeutic doses and clomipramine options managed by our on-site Nurse Practitioner. Medication works alongside ERP therapy to reduce obsessive-compulsive symptoms.

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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.

Patient Testimonials

Stories of Freedom

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 Name]
Google Review • [Month 2026]
★★★★★
“[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 Name]
Google Review • [Month 2026]
★★★★★
“[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.]”
[Client Name]
Google Review • [Month 2026]
Why Trailhead

Advantages of Our OCD Treatment

What makes our approach to OCD different — and effective.

1 Specialized OCD programming with CBT and Exposure & Response Prevention (ERP)
2 On-site Nurse Practitioner for medication management within 24 hours
3 ERP therapy — the gold standard for OCD treatment
4 Flexible scheduling — morning, afternoon, or evening sessions
5 12:1 counselor-to-client ratio for personalized attention
6 Individual therapy weekly regardless of program level
7 SSRI and clomipramine medication options at therapeutic doses
8 Family therapy and monthly family education groups
9 Holistic approaches: mindfulness, breathwork, yoga, meditation
10 Psychoeducation on OCD cycles, triggers, and response patterns
11 Same-day or next-day admissions when clinically appropriate
Treatment Timeline

Your Path Through Treatment

A structured journey from assessment to lasting symptom management.

Week 1–2

Assessment & Psychoeducation

  • Comprehensive clinical assessment and OCD severity evaluation
  • NP evaluation within 24 hours, SSRI plan initiated if appropriate
  • Introduction to group therapy, daily structure
  • Psychoeducation on the OCD cycle (obsession → anxiety → compulsion → relief)
Week 3–4

Active ERP & Skill Building

  • Daily group therapy with CBT and ERP components
  • Weekly individual therapy — building exposure hierarchy
  • Gradual exposure exercises with response prevention
  • Medication titration and monitoring with NP
Week 5–8

Integration & Step-Down

  • Transition from PHP to IOP
  • Real-life ERP application — confronting triggers in daily routines
  • Family therapy sessions
  • Relapse prevention planning for OCD flare-ups
  • Community engagement (equine therapy, hiking, bowling)
Week 9–12+

Maintenance & Aftercare

  • OP or continued IOP for ongoing symptom monitoring
  • Alumni program enrollment
  • External therapist/psychiatrist referrals (ERP-trained preferred)
  • Ongoing family support group access
Our Facility

Tour Our Salem, NH Center

A comfortable, home-like environment designed to support your treatment journey.

Photo placeholder — Group Therapy Room

Group Therapy Room

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.

Start OCD Treatment Today

One phone call can change everything. Reach out — we’re here to help.

Treatment Team

Your Care Team

Licensed clinicians with professional credentials and deep experience in anxiety and OCD disorders — they understand the journey.

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[Clinical Director]

LMHC / LICSW

Experienced in mental health treatment with specialized training in anxiety and OCD disorders. Leads the clinical team with compassion and expertise.

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[Lead Therapist]

LMHC

Specializes in OCD treatment with focus on ERP and CBT. Trained in building exposure hierarchies and guiding clients through response prevention.

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[Nurse Practitioner]

NP / Prescriber

Manages all psychiatric medications including SSRIs and clomipramine for OCD. Evaluates new clients within 24 hours and provides ongoing medication oversight throughout treatment.

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[Case Manager]

Behavioral Health

Connects clients with community resources, assists with life skills, employment, and housing. Ensures continuity of care beyond treatment.

Signs & Symptoms

Recognizing OCD

OCD involves a cycle of obsessions and compulsions. Understanding the signs can help guide the right treatment approach for you or a loved one.

Obsessions Compulsions Impact

Intrusive Thoughts (Obsessions)

  • Persistent unwanted thoughts, images, or urges
  • Fear of contamination, germs, or illness
  • Need for symmetry, order, or exactness
  • Intrusive thoughts about harm, violence, or taboo topics

Repetitive Behaviors (Compulsions)

  • Excessive handwashing, cleaning, or sanitizing
  • Checking locks, appliances, or switches repeatedly
  • Counting, arranging, or organizing rituals
  • Mental rituals — repeating words, praying, reviewing events

Life Impact

  • Spending hours daily on obsessions or compulsions
  • Significant distress when rituals are interrupted
  • Avoidance of people, places, or situations that trigger OCD
  • Impaired work, school, or relationship functioning

If you or a loved one is experiencing any of these signs, call us at (857) 312-1697

Freedom Starts with One Call

Don’t wait for the perfect moment — reach out today and let us help you break the cycle.

National Statistics

OCD in the United States

Understanding the scope of OCD helps reinforce why seeking treatment matters.

2.5%
U.S. adults affected by OCD in their lifetime
NIMH 2023
1.2%
U.S. adults with OCD in the past year
NIMH 2023
19
Average age of OCD onset
IOCDF 2023
50%
Of OCD cases classified as “severe”
NIMH 2023
Insurance

Insurance We Accept

We work with most major insurance plans to make OCD treatment accessible.

Anthem BCBS
In-Network
Point 32
In-Network
Harvard Pilgrim
In-Network
Tufts Health
In-Network
Tricare
In-Network
Uprise Health
Accepted
WellSense
NH Medicaid
Cigna
Out-of-Network
Aetna
Out-of-Network
UnitedHealth
Out-of-Network

Verify Your Insurance

Find out what your plan covers in minutes. No obligation, completely confidential.

HIPAA protected. No obligation. Self-pay and financial assistance available.

By the Numbers

Treatment at a Glance

4:1

Staff-to-Client Ratio

More staff means more personalized attention

24h

Admission Timeline

From call to program start within 24–48 hours

~70

Client Capacity

Right-sized for community, not a number

18-80

Age Range

Adults of all ages welcome

For Families

How to Help a Loved One

Supporting someone with OCD is challenging. These tips can make the journey easier for everyone.

Educate Yourself

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.

Don’t Participate in Rituals

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.

Be Patient with ERP

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.

Join Family Therapy

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.

Take Care of Yourself

You can’t pour from an empty cup. Seek your own therapy, connect with OCD support communities, and prioritize your mental health too.

Celebrate Small Victories

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

When They’re Not Ready

What If They Refuse Treatment?

It’s painful when someone you love won’t accept help. Here are steps that can make a difference.

1

Don’t Wait for It to Get Worse

OCD tends to worsen without treatment. Earlier intervention leads to better outcomes and prevents the cycle from becoming deeply entrenched. Start the conversation now.

2

Use Compassionate Language

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.

3

Reduce Accommodation Gradually

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.

4

Consider Professional Guidance

A therapist experienced in OCD can help you navigate the conversation and develop strategies. Sometimes family therapy is the first step toward individual treatment.

5

Know When to Call for Help

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) 312-1697

Call Us for Family Support

You don’t have to navigate this alone. Our family program provides education, support, and community.

📚 Monthly Zoom education groups
👥 Open to any family member 18+
💡 OCD accommodation & family systems curriculum
Call (857) 312-1697
Location

OCD Treatment in Salem, NH

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.

Trailhead Treatment Center
103 Stiles Rd, Suites 1 & 2, Salem, NH 03079
(857) 312-1697 • Mon–Thu 9am–9pm, Fri 9am–5pm
Salem NH Nashua Manchester Concord Derry Haverhill MA Lawrence MA Lowell MA
Map placeholder — 103 Stiles Rd, Salem NH
Common Questions

OCD Treatment FAQ

What are the signs of OCD?

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.

How long does OCD treatment take?

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.

What is ERP and why is it the gold standard?

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.

What medications are used for OCD?

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.

Can I work while in OCD treatment?

Absolutely. Our Evening Professional Track (6–9 PM, Mon–Thu) is specifically designed for working adults who need treatment without disrupting their careers.

Will insurance cover OCD treatment?

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.

Is OCD the same as being a “neat freak”?

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.

Can family members be involved in treatment?

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.

What happens after OCD treatment ends?

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.

What makes Trailhead different for OCD?

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.

Every Clear Day Starts with One Step

You don’t have to wait for the storm to pass. Call today — a brighter path is waiting.

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