Compassionate, DBT-focused treatment for self-harm behaviors. Safety stabilization first, then skill-building for lasting recovery in a supportive outpatient environment.
Multiple levels of care designed around safety stabilization, DBT skills, and building healthier coping mechanisms.
Our highest level of outpatient care. Structured daily groups with intensive DBT skills training, safety planning, and psychoeducation. 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 distress tolerance and emotion regulation.
Learn more →Designed for working adults. Same evidence-based programming in evening hours so you can maintain your career while building healthy coping skills.
Learn more →Ongoing individual and group therapy for sustained progress. Ideal for clients stepping down from IOP or those needing flexible, long-term support for self-harm recovery.
Learn more →Attend groups and individual sessions remotely. Full therapeutic experience from the comfort of your home with secure video platform.
Learn more →SSRIs and mood stabilizers managed by our on-site Nurse Practitioner. Medication addresses underlying depression and mood instability alongside therapy.
Learn more →Trailhead Treatment Center is ☑ State Licensed by the State of New Hampshire for mental health treatment, with ☑ Dual Licensing serving clients from both NH and MA. ☑ JCAHO Accreditation in progress.
Real experiences from people who found healthier ways to cope.
“[Client testimonial about self-harm recovery at Trailhead — placeholder. DBT changed the way I handle overwhelming emotions. I finally have tools that work.]”
“[Client testimonial about safety planning and compassionate staff — placeholder. They never judged me. They helped me understand why I was hurting myself and gave me alternatives.]”
“[Client testimonial about the evening program and medication support — placeholder. The combination of therapy and medication management made all the difference for me.]”
What makes our approach to self-harm treatment different — and effective.
A structured journey from safety stabilization to lasting healing.
A comfortable, home-like environment designed to support your healing journey.
Multiple group therapy rooms provide comfortable, private spaces for evidence-based sessions including DBT skills groups, safety planning, and mindfulness practice. 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 specialized training in self-harm and DBT — they understand the journey toward healing.
Experienced in mental health treatment with specialized training in DBT and self-harm intervention. Leads the clinical team with compassion and expertise.
Specializes in DBT-informed treatment for self-harm and emotional dysregulation. Brings both clinical expertise and deep understanding of the healing process.
Manages all medications including SSRIs and mood stabilizers. 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.
Self-harm exists on a spectrum. Understanding the warning 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 find your way.
Understanding the scope of self-harm helps reinforce why seeking treatment matters.
We work with most major insurance plans to make mental health 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 who self-harms is incredibly difficult. These tips can help you navigate the conversation with compassion.
Finding out someone you love self-harms can be shocking. Take a breath. Listen without judgment and let them know you care about their pain, not just the behavior.
Demanding someone “just stop” doesn’t work. Self-harm is a coping mechanism for overwhelming emotions. Focus on getting them professional help instead.
Self-harm is not the same as a suicide attempt — though the risk is elevated. Understanding the difference helps you respond appropriately and reduce panic.
Trailhead offers monthly Zoom family education groups. Open to all family members 18+, past and present clients. Curriculum covers communication, boundaries, and supporting recovery.
You can’t pour from an empty cup. Seek your own therapy, find a support group, and prioritize your own mental health too.
Keep the 988 Suicide & Crisis Lifeline number saved. If your loved one is in immediate danger, call 911. Having a plan reduces panic in critical moments.
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.
Self-harm can escalate over time. Earlier intervention leads to better outcomes. Start the conversation now, even if it feels uncomfortable.
Express concern without judgment. “I’ve noticed you seem to be in a lot of pain...” instead of “Why are you doing this to yourself?”
Boundaries aren’t ultimatums — they’re statements of what you will and won’t accept. Enforce them consistently with love.
Offer to make the call together, drive them to an appointment, or sit with them while they verify insurance. Reducing barriers shows you’re in this together.
If there’s immediate danger — severe self-harm, suicidal statements, or medical emergency — call 911 or 988. 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 compassionate self-harm treatment for clients throughout Salem, NH, and Greater New Hampshire. Conveniently located just minutes off Route 93 with dual NH/MA licensing.
Self-harm includes any intentional act of hurting oneself, such as cutting, burning, hitting, scratching, or hair-pulling. It is typically used as a way to cope with overwhelming emotional pain, not as a suicide attempt — though the risk of suicide is elevated.
DBT (Dialectical Behavior Therapy) is the gold standard treatment for self-harm. It teaches four key skill sets: distress tolerance, emotion regulation, interpersonal effectiveness, and mindfulness — giving you healthier ways to manage intense feelings.
Not necessarily. Most self-harm is a coping mechanism for emotional pain rather than an attempt to end life. However, people who self-harm are at higher risk for suicidal ideation, which is why professional treatment is important.
SSRIs (selective serotonin reuptake inhibitors) and mood stabilizers are commonly used to address underlying depression, anxiety, and mood instability that drive self-harm behaviors. 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 are accepted, including Anthem BCBS, Point 32, Tricare, and WellSense NH Medicaid. Mental health treatment is covered under parity laws. Use our verification form or call us to check your coverage.
A safety plan is a personalized document created with your therapist that identifies your triggers, warning signs, coping strategies, support contacts, and crisis resources. It serves as a step-by-step guide for managing urges to self-harm.
Yes. We offer family therapy sessions and monthly Zoom family education groups. These are open to any family member 18+, covering communication, boundaries, and how to support someone in recovery.
If you are in immediate danger, call 911. For crisis support, call or text 988 (Suicide & Crisis Lifeline) available 24/7, or text HELLO to 741741 (Crisis Text Line). You can also call us at (857) 312-1697 during business hours.
DBT as our primary modality, individualized safety planning, compassionate staff, 12:1 counselor caseloads, flexible scheduling options, 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.
