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Home Treatments Co-Occurring Disorders
★★★★★ 5.0 — [X Reviews]

Co-Occurring Disorders Treatment in Salem, NH

Integrated dual diagnosis treatment addressing both substance use and mental health conditions simultaneously. PHP, IOP, and evening programs with coordinated medication management.

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Treatment Programs

Programs for Dual Diagnosis Recovery

Multiple levels of care designed to treat both substance use and mental health conditions together — never separately.

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Highest Intensity

Partial Hospitalization Program (PHP)

Mon–Fri, 9:00 AM – 3:30 PM. Structured daily groups including DBT, CBT, and psychoeducation targeting both addiction and mental health. On-site NP for integrated medication management within 24 hours.

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Flexible Scheduling

Intensive Outpatient Program (IOP)

Morning, afternoon, or evening sessions. Step-down from PHP or direct entry. Weekly individual therapy and daily group sessions addressing both conditions for 60–90 days.

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Working Adults

Evening Professional Track

Mon–Thu, 6:00–9:00 PM. Same integrated dual diagnosis programming in evening hours so you can maintain your career while addressing both conditions.

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Ongoing Support

Outpatient & MAT

Weekly outpatient sessions for long-term maintenance of both recovery and mental wellness. MAT and psychiatric medications managed by our on-site NP, integrated with all program levels.

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NH Licensed
MA Licensed
JCAHO Accredited
LGBTQ+ Inclusive
Field Reports

From the Logbook

Real stories from those who’ve navigated the dual diagnosis trail before you.

★★★★★
“[Client testimonial about dual diagnosis recovery at Trailhead — placeholder. Having both my depression and addiction treated together made all the difference.]”
[Client Name]
Google Review • [Month 2026]
★★★★★
“[Client testimonial about integrated medication management — placeholder. The NP handled both my psychiatric meds and MAT in one coordinated plan.]”
[Client Name]
Google Review • [Month 2026]
★★★★★
“[Client testimonial about co-occurring treatment — placeholder. Previous programs treated my anxiety and substance use separately. Trailhead was the first to connect the dots.]”
[Client Name]
Google Review • [Month 2026]
Why Trailhead

Your Dual Diagnosis Gear List

Everything you need for the integrated recovery journey — already packed and ready.

Truly integrated treatment for both substance use and mental health conditions

On-site NP managing psychiatric meds and MAT in one coordinated plan

DBT and CBT skills groups adapted for dual diagnosis clients

Flexible scheduling — morning, afternoon, or evening sessions

12:1 counselor-to-client ratio for personalized attention

Individual therapy weekly regardless of program level

Dual-licensed clinicians trained in both addiction and mental health

Family therapy and monthly family education groups

Holistic approaches: breathwork, yoga, meditation

Case management for life skills, employment, housing support

Same-day or next-day admissions when clinically appropriate

Recovery Timeline

The Ascent to Integrated Recovery

From base camp to the summit — your elevation through dual diagnosis treatment.

Base Camp • Week 1–2

Stabilization & Dual Assessment

  • Comprehensive clinical assessment for both conditions
  • NP evaluation within 24 hours — psychiatric and addiction medication plan
  • Introduction to integrated group therapy, daily structure
  • Begin DBT/CBT skills foundation addressing both diagnoses
Camp 1 • Week 3–4

Active Integrated Treatment

  • Daily group therapy (CBT, DBT, ACT) adapted for dual diagnosis
  • Weekly individual therapy — addressing interconnected triggers
  • Psychoeducation on the relationship between mental health and substance use
  • Medication optimization for both conditions
Camp 2 • Week 5–8

Integration & Step-Down

  • Transition from PHP to IOP
  • Real-life skill application for managing both conditions
  • Family therapy sessions
  • Relapse and symptom recurrence prevention planning
  • Community engagement (equine therapy, hiking, bowling)
Summit • Week 9–12+

Maintenance & Aftercare

  • OP or continued IOP
  • Alumni program enrollment
  • Referrals for ongoing psychiatric care and addiction support
  • Ongoing family support group access
Our Facility

Tour Basecamp

A grounded, home-like environment built for integrated recovery.

Photo placeholder — Group Therapy Room

Group Therapy Room

Multiple group therapy rooms provide comfortable, private spaces for integrated dual diagnosis sessions including DBT, CBT, and ACT skills groups. Each room accommodates small groups for focused, intimate therapeutic work.

Start Co-Occurring Disorders Treatment Today

One phone call can set up your basecamp for integrated recovery. We’re ready when you are.

Treatment Team

Your Expedition Crew

Dual-licensed clinicians with expertise in both addiction and mental health — they know the terrain of co-occurring disorders.

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[Clinical Director]

LMHC / LICSW

Leads the clinical team with expertise in dual diagnosis treatment and evidence-based modalities.

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[Lead Therapist]

LADC / LMHC

Dual-licensed in addiction and mental health. Specializes in integrated treatment for co-occurring disorders.

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[Nurse Practitioner]

NP / Prescriber

Manages both psychiatric medications and MAT. Coordinates a unified medication plan within 24 hours of admission.

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[Case Manager]

Behavioral Health

Connects clients with community resources, life skills, employment, and housing support for sustained recovery.

Signs & Symptoms

Recognizing Co-Occurring Disorders

When substance use and mental health conditions overlap, symptoms compound. Understanding the intersection helps determine the right integrated approach.

Mental Health Signs — Elevation 1,000 ft

Underlying Mental Health Symptoms

  • Persistent sadness, anxiety, or mood swings
  • Difficulty concentrating or making decisions
  • Withdrawal from friends, family, or activities
  • Sleep disturbances — insomnia or oversleeping
Substance Use Signs — Elevation 3,000 ft

Escalating Substance Use

  • Using substances to self-medicate emotional pain or psychiatric symptoms
  • Increased tolerance or withdrawal symptoms
  • Failing to fulfill obligations at work, school, or home
  • Continuing use despite worsening mental health
Compounded Crisis — Elevation 5,000 ft

Dual Diagnosis Crisis Territory

  • Suicidal ideation or self-harm alongside active substance use
  • Psychiatric hospitalization followed by relapse
  • Treatment for one condition failing because the other goes untreated
  • Complete inability to function in daily life

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

Integrated Recovery Starts with One Call

Don’t wait for the perfect moment. Set up camp today.

Intel Report

Co-Occurring Disorders in America

Understanding the terrain helps reinforce why integrated treatment matters.

9.2M
U.S. adults with co-occurring disorders
SAMHSA NSDUH 2023
52%
Of those with SUD also have a mental illness
NIDA 2023
7.7%
Of dual diagnosis individuals receive integrated care
SAMHSA 2023
2x
Relapse risk when only one condition is treated
Journal of Dual Diagnosis 2022
Insurance Accepted

Supply Manifest

We work with most major insurance plans for co-occurring disorders treatment.

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

Verify Your Insurance

Find out what your plan covers for dual diagnosis treatment in minutes. No obligation, completely confidential.

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

By the Numbers

Elevation Markers

4:1

Staff-to-Client Ratio

More guides on the trail means more personalized attention

24h

Admission Timeline

From first call to basecamp within 24–48 hours

~70

Client Capacity

Right-sized for community, not a number

18-80

Age Range

Adults of all ages welcome at basecamp

Field Guide for Families

How to Help a Loved One

Supporting someone through dual diagnosis requires understanding both conditions. Consider these expedition tips.

1

Understand the Connection

Mental health and substance use disorders are deeply interconnected. One often fuels the other. Learn how they interact so you can support recovery for both.

2

Avoid Enabling Either Condition

There’s a difference between helping and enabling. Stop covering for substance use or accommodating avoidance behaviors driven by mental health symptoms.

3

Set Boundaries with Compassion

Clear boundaries protect both of you. Be firm yet loving — “I love you, and I can’t watch you struggle without getting the integrated help you need.”

4

Join Family Therapy

Trailhead offers monthly Zoom family education groups. Open to all family members 18+. Curriculum covers codependency, family systems, and dual diagnosis education.

5

Take Care of Yourself

You can’t lead an expedition if you’re exhausted. Seek your own therapy, attend support groups, and prioritize your mental health too.

6

Advocate for Integrated Treatment

Many programs treat addiction and mental health separately. Insist on truly integrated care where both conditions are addressed simultaneously — that’s what works.

Our family support program is open to all family members 18+. (857) 312-1697

When They’re Not Ready

What If They Refuse Treatment?

When a loved one with co-occurring disorders won’t accept help, these structured communication steps can make a difference.

Step 01 — Recon

Don’t Wait for Rock Bottom

The idea that someone must “hit rock bottom” is a myth. With co-occurring disorders, waiting is especially dangerous as both conditions escalate together. Earlier intervention leads to better outcomes.

Step 02 — Approach

Use Compassionate Language

Express concern without judgment. Acknowledge both the mental health symptoms and the substance use. Use “I’ve noticed...” instead of “You always...”

Step 03 — Establish Perimeter

Set Clear Boundaries

Boundaries aren’t ultimatums — they’re statements of what you will and won’t accept. Enforce them consistently with love and follow through.

Step 04 — Call for Backup

Consider Professional Intervention

A trained interventionist can facilitate a structured conversation. This isn’t about ambushing — it’s about organized, loving support from the whole team.

Step 05 — Emergency Protocol

Know When to Call for Help

If there’s immediate danger — overdose, psychiatric crisis, threats of self-harm — call 911. For guidance on next steps, call us anytime at (857) 312-1697.

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 the dual diagnosis terrain alone. Our family program provides education, support, and community.

📚 Monthly Zoom education groups
👥 Open to any family member 18+
💡 Codependency & dual diagnosis education
Call (857) 312-1697
42.7886° N · 71.2009° W

Find Basecamp

Trailhead Treatment Center
103 Stiles Rd, Suites 1 & 2
Salem, NH 03079

Phone: (857) 312-1697
Hours: 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
Frequently Asked Questions

Briefing Room

Co-occurring disorders (dual diagnosis) means having both a substance use disorder and a mental health condition at the same time. Common pairings include depression and alcohol addiction, anxiety and opioid use, or PTSD and substance dependence.

Treating only one condition while ignoring the other leads to poor outcomes and higher relapse rates. Integrated treatment addresses both simultaneously because they fuel each other.

Most major plans are accepted including Anthem BCBS, Point 32, Tricare, and WellSense NH Medicaid. Use our verification form or call us to check your coverage in minutes.

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

Every group, individual session, and medication decision accounts for both conditions. Our therapists are trained in both addiction and mental health. You won’t bounce between separate programs.

Psychiatric medications (SSRIs, mood stabilizers, anti-anxiety) address mental health symptoms while MAT options (Vivitrol, Naltrexone, Suboxone) support addiction recovery. Our NP manages both.

We use CBT, DBT, ACT, motivational interviewing, 12-Step facilitation, SMART Recovery principles, and relapse prevention — all adapted for dual diagnosis clients.

Yes. We offer family therapy and monthly Zoom family education groups open to any family member 18+, covering codependency, communication, and dual diagnosis education.

Clients step down to IOP or OP, join our alumni program, receive referrals for both psychiatric and addiction aftercare, and maintain access to family support groups.

Truly integrated treatment (not separate tracks), dual-licensed clinicians, coordinated medication management for both conditions, 12:1 counselor caseloads, and same-day admissions.

Ready to Set Up Camp?

Your basecamp for integrated recovery is here. Our team is ready to help you start building — today.

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