Home Admissions Insurance Contact Call (857) 312-1697
Home Treatments OCD
★★★★★ 5.0 — [X Reviews]

OCD Treatment in Salem, NH

Specialized OCD treatment through our PHP and IOP programs. CBT with Exposure and Response Prevention (ERP), medication management, and individualized care from licensed clinicians.

Verify Your Coverage

Quick, confidential, no obligation.

HIPAA protected • Results in minutes

Treatment Programs

Programs for OCD Recovery

Multiple levels of care designed around evidence-based treatment and your mental health recovery goals.

Photo placeholder — PHP
Highest Intensity

Partial Hospitalization Program (PHP)

Mon–Fri, 9:00 AM – 3:30 PM. Structured daily groups including CBT with ERP, DBT, and psychoeducation. On-site NP for medication management within 24 hours.

Learn more →
Photo placeholder — IOP
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 for 60–90 days.

Learn more →
Photo placeholder — Evening
Working Adults

Evening Professional Track

Mon–Thu, 6:00–9:00 PM. Same evidence-based programming in evening hours so you can maintain your career while pursuing treatment.

Learn more →
Photo placeholder — OP
Ongoing Support

Outpatient & Medication Management

Weekly outpatient sessions for long-term management. SSRIs at higher therapeutic doses managed by our on-site NP, integrated with all program levels.

Learn more →
NH Licensed
MA Licensed
JCAHO Accredited
LGBTQ+ Inclusive
Field Reports

From the Logbook

Real stories from those who’ve walked this trail before you.

★★★★★
“[Client testimonial about OCD treatment at Trailhead — placeholder. The ERP work was challenging but the therapists guided me through every step. I finally feel free from the rituals.]”
[Client Name]
Google Review • [Month 2026]
★★★★★
“[Client testimonial about the evening program — placeholder. Being able to work during the day and get treatment at night meant I didn’t have to put my life on hold to address my OCD.]”
[Client Name]
Google Review • [Month 2026]
★★★★★
“[Client testimonial about medication management — placeholder. Finding the right SSRI dose alongside therapy was the combination that finally made a real difference for my intrusive thoughts.]”
[Client Name]
Google Review • [Month 2026]
Why Trailhead

Your Treatment Gear List

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

Specialized OCD programming with CBT and Exposure & Response Prevention (ERP)

On-site Nurse Practitioner for medication management within 24 hours

SSRIs at therapeutic doses for OCD, managed and adjusted by our NP

Flexible scheduling — morning, afternoon, or evening sessions

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

Individual therapy weekly regardless of program level

Gradual exposure hierarchies tailored to your specific OCD themes

Family therapy and monthly family education groups

Mindfulness and acceptance-based skills for managing intrusive thoughts

Case management for life skills, employment, housing support

Same-day or next-day admissions when clinically appropriate

Treatment Timeline

The Ascent to Freedom

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

Base Camp • Week 1–2

Assessment & Psychoeducation

  • Comprehensive clinical assessment and OCD severity rating
  • NP evaluation within 24 hours, SSRI medication plan
  • Introduction to group therapy, daily structure
  • Psychoeducation on the OCD cycle: obsession → anxiety → compulsion → relief
Camp 1 • Week 3–4

Active ERP & Skill Building

  • Building exposure hierarchies for your specific OCD themes
  • Weekly individual therapy — guided ERP sessions
  • CBT skills groups targeting cognitive distortions
  • Mindfulness and acceptance-based strategies for intrusive thoughts
Camp 2 • Week 5–8

Integration & Step-Down

  • Transition from PHP to IOP
  • Real-world exposure practice outside sessions
  • Family therapy sessions
  • Relapse prevention and response plan development
  • Community engagement (equine therapy, hiking, bowling)
Summit • Week 9–12+

Maintenance & Aftercare

  • OP or continued IOP with ongoing medication management
  • Alumni program enrollment
  • External OCD specialist referrals
  • Ongoing family support group access
Our Facility

Tour Basecamp

A grounded, home-like environment built for healing.

Photo placeholder — Group Therapy Room

Group Therapy Room

Multiple group therapy rooms provide comfortable, private spaces for evidence-based sessions including CBT with ERP, DBT, and ACT skills groups. Each room accommodates small groups for focused, intimate therapeutic work.

Start OCD Treatment Today

One phone call can set up your basecamp for freedom from OCD. We’re ready when you are.

Treatment Team

Your Expedition Crew

Licensed clinicians with professional credentials and specialized experience in anxiety and OCD disorders — they know the terrain.

Photo placeholder

[Clinical Director]

LMHC / LICSW

Leads the clinical team with expertise in mental health treatment and evidence-based modalities.

Photo placeholder

[Lead Therapist]

LMHC

Specializes in OCD and anxiety disorders with expertise in CBT and Exposure & Response Prevention.

Photo placeholder

[Nurse Practitioner]

NP / Prescriber

Manages psychiatric medications including SSRIs at therapeutic doses for OCD. Evaluates new clients within 24 hours of admission.

Photo placeholder

[Case Manager]

Behavioral Health

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

Signs & Symptoms

Recognizing OCD

Like elevation contour lines, OCD symptoms operate in cycles. Understanding the obsession-compulsion pattern helps determine the right treatment approach.

Obsessions — Intrusive Thoughts

Unwanted Mental Intrusions

  • Persistent, unwanted thoughts, images, or urges that cause distress
  • Fear of contamination, germs, or illness
  • Intrusive thoughts about harm, violence, or taboo subjects
  • Excessive need for symmetry, order, or “just right” feelings
Compulsions — Repetitive Behaviors

Rituals to Reduce Anxiety

  • Excessive hand washing, cleaning, or sanitizing
  • Repeated checking (locks, stoves, switches)
  • Counting, arranging, or organizing in specific patterns
  • Mental rituals: praying, repeating phrases, or neutralizing thoughts
Severe — Life Disruption

Critical Territory

  • Spending hours daily on rituals or mental compulsions
  • Avoidance of situations, places, or people that trigger obsessions
  • Inability to work, maintain relationships, or leave the house
  • Extreme distress when rituals are interrupted or prevented

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. Set up camp today.

Intel Report

OCD in America

Understanding the terrain helps reinforce why seeking treatment matters.

2.5%
U.S. adults experience OCD in their lifetime
NIMH 2023
1.2%
U.S. adults had OCD in the past year
NIMH 2023
19
Average age of onset for OCD
NIMH 2023
50%
Of OCD cases classified as severe
NIMH 2023
Insurance Accepted

Supply Manifest

We work with most major insurance plans for OCD 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 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 with OCD requires understanding the condition. Consider these expedition tips.

1

Educate Yourself

Learn about OCD as a neurobiological condition, not a quirk or personality trait. Understanding the obsession-compulsion cycle helps reduce frustration and opens the door to compassion.

2

Stop Accommodating Rituals

Family accommodation — helping with rituals, providing reassurance, or avoiding triggers — reinforces OCD. Gradually reducing accommodation, with therapist guidance, supports recovery.

3

Avoid Reassurance-Giving

When your loved one asks “Are you sure it’s safe?” or “Did I lock the door?” — providing reassurance feeds the OCD cycle. Learn alternative responses with your therapist.

4

Join Family Therapy

Trailhead offers monthly Zoom family education groups. Open to all family members 18+. Curriculum covers communication, family systems, and mental health education.

5

Be Patient with ERP Progress

Exposure therapy is hard work. Progress is not linear — there will be good days and difficult days. Celebrate small wins and avoid expressing frustration when setbacks happen.

6

Take Care of Yourself

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

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 OCD won’t accept help, these structured communication steps can make a difference.

Step 01 — Recon

Don’t Wait for It to Get Worse

OCD tends to worsen over time without treatment. Many people don’t realize their rituals are OCD. Earlier intervention leads to better outcomes and faster improvement.

Step 02 — Approach

Use Compassionate Language

Express concern without judgment. Use “I’ve noticed you seem really distressed...” instead of “Why can’t you just stop?”. Acknowledge their suffering is real.

Step 03 — Establish Perimeter

Set Boundaries Around Accommodation

Let them know you love them but can no longer participate in rituals. Boundaries aren’t punishment — they’re a step toward change for both of you.

Step 04 — Call for Backup

Consider Professional Guidance

A mental health professional can help frame the conversation. Sometimes hearing “this is treatable” from a clinician makes all the difference.

Step 05 — Emergency Protocol

Know When to Call for Help

If OCD is causing severe distress, self-harm ideation, or complete inability to function — 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 this terrain alone. Our family program provides education, support, and community.

📚 Monthly Zoom education groups
👥 Open to any family member 18+
💡 Communication & family systems
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

Key signs include persistent intrusive thoughts (obsessions) and repetitive behaviors or mental rituals (compulsions) performed to reduce anxiety. Common themes include contamination, harm, symmetry, and forbidden thoughts.

No. Our clinical team conducts a comprehensive assessment during intake, including OCD severity ratings. We can evaluate and develop a treatment plan based on our findings.

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.

PHP typically lasts 20–30 days, followed by IOP for 60–90 days. ERP requires consistent practice. Many clients see significant improvement within 12–16 weeks of active treatment.

SSRIs are the first-line medication for OCD, often at higher doses than used for depression (e.g., fluoxetine, fluvoxamine, sertraline). Our NP tailors medication to each individual’s needs.

Exposure and Response Prevention (ERP) gradually exposes you to feared situations while preventing compulsive responses. Over time, anxiety decreases naturally — proving the feared outcome won’t happen.

Yes. We offer family therapy and monthly Zoom family education groups open to any family member 18+, covering accommodation reduction, communication, and family systems.

Clients step down to IOP or OP, join our alumni program, receive external OCD specialist referrals, and maintain access to family support groups for continued progress.

CBT with ERP integration, on-site psychiatric medication management, individualized exposure hierarchies, flexible scheduling, and same-day admissions when clinically appropriate.

Ready to Set Up Camp?

Your basecamp for freedom from OCD is here. Our team is ready to help you start building — today.

Call Now Verify Insurance