If you or someone you know is in crisis, call or text 988 (Suicide & Crisis Lifeline) or text HOME to 741741 (Crisis Text Line). In emergencies, call 911.

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

Self-Harm Treatment in Salem, NH

Compassionate, evidence-based self-harm treatment through our PHP and IOP programs. DBT-focused care with individualized safety planning from licensed clinicians.

Verify Your Coverage

Quick, confidential, no obligation.

HIPAA protected • Results in minutes

Treatment Programs

Programs for Self-Harm Recovery

Multiple levels of care designed around evidence-based treatment with DBT at the core and individualized safety planning.

Photo placeholder — PHP
Highest Intensity

Partial Hospitalization Program (PHP)

Mon–Fri, 9:00 AM – 3:30 PM. Structured daily groups emphasizing DBT skills, distress tolerance, and emotion regulation. On-site NP for 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 DBT skills groups for 60–90 days.

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Working Adults

Evening Professional Track

Mon–Thu, 6:00–9:00 PM. Same evidence-based programming — including DBT and safety planning — in evening hours so you can maintain your career while pursuing recovery.

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Ongoing Support

Outpatient & Medication Management

Weekly outpatient sessions for long-term stabilization. Medication options (SSRIs, mood stabilizers) 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 walked this trail before you.

★★★★★
“[Client testimonial about self-harm recovery at Trailhead — placeholder. The DBT skills I learned gave me real alternatives when the urges hit.]”
[Client Name]
Google Review • [Month 2026]
★★★★★
“[Client testimonial about safety planning — placeholder. Having a concrete safety plan made me feel prepared instead of helpless.]”
[Client Name]
Google Review • [Month 2026]
★★★★★
“[Client testimonial about the treatment team — placeholder. The clinicians never judged me. They helped me understand why I was hurting myself and gave me tools to stop.]”
[Client Name]
Google Review • [Month 2026]
Why Trailhead

Your Recovery Gear List

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

DBT-focused programming — the gold-standard treatment for self-harm behaviors

Individualized safety planning with your therapist and treatment team

On-site Nurse Practitioner for medication management (SSRIs, mood stabilizers) within 24 hours

Distress tolerance and emotion regulation skills groups

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

Individual therapy weekly regardless of program level

Crisis planning resources including 988 Lifeline integration

Family therapy and monthly family education groups

Holistic approaches: breathwork, yoga, meditation, grounding techniques

Same-day or next-day admissions when clinically appropriate

Recovery Timeline

The Ascent to Safety

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

Base Camp • Week 1–2

Stabilization & Safety Planning

  • Comprehensive clinical assessment including self-harm risk evaluation
  • NP evaluation within 24 hours — SSRI or mood stabilizer initiation if indicated
  • Collaborative safety plan development
  • Begin DBT skills foundation: distress tolerance, mindfulness
Camp 1 • Week 3–4

Active Treatment & Skill Building

  • Daily DBT skills groups: emotion regulation, interpersonal effectiveness
  • Weekly individual therapy — identifying triggers, building alternatives
  • Psychoeducation on the cycle of self-harm
  • Introduction to healthy coping strategies and grounding techniques
Camp 2 • Week 5–8

Integration & Step-Down

  • Transition from PHP to IOP
  • Real-life skill application — using safety plan in daily situations
  • Family therapy sessions
  • Relapse prevention planning for self-harm urges
  • Community engagement and peer support activities
Summit • Week 9–12+

Maintenance & Aftercare

  • OP or continued IOP with ongoing safety plan updates
  • Alumni program enrollment
  • External therapist/psychiatrist 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 DBT, CBT, and ACT skills groups. Each room accommodates small groups for focused, intimate therapeutic work.

Start Self-Harm Treatment Today

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

Treatment Team

Your Expedition Crew

Licensed clinicians with professional credentials and compassionate expertise — they know the terrain.

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[Clinical Director]

LMHC / LICSW

Leads the clinical team with expertise in DBT and evidence-based treatment for self-harm behaviors.

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[Lead Therapist]

LMHC / DBT Specialist

Specializes in dialectical behavior therapy with focus on self-harm recovery and safety planning.

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[Nurse Practitioner]

NP / Prescriber

Manages medications including SSRIs and mood stabilizers. Evaluates new clients within 24 hours of admission.

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[Case Manager]

Behavioral Health

Connects clients with community resources, crisis support networks, and ongoing care coordination.

Signs & Warning Signs

Recognizing Self-Harm

Like elevation contour lines, warning signs deepen as the behavior progresses. Understanding where someone is helps determine the right level of care.

Early Warning Signs — Elevation 1,000 ft

Behavioral Changes

  • Wearing long sleeves or pants even in warm weather
  • Unexplained cuts, bruises, burns, or scars
  • Withdrawing from friends, family, or activities
  • Expressing feelings of hopelessness, worthlessness, or being a burden
Escalating Patterns — Elevation 3,000 ft

Increasing Severity

  • More frequent self-harm episodes with shorter intervals between
  • Using increasingly harmful methods
  • Difficulty functioning at work, school, or in relationships
  • Co-occurring symptoms: intense mood swings, dissociation, or numbness
Crisis Territory — Elevation 5,000 ft

Immediate Concern

  • Self-harm requiring medical attention
  • Expressing suicidal thoughts or making plans
  • Complete social withdrawal or giving away possessions
  • If in immediate danger, call 911 or the 988 Suicide & Crisis Lifeline

If you or a loved one is experiencing any of these signs, call us at (857) 312-1697 or the 988 Lifeline at 988

Recovery Starts with One Call

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

Intel Report

Self-Harm in the United States

Understanding the terrain helps reinforce why seeking treatment matters.

17%
Of adolescents report self-harm at some point
Journal of Abnormal Psychology 2023
~5%
Of adults report non-suicidal self-injury
American Journal of Psychiatry 2023
50%
With DBT show significant reduction in self-harm
Linehan Research, 2023
988
Suicide & Crisis Lifeline — call or text anytime
SAMHSA 2023
Insurance Accepted

Supply Manifest

We work with most major insurance plans for self-harm 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 who self-harms requires patience, education, and the right approach. Consider these expedition tips.

1

Stay Calm and Non-Judgmental

Discovering a loved one self-harms can be frightening. Avoid reacting with anger, disgust, or panic. Calm, compassionate responses open the door to honest conversation.

2

Listen Without Trying to “Fix”

Sometimes the most helpful thing is simply listening. Avoid minimizing their pain or offering quick solutions. Validate their emotions even if you don’t fully understand.

3

Learn About Self-Harm

Self-harm is often a coping mechanism for overwhelming emotions — not a suicide attempt or attention-seeking behavior. Understanding this distinction is crucial.

4

Know the Crisis Resources

Save the 988 Suicide & Crisis Lifeline (call/text 988), Crisis Text Line (text HOME to 741741), and Trailhead’s number in your phone. Know when to use each one.

5

Encourage Professional Help

Gently encourage treatment without issuing ultimatums. Offer to help research programs, make calls, or attend the first appointment together.

6

Take Care of Yourself

You can’t lead an expedition if you’re exhausted. Seek your own therapy, attend support groups, and set boundaries to protect your own mental health.

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 won’t accept help for self-harm, these structured communication steps can make a difference.

Step 01 — Recon

Don’t Wait for a Crisis

Self-harm tends to escalate without intervention. Don’t wait for a medical emergency. Start gathering information and preparing to have the conversation now.

Step 02 — Approach

Use Compassionate, Direct Language

Express concern without judgment. Say “I’ve noticed you’re hurting, and I care about you” instead of “Why are you doing this to yourself?” Avoid shaming language.

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

Involve a Professional

A licensed therapist or counselor can help facilitate a conversation and assess risk level. Our admissions team can guide you through next steps.

Step 05 — Emergency Protocol

Know When to Call for Help

If there’s immediate danger — severe self-harm, suicidal statements, or an active crisis — call 911 or the 988 Suicide & Crisis Lifeline. For guidance on next steps, call us 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+
💡 Crisis resources & safety planning
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

Self-harm is the act of intentionally injuring oneself as a way to cope with overwhelming emotions, numbness, or psychological pain. It is not a suicide attempt, though it increases suicide risk. Common forms include cutting, burning, hitting, and scratching.

No referral is needed. You can call us directly at (857) 312-1697 for a confidential assessment. If you’re in crisis, call or text 988 for immediate support.

Most major plans are accepted including Anthem BCBS, Point 32, Tricare, and WellSense NH Medicaid. Mental health treatment has parity protections under federal law. Use our verification form or call to check your coverage.

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

DBT (Dialectical Behavior Therapy) is the primary evidence-based treatment for self-harm. It teaches distress tolerance, emotion regulation, mindfulness, and interpersonal effectiveness. We also use CBT, safety planning, and individualized crisis management.

While no medication specifically treats self-harm, SSRIs (like sertraline or fluoxetine) and mood stabilizers can help manage underlying depression, anxiety, or mood instability that drives self-harm urges. Our NP evaluates each client individually.

A safety plan is a personalized, written plan developed with your therapist that identifies warning signs, coping strategies, people to contact for support, and steps to take during a crisis. It’s a core part of self-harm treatment at Trailhead.

Yes. We offer family therapy and monthly Zoom family education groups open to any family member 18+, covering communication, crisis response, and understanding self-harm behaviors.

Clients step down to IOP or OP, join our alumni program, receive external therapist referrals, and maintain access to their safety plan and family support groups for continued growth.

DBT-focused programming, individualized safety planning, staff trained in self-harm and crisis intervention, 12:1 counselor caseloads, flexible scheduling, and same-day admissions when clinically appropriate.

Ready to Set Up Camp?

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

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