Integrated dual diagnosis treatment addressing both substance use and mental health disorders simultaneously. One treatment team, one unified plan, better outcomes.
Integrated treatment programs that address substance use and mental health together — because treating only one doesn’t work.
Our highest intensity outpatient care. Integrated daily groups addressing both addiction and mental health with DBT, CBT, and psychoeducation. NP for medication management within 24 hours.
Learn more →Step-down from PHP or direct entry. Continued integrated treatment for both conditions with weekly individual therapy and daily group sessions.
Learn more →Same integrated dual diagnosis programming in evening hours. Maintain your career while treating both substance use and mental health conditions.
Learn more →Ongoing therapy for sustained recovery from both conditions. Ideal for stepping down from IOP or long-term dual diagnosis maintenance.
Learn more →Attend integrated groups and individual sessions remotely via secure video. Full dual diagnosis treatment experience from home.
Learn more →Vivitrol, Naltrexone, SSRIs, mood stabilizers, and other medications managed by our on-site NP. Unified medication plan for both conditions.
Learn more →Real experiences from people who walked this path before you.
“[Client testimonial about dual diagnosis recovery — placeholder. Treating my anxiety and addiction together finally made everything click.]”
“[Client testimonial about integrated care — placeholder. Having one team that understood both my depression and my drinking changed everything.]”
“[Client testimonial about medication — placeholder. Getting the right medications for both my PTSD and my addiction made recovery possible.]”
What sets our integrated approach apart from other treatment programs in New Hampshire.
Truly Integrated Treatment — Both substance use and mental health are treated by the same clinical team simultaneously — not sequentially or in separate programs.
Unified Medication Management — Our on-site NP manages medications for both conditions — MAT for addiction plus SSRIs, mood stabilizers, or other psychiatric medications.
DBT & CBT Skills Groups — Targeted skills training addressing both addiction triggers and mental health symptoms in integrated group sessions.
Flexible Scheduling — Morning, afternoon, and evening sessions so treatment fits around work, school, and family responsibilities.
12:1 Counselor Ratio — Smaller caseloads mean your therapist understands the full picture of both your addiction and mental health needs.
Weekly Individual Therapy — Private sessions with your assigned clinician every week addressing the interplay between your substance use and mental health.
MAT + Psychiatric Medication — Vivitrol, Naltrexone, SSRIs, mood stabilizers, and other medications coordinated by one prescriber for optimal results.
Family Therapy & Education — Monthly family groups via Zoom plus individual sessions to help families understand dual diagnosis and support recovery.
Holistic Approaches — Breathwork, yoga, meditation, and outdoor activities that benefit both mental health and addiction recovery simultaneously.
Case Management Support — Help with employment, housing, life skills, and community resources to support long-term recovery.
Same-Day Admissions — When clinically appropriate, begin treatment within 24 hours of your initial call.
Recovery unfolds in seasons — each phase builds on the last.
A comfortable, home-like environment designed for healing — located in Salem, NH.
Bright, comfortable rooms designed for open discussion and therapeutic work. Each room seats 10–12 participants in a supportive circle format.
Same-day admissions available when clinically appropriate. We’re here to help.
Licensed clinicians with professional credentials and lived recovery experience.
Oversees all clinical programming and ensures evidence-based treatment protocols across every level of care.
Specializes in dual diagnosis with expertise in integrated CBT, DBT, and motivational interviewing for co-occurring conditions.
Manages unified medication protocols for both substance use (Vivitrol, Naltrexone) and mental health (SSRIs, mood stabilizers, anti-anxiety medications).
Coordinates housing, employment, and community resources to support your recovery beyond the clinical setting.
When substance use and mental health disorders occur together, they reinforce each other. Recognizing the signs is the first step toward integrated treatment.
Our admissions team can have you started within 24–48 hours.
Understanding the scope of dual diagnosis in our community.
We work with most major insurance providers for dual diagnosis and co-occurring disorders treatment coverage.
Don’t see your provider? We may still be able to help.
Verify Your CoverageCheck your benefits in minutes — most clients start treatment within 24–48 hours.
Your information is confidential and protected under HIPAA.
Overall staff-to-client ratio for individualized attention
Most clients begin treatment within 24–48 hours of their call
Small enough for personalized care, large enough for diverse programming
Serving adults ages 18–80 in all levels of outpatient care
Supporting someone with both substance use and mental health challenges requires understanding and patience. Here’s where to start.
Substance use and mental health disorders feed each other. Your loved one isn’t choosing to be difficult — they’re fighting two interconnected conditions that require integrated treatment.
Well-meaning actions like excusing substance use due to mental health or ignoring mental health symptoms during sobriety can prolong the cycle. Both conditions need attention.
Healthy boundaries protect both you and your loved one. Communicate clearly what behaviors you will and won’t accept while acknowledging the difficulty of managing two conditions.
Trailhead offers monthly family education groups via Zoom plus individual family sessions. Understanding how dual diagnosis affects the whole family system is essential.
Your mental health matters too. Consider individual therapy, Al-Anon, NAMI Family Support Groups, or other resources for families navigating dual diagnosis.
Many programs only treat one condition at a time. Advocate for integrated treatment that addresses both substance use and mental health simultaneously — research shows it produces better outcomes.
It’s common for someone with co-occurring disorders to resist treatment, especially if past single-diagnosis programs failed. Here’s how to navigate that.
Our family support program is open to any family member 18+, past and present clients.
We provide co-occurring disorders treatment for clients throughout Salem, NH, and Greater New Hampshire. Conveniently located just minutes off Route 93 with easy access from southern NH and northern MA.
Co-occurring disorders (also called dual diagnosis) means having both a substance use disorder and a mental health disorder at the same time — such as alcohol addiction with depression, opioid use with PTSD, or cocaine use with anxiety.
Our on-site NP creates a unified medication plan addressing both conditions. This may include MAT medications (Vivitrol, Naltrexone) for addiction alongside SSRIs, mood stabilizers, or anti-anxiety medications for mental health.
Substance use and mental health disorders reinforce each other. Treating only one often leads to relapse in the other. Integrated treatment with CBT, DBT, motivational interviewing, and relapse prevention for both conditions produces significantly better outcomes.
We don’t provide medical detox on-site, but we coordinate with trusted detox facilities and can typically begin integrated dual diagnosis treatment within 24–48 hours post-detox.
PHP typically runs 20–30 days, IOP runs 60–90 days, and ongoing outpatient support continues as needed. Dual diagnosis treatment may take longer than single-diagnosis care, but integrated treatment produces better long-term outcomes.
Yes. Our Evening Professional Track meets 6–9 PM Monday through Thursday, specifically designed for working adults. IOP also offers morning and afternoon session options.
Most major insurance plans cover dual diagnosis treatment. We accept Anthem BCBS, Point 32 (Harvard Pilgrim/Tufts), Tricare, Uprise Health, and WellSense (NH Medicaid). Contact us to verify your specific benefits.
You’ll step down to IOP or outpatient care, enroll in our alumni program for ongoing peer support, receive external therapist and psychiatrist referrals for both conditions, and maintain access to family support resources.
Absolutely. We offer individual family therapy sessions plus monthly family education groups via Zoom. These cover understanding dual diagnosis, family systems, and integrated recovery support. Open to any family member 18+.
Our truly integrated approach, unified medication management, flexible scheduling, 12:1 counselor caseloads, and staff trained in both addiction and mental health make us uniquely equipped for dual diagnosis treatment.
One call is all it takes. Our admissions team is ready to help.
