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

OCD Treatment in Salem, NH

Evidence-based OCD treatment through our PHP and IOP programs. CBT with Exposure and Response Prevention (ERP), individualized care from licensed clinicians.

Treatment at a Glance

4:1
Staff Ratio
24h
Admission
~70
Capacity
18-80
Age Range
Treatment Programs

Programs for OCD Recovery

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

Partial Hospitalization Program (PHP)

Mon–Fri, 9 AM – 3:30 PM • 20–30 days

Our highest intensity outpatient care. Structured daily groups including CBT with ERP, psychoeducation, and mindfulness-based approaches specifically designed for obsessive-compulsive disorder.

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Intensive Outpatient Program (IOP)

Morning, Afternoon, or Evening • 60–90 days

Step-down from PHP or direct entry. Three scheduling options to fit your life. Weekly individual therapy and daily group sessions focused on OCD management and ERP practice.

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Evening Professional Track

Mon–Thu, 6–9 PM

Same evidence-based programming in evening hours for working adults. Maintain your career while learning to manage OCD symptoms effectively.

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Outpatient Program (OP)

Once per week • Ongoing

Ongoing therapy for sustained OCD management. Ideal for stepping down from IOP or long-term ERP maintenance and relapse prevention.

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Telehealth

Virtual sessions • All levels

Attend groups and individual sessions remotely via secure video. Full therapeutic experience from home — ERP exercises can be practiced in your real-life environment.

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Medication Management

Integrated with all programs

SSRIs at therapeutic doses for OCD managed by our on-site NP. Medication alongside CBT/ERP therapy for optimal symptom reduction.

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☑ NH Licensed
☑ MA Licensed
☑ JCAHO Accredited
☑ LGBTQ+ Inclusive
Patient Testimonials

Voices from the Trail

Real experiences from people who walked this path before you.

★★★★★
“[Client testimonial about OCD treatment — placeholder. ERP therapy was terrifying at first but it gave me my life back from the compulsions.]”
[Client Name]
Google Review • [Month 2026]
★★★★★
“[Client testimonial about understanding OCD — placeholder. They helped me realize my intrusive thoughts didn’t define me.]”
[Client Name]
Google Review • [Month 2026]
★★★★★
“[Client testimonial about medication — placeholder. The right SSRI dosage combined with ERP made a huge difference in my daily functioning.]”
[Client Name]
Google Review • [Month 2026]
Why Trailhead

Advantages of Our OCD Treatment

What sets our approach apart from other mental health treatment programs in New Hampshire.

CBT with ERP Specialty — Exposure and Response Prevention is the gold standard for OCD treatment. Our clinicians are trained in structured ERP protocols.

On-Site Nurse Practitioner — Medication evaluation within 24 hours. SSRIs at higher therapeutic doses specific to OCD, with careful monitoring and adjustments.

Mindfulness-Based Skills — Mindfulness and acceptance-based strategies to help you observe intrusive thoughts without engaging in compulsive responses.

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 actually knows your story and can personalize your ERP hierarchy.

Weekly Individual Therapy — Private sessions with your assigned clinician every week for personalized ERP work and progress review.

Graduated Exposure Hierarchy — Personalized step-by-step exposure plans that gradually build your tolerance to anxiety-provoking triggers.

Family Therapy & Education — Monthly family groups via Zoom plus individual family therapy to help loved ones understand OCD and avoid accommodation.

Holistic Approaches — Breathwork, yoga, meditation, and stress management techniques integrated into daily programming to reduce overall anxiety.

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 Journey

Your Treatment Timeline

Recovery unfolds in seasons — each phase builds on the last.

🌱
Spring • Weeks 1–2

Assessment & Psychoeducation

  • Comprehensive OCD assessment and symptom inventory
  • NP evaluation within 24 hours, SSRI plan initiated if appropriate
  • Psychoeducation: understanding the OCD cycle (obsession-anxiety-compulsion-relief)
  • Begin building your personalized ERP exposure hierarchy
☀️
Summer • Weeks 3–6

Active ERP & Skill Building

  • Daily CBT groups with structured ERP exercises
  • Weekly individual therapy working through exposure hierarchy
  • Mindfulness training to sit with uncertainty and discomfort
  • Learning to identify and resist compulsive safety behaviors
🍂
Fall • Weeks 7–10

Generalization & Step-Down

  • Transition from PHP to IOP as clinically indicated
  • Applying ERP skills to real-world situations and new triggers
  • Family therapy sessions to address accommodation patterns
  • Relapse prevention plan for managing OCD long-term
❄️
Winter • Weeks 11–16+

Maintenance & Aftercare

  • OP or continued IOP for ongoing ERP practice
  • Alumni program enrollment and peer connections
  • External therapist and psychiatrist referrals
  • Booster ERP sessions as needed for new triggers
Our Space

Tour Our Facility

A comfortable, home-like environment designed for healing — located in Salem, NH.

[Facility Photo Placeholder]

Group Therapy Rooms

Bright, comfortable rooms designed for open discussion and therapeutic work. Each room seats 10–12 participants in a supportive circle format.

Start OCD Treatment Today

Same-day admissions available when clinically appropriate. We’re here to help.

Our Team

Meet Your Treatment Team

Licensed clinicians with professional credentials and expertise in anxiety and OCD disorders.

[Staff Photo]

[Clinical Director]

LMHC • Clinical Director

Oversees all clinical programming and ensures evidence-based treatment protocols across every level of care.

[Staff Photo]

[Lead Therapist]

LICSW • Lead Therapist

Specializes in anxiety disorders with expertise in CBT, ERP, and acceptance-based approaches for OCD treatment.

[Staff Photo]

[Nurse Practitioner]

APRN • Medication Management

Manages SSRI protocols at OCD-specific therapeutic doses, with careful monitoring of medication response and side effects.

[Staff Photo]

[Case Manager]

Case Management

Coordinates housing, employment, and community resources to support your recovery beyond the clinical setting.

Warning Signs

Signs of OCD

OCD involves a cycle of intrusive thoughts (obsessions) and repetitive behaviors (compulsions). Recognizing the signs is the first step toward getting help.

  • Unwanted, intrusive thoughts about contamination, harm, or taboo subjects
  • Intense fear of making a mistake or something terrible happening
  • Need for symmetry, order, or things to feel “just right”
  • Persistent doubt — wondering if you locked the door, turned off the stove, etc.
  • Excessive hand washing, cleaning, or sanitizing rituals
  • Repeated checking (locks, appliances, work) far beyond what’s reasonable
  • Mental rituals: counting, praying, or repeating phrases to neutralize anxiety
  • Arranging objects in specific patterns or orders until it feels “right”
  • Spending hours each day on obsessions and compulsions
  • Avoidance of places, people, or situations that trigger obsessions
  • Inability to work, attend school, or maintain relationships due to OCD
  • Seeking constant reassurance from others to relieve anxiety
If you or a loved one is experiencing any of these signs, call us at (857) 312-1697.

Don’t Wait — Freedom from OCD Starts with One Call

Our admissions team can have you started within 24–48 hours.

National Data

OCD in America

Understanding the scope of OCD and the importance of specialized treatment.

🌿
2.5%
U.S. Adults Experience OCD in Their Lifetime
Source: NIMH
🍀
14-17
Years Between Symptom Onset and Treatment
Source: IOCDF
🍁
50%
Cases Classified as Severe
Source: NIMH
🍂
24-48h
Average Admission Timeline at Trailhead
Same-day when clinically appropriate
Insurance

Insurance We Accept

We work with most major insurance providers for OCD treatment coverage.

Anthem BCBS
In-Network
Point 32
Harvard Pilgrim + Tufts
Tricare
In-Network
Uprise Health
In-Network
WellSense
NH Medicaid

Don’t see your provider? We may still be able to help.

Verify Your Coverage

Verify Your Insurance Coverage

Check your benefits in minutes — most clients start treatment within 24–48 hours.

Your information is confidential and protected under HIPAA.

By the Numbers

Treatment at a Glance

4:1

Staff Ratio

Overall staff-to-client ratio for individualized attention

24h

Rapid Admission

Most clients begin treatment within 24–48 hours of their call

70

Client Capacity

Small enough for personalized care, large enough for diverse programming

18+

Adults Only

Serving adults ages 18–80 in all levels of outpatient care

For Families

How to Help a Loved One with OCD

Supporting someone with OCD is its own journey. Here’s where to start.

1

Learn About the OCD Cycle

OCD is a neurological condition, not a personality quirk. Understanding the obsession-anxiety-compulsion-relief cycle helps you respond with empathy rather than frustration or minimization.

2

Stop Accommodating OCD

Family accommodation — reassuring, participating in rituals, or changing your behavior to reduce their anxiety — actually makes OCD worse over time. Learning to stop is one of the most impactful things you can do.

3

Support ERP Practice

Encourage your loved one to face their fears rather than avoid them. This means tolerating their short-term distress during exposures, knowing it leads to long-term improvement.

4

Explore Family Therapy

Trailhead offers monthly family education groups via Zoom plus individual family sessions. Understanding your role in the OCD cycle is essential to lasting recovery.

5

Take Care of Your Own Health

Living with someone who has OCD is exhausting. Consider individual therapy, IOCDF support groups, or caregiver resources for families navigating a loved one’s OCD.

6

Be Patient with Progress

OCD recovery is gradual and non-linear. There will be setbacks. Celebrate small wins, maintain consistent support, and remember that ERP takes courage.

Our family support program is open to all family members 18+, past and present clients. Call (857) 312-1697
When They Say No

What If They Refuse Treatment?

It’s common for someone with OCD to resist treatment — especially when avoidance feels safer. Here’s how to navigate that.

Path 1
Understand Why They Resist
People with OCD often fear that treatment (especially ERP) will make their anxiety worse. They may also feel ashamed of their obsessions. Acknowledging these fears without judgment opens the door to conversation.
Path 2
Share Information Gently
Provide resources about ERP and how it works. Sometimes understanding that the anxiety is temporary and treatment is effective can reduce resistance. The IOCDF website is a helpful resource.
Path 3
Reduce Accommodation Gradually
If you’ve been accommodating their OCD (participating in rituals, providing reassurance), gradually reducing this can motivate them to seek professional help as their current coping system shifts.
Path 4
Set Clear Boundaries
Boundaries are not punishments — they’re protections. You can love someone while refusing to participate in their compulsions. This can be the catalyst that motivates change.
Path 5
Know When to Call for Help
If your loved one is in crisis — suicidal thoughts, complete inability to function, or self-harm — call 911. For non-emergency guidance, our admissions team is available to help even if your loved one isn’t ready.

Call Us for Family Support

Our family support program is open to any family member 18+, past and present clients.

📚 Monthly education groups via Zoom
👥 Open to all family members 18+
🌱 OCD accommodation & family systems curriculum
Call (857) 312-1697
Service Area

OCD Treatment in Salem, NH

We provide OCD 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.

103 Stiles Rd, Suites 1 & 2, Salem, NH 03079
(857) 312-1697 • Dual NH/MA Licensed
SalemNashuaManchesterConcordDerryLondonderryWindhamPelhamHudsonLowell, MABoston, MA
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FAQ

Frequently Asked Questions

Exposure and Response Prevention (ERP) involves gradually facing feared situations (exposures) while resisting the urge to perform compulsions (response prevention). Research shows ERP is effective for 60–80% of OCD patients, making it the most evidence-based treatment available.

SSRIs (selective serotonin reuptake inhibitors) are the first-line medication for OCD, often prescribed at higher doses than for depression. Our on-site NP manages these protocols with careful titration and monitoring alongside ERP therapy.

Initially, exposures do increase anxiety — that’s expected and intentional. However, through repeated practice, your brain learns that the feared outcome doesn’t happen and anxiety naturally decreases. This process is called habituation.

Yes. We treat all OCD subtypes including contamination, harm, sexual/religious intrusive thoughts, symmetry/ordering, checking, and “pure O” (primarily obsessional OCD). Our clinicians create individualized ERP hierarchies for each subtype.

PHP typically runs 20–30 days, IOP runs 60–90 days, and ongoing outpatient support continues as needed. Most people see meaningful improvement within 12–16 weeks of consistent ERP practice.

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 OCD 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 for ongoing ERP practice, enroll in our alumni program for peer support, receive external therapist referrals who specialize in OCD, and have access to booster sessions as new triggers arise.

Absolutely. We offer individual family therapy sessions plus monthly family education groups via Zoom. These focus on understanding OCD, reducing family accommodation, and supporting ERP practice at home.

Our CBT/ERP-focused programming, SSRI management at OCD-specific doses, personalized exposure hierarchies, family accommodation education, flexible scheduling, and 12:1 counselor caseloads set us apart from general mental health facilities.

Begin Your Recovery Journey Today

One call is all it takes. Our admissions team is ready to help.

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