Evidence-based panic disorder treatment through our PHP and IOP programs. CBT, breathwork, interoceptive exposure, and individualized care from licensed clinicians.
Multiple levels of care designed around evidence-based treatment and your panic disorder recovery goals.
Our highest intensity outpatient care. Structured daily groups including CBT, breathwork, interoceptive exposure, and psychoeducation specifically designed for panic disorder and agoraphobia.
Learn more →Step-down from PHP or direct entry. Three scheduling options to fit your life. Weekly individual therapy and daily group sessions focused on panic management and exposure practice.
Learn more →Same evidence-based programming in evening hours for working adults. Maintain your career while learning to manage panic attacks effectively.
Learn more →Ongoing therapy for sustained panic management. Ideal for stepping down from IOP or long-term maintenance and relapse prevention.
Learn more →Attend groups and individual sessions remotely via secure video. Especially helpful for clients who experience agoraphobia or difficulty leaving home.
Learn more →SSRIs and SNRIs managed by our on-site NP. Medication alongside CBT and breathwork therapy for optimal panic symptom reduction.
Learn more →Real experiences from people who walked this path before you.
“[Client testimonial about panic disorder treatment — placeholder. I thought I was having heart attacks. They taught me what was actually happening and how to stop the cycle.]”
“[Client testimonial about breathwork — placeholder. The breathing techniques they taught me were a game-changer for managing my panic attacks.]”
“[Client testimonial about agoraphobia recovery — placeholder. I can drive again, go to the store, and live my life without constant fear.]”
What sets our approach apart from other anxiety treatment programs in New Hampshire.
CBT for Panic Disorder — Cognitive restructuring to challenge catastrophic thinking patterns that fuel panic attacks and anticipatory anxiety.
On-Site Nurse Practitioner — Medication evaluation within 24 hours. SSRIs and SNRIs managed with ongoing monitoring to reduce panic frequency and severity.
Breathwork & Somatic Skills — Diaphragmatic breathing, progressive muscle relaxation, and body-based techniques to interrupt the panic cycle in real time.
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 exposure hierarchy.
Weekly Individual Therapy — Private sessions with your assigned clinician every week for personalized panic management and progress review.
Interoceptive Exposure — Controlled exercises that safely reproduce panic-like sensations (heart racing, dizziness) to reduce fear of the sensations themselves.
Family Therapy & Education — Monthly family groups via Zoom plus individual family therapy to help loved ones understand panic disorder and avoid reinforcing avoidance.
Holistic Approaches — Yoga, meditation, mindfulness, and nature-based activities integrated into daily programming to reduce baseline 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 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 expertise in anxiety disorders.
Oversees all clinical programming and ensures evidence-based treatment protocols across every level of care.
Specializes in anxiety disorders with expertise in CBT, interoceptive exposure, and somatic-based approaches for panic disorder.
Manages SSRI and SNRI protocols for panic disorder, with careful monitoring to reduce attack frequency while minimizing side effects.
Coordinates housing, employment, and community resources to support your recovery beyond the clinical setting.
Panic disorder involves recurring unexpected panic attacks and persistent fear of future attacks. Recognizing the signs is the first step toward getting help.
Our admissions team can have you started within 24–48 hours.
Understanding the scope of panic disorder and the importance of treatment.
We work with most major insurance providers for panic disorder 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 through panic attacks is its own journey. Here’s where to start.
Panic attacks are not dangerous — they are the body’s fight-or-flight response misfiring. Understanding this helps you stay calm when your loved one is experiencing one, which in turn helps them.
Saying “just calm down” or “it’s all in your head” makes things worse. The fear is real, even if the danger isn’t. Validate their experience without feeding the anxiety.
It’s tempting to help your loved one avoid triggers — but avoidance makes panic disorder worse over time. Gently encouraging them to face feared situations (with professional support) is essential.
Trailhead offers monthly family education groups via Zoom plus individual family sessions. Learning your role in the anxiety cycle improves outcomes for everyone.
Living with someone who has panic disorder can be stressful. Consider individual therapy, ADAA resources, or support groups for families navigating anxiety disorders.
Practice breathing exercises and grounding techniques with your loved one during calm moments. Having a shared toolkit makes it easier to help during an actual panic attack.
It’s common for someone with panic disorder to resist treatment — especially when leaving home feels impossible. Here’s how to navigate that.
Our family support program is open to any family member 18+, past and present clients.
We provide panic disorder 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.
A panic attack is a single episode of intense fear with physical symptoms. Panic disorder is diagnosed when you have recurrent, unexpected panic attacks AND persistent fear or worry about having more attacks, leading to behavioral changes (avoidance, safety behaviors).
SSRIs (like sertraline, paroxetine) and SNRIs (like venlafaxine) are first-line treatments. Our on-site NP manages these medications with careful titration. We generally avoid benzodiazepines due to dependency risk and focus on long-term solutions.
Interoceptive exposure involves safely reproducing panic-like sensations (spinning in a chair for dizziness, breathing through a straw for breathlessness) to reduce your fear of the physical sensations themselves. This breaks the panic cycle at its core.
Yes. We treat both panic disorder with and without agoraphobia. For clients with agoraphobia, we use graduated in-vivo exposure alongside CBT. Our telehealth option also provides a starting point for those unable to leave home initially.
PHP typically runs 20–30 days, IOP runs 60–90 days, and ongoing outpatient support continues as needed. Most people see significant improvement in panic frequency within 8–12 weeks of consistent CBT.
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 panic disorder 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 skill practice, enroll in our alumni program for peer support, receive external therapist referrals, and have access to booster sessions if panic symptoms re-emerge.
Absolutely. We offer individual family therapy sessions plus monthly family education groups via Zoom. These focus on understanding panic disorder, avoiding accommodation of avoidance, and supporting exposure practice.
Our CBT-focused programming with interoceptive and in-vivo exposure, breathwork integration, SSRI/SNRI management, telehealth for agoraphobia, flexible scheduling, and 12:1 counselor caseloads set us apart from general anxiety programs.
One call is all it takes. Our admissions team is ready to help.
