Evidence-based self-harm treatment through DBT, safety planning, and structured outpatient programs. Compassionate care from licensed clinicians who understand the path to recovery.
Structured levels of care with DBT-based programming designed to help you develop healthier coping strategies.
Our highest intensity outpatient care. Daily DBT skills groups, safety planning, and individual therapy. NP evaluation for SSRIs or mood stabilizers within 24 hours.
Learn more →Step-down from PHP or direct entry. Continued DBT skills practice, distress tolerance groups, and weekly individual therapy focused on harm reduction.
Learn more →Same evidence-based DBT and safety planning programming in evening hours. Maintain your career while building healthier coping skills.
Learn more →Ongoing individual therapy for sustained recovery. Ideal for maintaining DBT skills and continued safety planning after stepping down from IOP.
Learn more →Attend DBT groups and individual therapy sessions remotely via secure video. Full therapeutic experience from home with crisis support access.
Learn more →SSRIs, mood stabilizers, and other medications managed by our on-site NP. Medication alongside DBT and therapy for best outcomes.
Learn more →Real experiences from people who walked this path before you.
“[Client testimonial about self-harm recovery — placeholder. DBT gave me tools to cope that I use every day instead of hurting myself.]”
“[Client testimonial about safety planning — placeholder. My therapist helped me build a plan that actually works when urges hit.]”
“[Client testimonial about feeling understood — placeholder. For the first time, I felt like someone understood without judging me.]”
What sets our approach apart from other mental health treatment programs in New Hampshire.
DBT-Based Programming — Dialectical Behavior Therapy is the gold standard for self-harm treatment, teaching distress tolerance, emotion regulation, and interpersonal effectiveness.
Safety Planning Protocol — Collaborative safety plans developed with your clinician, identifying warning signs, coping strategies, and emergency contacts including the 988 Lifeline.
On-Site Nurse Practitioner — Medication evaluation within 24 hours for SSRIs, mood stabilizers, and other medications that can reduce urges and stabilize mood.
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 knows your triggers, your story, and can personalize your safety and treatment plan.
Weekly Individual Therapy — Private sessions with your assigned clinician every week focused on understanding self-harm patterns and building alternatives.
Crisis Support Access — 988 Suicide & Crisis Lifeline integration, on-call clinical support, and structured crisis response protocols for all clients.
Family Therapy & Education — Monthly family groups via Zoom plus individual family sessions to help loved ones understand self-harm and support recovery.
Holistic Approaches — Mindfulness, breathwork, yoga, and creative expression integrated into daily programming as healthy alternatives to self-harm.
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 self-harm and mood disorders with expertise in DBT, safety planning, and trauma-informed care.
Manages medication protocols including SSRIs and mood stabilizers to support emotional regulation and reduce self-harm urges.
Coordinates housing, employment, and community resources to support your recovery beyond the clinical setting.
Self-harm takes many forms and often goes unnoticed. Recognizing the warning signs is the first step toward getting help.
Our admissions team can have you started within 24–48 hours.
Understanding the scope of self-harm and mental health crises in our community.
We work with most major insurance providers for self-harm and mental health 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 who self-harms requires compassion and understanding. Here’s where to start.
Self-harm is a coping mechanism, not attention-seeking. Understanding why people self-harm — to manage overwhelming emotions, numbness, or distress — helps you respond with empathy.
Reacting with shock, anger, or disgust can push someone further into shame and secrecy. Approach the conversation calmly and let them know you care without conditions.
Unexplained injuries, long sleeves in warm weather, withdrawal from activities, and statements about feeling numb or trapped are all warning signs. Trust your instincts if something feels wrong.
Trailhead offers monthly family education groups via Zoom plus individual family sessions. Understanding the family dynamics around self-harm is essential to recovery.
Your mental health matters too. Supporting someone who self-harms can be emotionally exhausting. Consider individual therapy or support groups for family members.
If your loved one is in immediate danger or expressing suicidal intent, call 911 or the 988 Suicide & Crisis Lifeline immediately. Safety always comes first.
It’s common for someone who self-harms to resist help or minimize the behavior. Here’s how to navigate that.
Our family support program is open to any family member 18+, past and present clients.
We provide self-harm 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.
Self-harm is the deliberate act of injuring oneself as a way to cope with overwhelming emotions, numbness, or distress. It is not attention-seeking — it’s a sign that someone needs healthier coping strategies, which is exactly what treatment provides.
Yes. Our on-site Nurse Practitioner can prescribe SSRIs (like sertraline or fluoxetine) and mood stabilizers to help regulate emotions and reduce the urge to self-harm. Medication works best when combined with therapy like DBT.
DBT (Dialectical Behavior Therapy) is our primary approach — the gold standard for self-harm treatment. We also use CBT, safety planning, distress tolerance training, emotion regulation skills, and mindfulness-based techniques.
Not necessarily. While self-harm and suicidal behavior can overlap, many people who self-harm are not trying to end their life — they’re trying to manage pain. However, self-harm does increase suicide risk, which is why professional treatment is important.
PHP typically runs 20–30 days, IOP runs 60–90 days, and ongoing outpatient support continues as needed. DBT skills take time to internalize, so the full treatment course depends on your individual progress.
Yes. Our Evening Professional Track meets 6–9 PM Monday through Thursday, specifically designed for working adults and students. IOP also offers morning and afternoon session options.
Most major insurance plans cover mental health treatment including self-harm. 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, and maintain access to crisis resources.
Absolutely. We offer individual family therapy sessions plus monthly family education groups via Zoom. These cover understanding self-harm, communication strategies, and supporting recovery. Open to any family member 18+.
Our DBT-focused approach, safety planning protocols, 988 Lifeline integration, flexible scheduling, 12:1 counselor caseloads, and compassionate staff create a treatment experience that feels safe and supportive.
One call is all it takes. Our admissions team is ready to help.
