Call 978-915-8317. Your first call is confidential and pressure-free.
Trailhead Treatment Center in Salem, NH provides co-occurring disorders treatment for adults living with both a substance use disorder and a mental health condition. Trailhead holds dual licensure from the State of New Hampshire for substance use disorder and mental health treatment, which means one clinical team treats both conditions simultaneously in the same program rather than referring you between separate providers.
Co-occurring disorders, also called dual diagnosis, refers to the presence of both a substance use disorder and a mental health condition at the same time. According to SAMHSA, roughly half of people who experience a substance use disorder also experience a mental health condition, and the reverse is equally common.
These conditions feed each other. Anxiety drives drinking. Trauma drives opioid use. Depression makes early recovery feel impossible, which leads back to the substance that provided short-term relief. Treating one condition while ignoring the other is one of the most common reasons treatment fails.
If you have been through treatment before and felt like something was missing, this may be why. Many programs address substance use without ever naming the anxiety, depression, or trauma underneath it. Trailhead was built to close that gap.
Trailhead’s integrated clinical model allows our clinical team to diagnose and treat the following mental health conditions within the same program as substance use disorder treatment. Each condition is addressed directly in individual therapy, group programming, and holistic sessions.
Unresolved trauma is one of the most common drivers of substance use. Trailhead uses trauma-focused therapy as a primary modality for processing traumatic memories alongside addiction treatment. Movement-based therapies, breathwork, and grounding techniques support nervous system regulation between sessions. Trauma and PTSD treatment
Substance use often starts as self-medication for anxiety, and withdrawal makes anxiety worse. Trailhead’s clinical team uses CBT (Cognitive Behavioral Therapy), breathwork, yoga, and meditation to build coping strategies that replace substance use as the primary anxiety management tool. Anxiety treatment
Depression and addiction share overlapping neurological pathways. Treating addiction without addressing depression leaves clients vulnerable to relapse during early recovery when mood instability is highest. Trailhead provides psychiatric evaluation with our Nurse Practitioner and medication management alongside therapy to stabilize both conditions at once. Depression treatment
Difficulty managing intense emotions, including anger, frustration, shame, and grief, is a core feature of many substance use disorders. Trailhead’s self-regulation focus uses movement-based therapies, yoga, breathwork, and grounding techniques to build emotional tolerance without relying on substances.
Chronic stress contributes to both substance use and mental health deterioration. Trailhead integrates nature-based activities, meditation, sound therapy, and reiki into clinical programming to address the physical and psychological effects of sustained stress.
Most outpatient treatment centers in New Hampshire are licensed for substance use disorder or mental health, not both. That distinction matters. A facility licensed only for SUD cannot diagnose or build a treatment plan around your depression, PTSD, or anxiety. You get referred out, wait for an appointment with a separate provider, and try to coordinate care between two teams who do not share notes or treatment goals.
Trailhead eliminates that gap. Dual licensure means your individual therapist addresses both your substance use and your mental health condition in the same session, with the same treatment plan, as part of the same team.
What integrated treatment looks like in practice:
Clinical Director Alysia LaGambina, LICSW, leads Trailhead’s integrated care model with a strong therapeutic foundation in adult mental health and addiction treatment across outpatient and public health settings and a holistic, trauma-informed perspective recognizing the complex interplay between mental health, environment, and lived experience.
Not sure which conditions qualify? Call 978-915-8317. Your first call is confidential and pressure-free. Our admissions team can help determine whether integrated treatment is right for your situation.
If you have been told to “get sober first” before a provider would address your depression or anxiety, you are not alone. That approach, treating substance use and mental health sequentially rather than simultaneously, is still common. It is also one of the primary reasons people cycle through multiple treatment episodes without lasting progress.
Here is why sequential treatment fails:
Trailhead was founded by people who experienced these exact gaps firsthand. The integrated model exists because they built the program they wished had been available to them.
If you have tried treatment before and relapsed, that history is not a failure. It is clinical data your care team uses to build a better plan. Previous treatment experience counts.
All program levels at Trailhead include integrated co-occurring disorders treatment. Your clinical assessment (ASAM for substance use, LOCUS for mental health, K10 for psychological distress) determines which level is appropriate for your situation.
Every client is assigned an individual therapist who stays with them for the duration of treatment. The person you meet on day one is the person who knows your full story.
Trailhead also offers a women-only track within PHP and IOP, the first of its kind in New Hampshire outpatient treatment, with focused attention on trauma, codependency, and empowerment alongside substance use recovery.
Not sure which program is right? Call 978-915-8317 and our admissions team will walk you through the options based on your clinical assessment. No commitment required.
Trailhead accepts self-pay for all programs and is in-network with major insurance providers serving New Hampshire and the greater Boston area.
Self-pay is accepted for all programs. Our admissions team discusses costs during your first call.
Do not let insurance uncertainty stop you from calling. Our team verifies your benefits during the initial conversation and explains your coverage in plain terms. Most clients move from first call to confirmed coverage within the same phone conversation.
Call 978-915-8317. Your call is confidential and pressure-free.
Call 978-915-8317. Your first call is confidential and pressure-free. Our admissions team verifies your insurance, completes your clinical assessment, and schedules your intake, typically within 24 to 48 hours.
Trailhead Treatment Center is located at 103 Stiles Rd in Salem, NH, with convenient I-93 access from both New Hampshire and Massachusetts communities including Haverhill, Methuen, Lawrence, Andover, and Lowell.
