Call 978-915-8317. Your first call is confidential and pressure-free.
Trailhead Treatment Center provides trauma and PTSD treatment in Salem, NH through outpatient programs that integrate trauma-focused therapy, holistic therapies, and individualized clinical care. Our trauma-informed team treats trauma alongside substance use and mental health conditions in one program, not as separate tracks.
Most people who come to Trailhead carry trauma. It shows up as hypervigilance, emotional numbness, sleep disruption, substance use, or a feeling of being stuck that talk therapy alone hasn’t resolved. Trauma does not always look like a single catastrophic event. It can accumulate over years of difficult relationships, childhood instability, loss, or environments that felt unsafe.
Post-traumatic stress disorder (PTSD) develops when the nervous system stays locked in a threat response long after the original danger has passed. Flashbacks, avoidance behaviors, difficulty trusting others, and emotional reactivity are common signs. Left untreated, PTSD intensifies over time and drives patterns that look like separate problems: anxiety, depression, substance use, difficulty maintaining employment or relationships.
Trailhead’s clinical approach treats trauma as the root, not just the symptoms it produces. Your individual therapist works with you to identify how trauma has shaped your responses and builds a treatment plan that addresses the source.
If you’ve been through treatment before and the underlying trauma was never addressed, that previous experience still counts. It gives your care team data about what needs to shift this time.
Call 978-915-8317. Confidential and pressure-free.
Trailhead’s trauma treatment approach integrates trauma-informed care across all programming with evidence-based and holistic modalities. Rather than a single protocol, your care team draws from a range of tools — CBT, DBT, individual therapy with trauma-specialized clinicians, and holistic therapies including yoga, breathwork, grounding techniques, sound therapy, reiki, and meditation — to build a plan around your specific trauma history and readiness.
Clinical Director Alysia LaGambina, LICSW leads the team with a holistic, trauma-informed perspective that recognizes the connection between mental health, environment, and lived experience. Trauma-informed principles shape every group, every session, and every clinical interaction at the facility.
Your therapist paces treatment according to your stabilization progress and window of tolerance. Trauma processing is not a first-session intervention. Your care team builds toward deeper clinical work as part of a structured, individualized plan.
Every client at Trailhead is assigned an individual therapist who stays with them for the duration of treatment. Your therapist designs sessions around your specific trauma history, not a generic curriculum. The person you meet on day one is the person who knows your full story.
Individual therapy sessions address trauma processing, self-regulation skills, coping strategies, and the connection between trauma and any co-occurring conditions like anxiety, depression, or substance use.
Trauma lives in the body, not just the mind. Trailhead integrates movement-based and holistic therapies into daily programming:
These therapies are not add-ons. They are built into the daily treatment schedule alongside clinical sessions, group therapy, and case management.
Trauma disrupts the body’s ability to regulate emotions, stress, and physical responses. Trailhead’s programming focuses on teaching self-regulation skills that clients take with them after treatment ends. This includes identifying trauma triggers, managing emotional reactivity, and building tolerance for distress without reverting to avoidance or substance use.
Trailhead does not run a separate “trauma track.” Trauma-informed principles are woven through every group, every session, and every interaction at the facility. Staff are trained to recognize trauma responses and adjust care accordingly.
This means the environment itself is part of treatment. Warm colors, natural lighting, plant life, and outdoor spaces create a setting that feels safe rather than clinical. Group therapy sessions are structured to prevent re-traumatization. Individual therapy is paced according to each person’s window of tolerance.
Call 978-915-8317. Your call is confidential and pressure-free.
Trauma and substance use are deeply connected. Research from SAMHSA estimates that up to 75% of people in substance use treatment report trauma exposure. Many people use substances to manage trauma symptoms they don’t have another way to cope with: intrusive memories, sleep disruption, hypervigilance, emotional numbness.
Trailhead treats co-occurring disorders in one integrated program. Your care team addresses trauma, substance use, and mental health conditions simultaneously rather than requiring you to complete one before starting another. This approach reduces the risk of relapse driven by unprocessed trauma.
Medication-Assisted Treatment (MAT) is available for clients with opioid or alcohol use disorders alongside trauma. Injectable options include Vivitrol, Sublocade, and Brixadi. MAT can be combined with IOP, individual therapy, or provided as a standalone service.
Not sure which combination of services fits your situation? Call 978-915-8317 and our admissions team will walk you through the options based on your clinical assessment.
Trailhead offers multiple treatment programs so your level of care matches the intensity of support you need.
PHP provides the most comprehensive trauma treatment experience with 5 hours of clinical programming per day. IOP is designed for people maintaining work, school, or family responsibilities while still receiving structured support.
A women-only track is available within both PHP and IOP, focusing on trauma, codependency, and empowerment in a gender-specific setting. This is the first women-only outpatient treatment track in New Hampshire.
Trailhead accepts self-pay and is in-network with major insurance providers in New Hampshire and the greater Boston area.
Don’t let insurance stop you from calling. Our admissions team verifies your benefits during the initial conversation and explains your coverage in plain terms.
Verify your insurance online. It takes a few minutes and does not commit you to anything.
Call 978-915-8317. Your first call is confidential and pressure-free.
Trailhead’s clinical team is led by Alysia LaGambina, LICSW, Clinical Director. She brings a strong therapeutic foundation in adult mental health and addiction treatment across outpatient and public health settings, with a holistic, trauma-informed perspective that recognizes the connection between mental health, environment, and lived experience.
The facility was co-founded by Caitlin DiBlasi (Co-Founder and COO, BS, RN, CARC), BSN-prepared nurse with a background in mental health and substance use, 8 years as a certified recovery coach, and a degree from UMass Amherst. Trailhead is recovery-owned and operated. Staff with lived recovery experience are part of the care team, creating authentic peer connection for clients.
Starting treatment at Trailhead takes one phone call. Our admissions team handles insurance verification, clinical assessment, prior authorization, and intake scheduling in one process. Most clients move from first contact to first day within 24 to 48 hours.
How it works:
You do not need a referral. You do not need to be certain this is the right step. If you are wondering whether trauma treatment could help, that question alone is enough to call.
If trauma has been shaping your decisions, your relationships, or your ability to feel safe, treatment can change that pattern. Call 978-915-8317 to talk with our admissions team at Trailhead Treatment Center in Salem, NH.
Call 978-915-8317. Your first call is confidential and pressure-free.
