PTSD: A Problem That Must Be Met Head On

The diagnosis and experience of post-traumatic stress disorder (PTSD) in first responders is exceedingly common. Defined as a mental health disorder that can occur after witnessing or falling victim to a trauma, PTSD can disrupt a person’s ability to function at work, at home, and with others — and first responders are on the front lines when it comes to intervening when traumatic events occur. Dealing with everything from car accidents to assault to helping in the aftermath of a natural disaster, EMTs, firefighters, and police officers will often experience PTSD symptoms as a result of what they witness as a matter of course on the job.

PTSD is not a foregone conclusion for all first responders, however, and it does not signify the end of a career when it does occur. It’s important to remember that:

• PTSD is preventable.
• PTSD is treatable.
• PTSD must not be ignored.
• PTSD is a mental health disorder and not a sign of weakness or inability to do the job.
• PTSD cannot be overcome with willpower.
• No one is immune to the development of PTSD.

If PTSD symptoms are a problem for you or someone you care about, connecting with treatment can be a lifesaver.

Recognizing the Signs

Symptoms of PTSD will vary from person to person. Some people experience symptoms of avoidance that may include staying away from people, places, or situations that trigger memories of the traumatic event. Intrusive memories of the event can occur unexpectedly and recur, even at night when the person is trying to sleep. Other people may experience a host of negative changes in behavior, attitude, and reaction to others, including their loved ones. They may be hostile, have angry outbursts, or lack interest in spending time with people they care about, performing their job well, or engaging in activities they used to enjoy.

If any of these issues describe your experience or that of someone you know, it’s important to talk to a therapist immediately in order to get the evaluation and diagnostic assessment necessary to begin treatment. Immediate treatment is recommended.

Connecting with Treatment

Too often, first responders do not reach out for help when they experience issues that could signify a PTSD diagnosis because:

• They believe that what they are experiencing is normal and will pass on its own.
• They believe that what they are experiencing is not normal, and they are embarrassed.
• They fear the stigma associated with mental health disorders.
• They are concerned that they will miss out on promotions or other opportunities at work because they will be seen as unfit for the job.

According to Law Enforcement Today, about 15 percent of first responders will struggle with PTSD at some point in their careers, and most will enjoy a full recovery. Taking advantage of research-based treatment options, including Cognitive Behavioral Therapy, medication, exposure therapy, family therapy, EMDR, and other treatment resources, can help first responders living with PTSD to process their experience healthfully and learn how to manage symptoms.

This article was originally published by Michael Healy, Fire Chief, Central Nyack Fire Dept, NY and Treatment Consultant for Fire Service at American Addiction Centers, on LinkedIn.