Frequently Asked Questions

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Yes. Reactions like irritability, trouble sleeping, intrusive thoughts, or emotional numbness are common after critical incidents. You’re not “losing it”—you’re human. 

Sometimes everyone on the crew appears ok because they are worried about being the first one to speak up. This isn’t a competition. You don’t need to hit rock bottom to deserve support. If it’s bothering you, it’s valid. 

If symptoms last more than a 4 weeks, greatly impact daily functioning, start affecting your work, relationships, or sleep—or if things feel like they’re escalating—it’s time. Earlier is better. Waiting it out isn’t a badge of honor. 

Say something. You don’t need the perfect words—just show up. Encourage them to seek help through peer support or a mental health provider. 

Stress is unavoidable on and off the job. Taking action is what keeps stress from taking control. If stress is constant, affecting your sleep, mood, or behavior—or if you’re relying on unhealthy coping mechanisms—it’s time to reach out for support. 

That’s fair. Our peer support team is a great place to start. Peers are trained to be effective listeners and to provide feedback, clarify issues, and assist co-workers in identifying options for solving a problem. The Peer Support Program was created to provide emotional, mental, and practical support for members. 

Contacting peer support and/or receiving confidential mental health services from a licensed clinician are protected. Getting help is increasingly seen as responsible—not risky. 

Yes, all licensed mental health providers will maintain your confidentiality and will outline any exceptions to confidentiality as required by law.

Evidence-based approaches like Eye Movement Desensitization and Reprocessing (EMDR), Cognitive Processing Therapy (CPT) and other therapies are commonly used. The best fit depends on you—not every modality is a match for everyone and every situation. A skilled clinician will explain what modalities they use and why for you. 

Good news! Our insurance covers outpatient therapy sessions 100% as long as you use an in-network provider. You can search for one by insurance on psychologytoday.com or by calling the number on the back of your insurance card.

Psychiatrist (MD): Medical doctor focused on diagnosing conditions and prescribing medication. Usually they do not provide therapy, but some do.

Psychologist (PhD or PsyD): Conducts psychological testing and may also provide therapy. 

Therapist (LCSW, LMHC, LMFT): Provides ongoing therapy usually weekly, enhances coping skills, and provides support.

*Note that a person who represents themself as a coach or life coach does not have the same education, advanced training and expertise as the professionals listed above. They are also not bound by the same laws of confidentiality and are not licensed or regulated.

Totally valid question. Trusting someone to help you when things are hard is important. They became therapists because they want to help people work through tough things. It is different than talking to a friend; they are nonjudgemental and help you find solutions-not give you advice or tell you what you should do. Find one who gets first responder culture and specializes in your unique situation. It may take a couple tries—like finding a good partner on a call, not everyone’s a fit for each other. 

Yes—when you engage in it. Most responders report improved sleep, mood, and relationships. Many wish they had sought help sooner once they realize the relief it can bring! It’s not instant, but it’s worth it. Our department clinician specializes in working with trauma exposure and first responders. The clinician assists with crisis intervention and works hard to find you an outside therapist who also has advanced training and competency to work with first responders. 

You can try—but isolation tends to make things worse over time. Even the most squared-away responders benefit from support. Think of it like backup, not weakness. 

That’s important feedback. They often see shifts before you do. Don’t brush it off—use it as a signal to check in with yourself. 

• Increased alcohol or substance use 
• Anger or emotional withdrawal 
• Sleep problems or nightmares
• Chronic fatigue 
• Feeling detached from family 
• Thoughts of hopelessness or suicide 

These are your brain waving a red flag—not something to muscle through.

Take it seriously. Immediately reach out to support:

• Call or text 988 Suicide & Crisis Lifeline (988 in the U.S.) 
• Contact a trusted peer, supervisor, or clinician 
• Stay with the person if they’re at risk, call 911 when in doubt

No call is more important than a life—including yours.