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Summary: In this episode, we explore the mental health challenges facing first responders, particularly in the fire service, and discuss the importance of seeking help. Our guest, Brian, shares his personal journey through PTSD, depression, and substance abuse, and his time spent at the IAFF Center of Excellence. We talk about the unique pressures of the job, the stigma that often surrounds mental health, and the resources available to support first responders in need. From peer support programs to professional therapy and crisis lines, this episode provides a comprehensive overview of the tools and support systems designed to help those in the fire service and EMS.

Key Topics:

• The prevalence of mental health challenges in firefighters and EMS personnel

• The stigma around seeking help for mental health issues

• Firefighter suicide rates, PTSD, depression, and substance abuse statistics

• The role of humor in coping and its potential downsides

• The importance of transitions: from shift work to home life and even retirement

• Therapy, medication, and the role of proper sleep in mental health recovery

• How to support your peers and recognize when someone is struggling

Guest Insight: Brian shares his powerful story about seeking help through the IAFF Center of Excellence. His experience highlights the importance of getting professional help, utilizing therapy and medications, and finding peer support. He provides a detailed look into the day-to-day life in the treatment center, from detoxing to participating in cognitive behavioral therapy (CBT) and art therapy. He also discusses the importance of being part of a supportive peer group during recovery, as well as the challenges and triumphs of the healing process.

Important Resources Discussed:

• IAFF Center of Excellence: Inpatient facility focused on treating firefighters with mental health and substance abuse issues.

• OAPFF and IAFF Peer Support Programs: Provide immediate, confidential peer support for first responders.

• Employee Assistance Programs (EAP): Confidential counseling services provided by employers, though effectiveness may vary. Make sure your department's EAP is easily accessible and provides timely help.

• County Mental Health Boards: Offer services for individuals without insurance, including free or low-cost therapy and crisis management.

• Crisis Resources: 988 Suicide and Crisis Lifeline – a 24/7 hotline for anyone in crisis or experiencing suicidal thoughts.

Statistics:

• PTSD in firefighters: 14.6% to 22%, compared to 6.8% in the general population.

• Depression: 11% in firefighters, compared to 6.7% in the general population.

• Firefighter thoughts of suicide are nearly double those in the general population, with estimates reaching up to 47%.

Key Takeaways:

• It’s okay to seek help: Struggling with mental health does not signify failure. Reaching out to a professional or peer for support is a sign of strength and courage.

• Therapy and medication together are most effective: Mental health treatments work best when therapy is combined with appropriate medication and supported by proper sleep and self-care.

• Peer support is critical: Firefighters and EMS personnel benefit from talking to peers who understand their unique challenges and experiences.

• There is no shame in seeking help: There is a path back to work and life after mental health treatment.

Actionable Steps:

1. Know your resources: Familiarize yourself with your department’s EAP, peer support programs, and county mental health resources.

2. Don’t wait to seek help: If you’re struggling, reach out to EAP, peer support, or the 988 Suicide and Crisis Lifeline.

3. Support your peers: Regularly check in with colleagues and create a culture of open dialogue about mental health in your department.

Quotes:

• “If you’re asking for help, it’s probably already too late. Don’t wait—reach out now.”

• “Our biggest investment is our people. We need to take care of them.”

Brian’s Journey at the IAFF Center of Excellence: Brian shares his experience attending the IAFF Center of Excellence, describing it as a life-changing program designed specifically for first responders. During his stay, he participated in various therapies, including cognitive behavioral therapy (CBT) and EMDR (Eye Movement Desensitization and Reprocessing). He explains how the combination of therapy, medication, and peer support helped him regain clarity and start the healing process. Brian emphasizes that although the journey wasn’t easy, the center provided a safe space for recovery, surrounded by fellow first responders who understood his struggles.

Additional Resources:

• Employee Assistance Programs (EAP)

• Mental Health Resources for First Responders

From The Episode