First responders

Have you ever talked to a therapist who didn’t understand the realities of first responder work—someone who seemed shocked by the calls, the trauma, or the things you deal with every day?

I’ve been in your shoes. As a former law enforcement officer and now a Licensed Professional Counselor, I understand the culture, the dark humor, the trauma, and the weight you carry. Nothing you say will surprise me, and you won’t have to explain the basics. You can show up exactly as you are.

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My law enforcement experience

Before becoming a therapist, I served in both university and municipal law enforcement, primarily on evening patrol. I maintain an active advanced TCOLE license, and my specialized training includes background investigations, mental health officer, hostage negotiations, CISM, peer support, and field training.

I’ve responded to major incidents and have experienced the toll this profession can take. I understand the pressure, the trauma, and the “keep it together” mindset that first responders carry—not because I studied it, but because I lived it. I also know the stigma around seeking help; asking for support can feel risky or even “weak” in our culture. Here, you can speak freely without judgment.

Will my job find out ?

Absolutely not. Everything we discuss in therapy is confidential. There are only three exceptions where confidentiality must be broken:

  1. If you are a danger to yourself or others

  2. If actions or inactions place a child, elder, or at-risk individual in harm’s way

  3. If I receive a valid subpoena

I understand that as a first responder, privacy is a top concern. You can speak openly here without fear of your employer finding out.

Will I receive a diagnosis?

This is a common question, and I’ve had it myself. When you use insurance, a diagnosis is required for billing purposes. With private pay, there is no requirement for a diagnosis, giving you more privacy and control over your care.

Suicide stats

First responders complete suicide at a higher rate than most professions. Here are the numbers from 2025:

Police: 98

Fire: 22

EMS: 7

Dispatch: 0

Corrections: 11

https://bluehelp.org/the-numbers/ 

  • Sadness, depression, or apathy
  • Easily frustrated
    Blaming of others, irritability
  • Lacking feelings, indifferent
  • Isolation or disconnection from others
  • Poor self-care (hygiene)
  • Tired, exhausted, or overwhelmed
  • Feeling like:
    Nothing you can do will help
    You are not doing your job well
    You need alcohol/other drugs to cope

 https://emergency.cdc.gov/coping/responders.asp 

Signs of secondary traumatic stress

  • Excessively worry or fear about something bad happening
  • Easily startled, or “on guard” all of the time
  • Physical signs of stress (e.g. racing heart)
  • Nightmares or recurrent thoughts about the traumatic situation
  • The feeling that others’ trauma is yours

https://emergency.cdc.gov/coping/responders.asp

 

Cardiovascular risks for first responders

  • Avg. age of civilian heart attack: 65
  • Avg. age of 1st responder heart attack: 46
  • Civilian life expectancy: 79
  • Officer life expectancy: 57
  • Civilian heart attacks under age 45: 7%
  • Officer heart attacks under 45: 45%


First responder risk factors

  • high stress levels
  • irregular shift work
  • physical demands
  • challenging to prioritize health habits

Divorce rates

National divorce rate: 50%

First responder divorce rate: 60-75%

Contact me for couples counseling if your relationship is strained. 

First responder spouses are encouraged to contact me for individual counseling. 

  • Reliving the event (also called re-experiencing symptoms)
  • Avoiding things that remind you of the event. 
  • Having more negative thoughts and feelings than before the event. 
  • Feeling on edge (also called hyperarousal). 
  • 15% of  paramedics
  • 13% of rescue teams
  • 7% of firefighters
  • 5% of police officers

An estimated 400,000 first responders in America have at least some symptoms of PTSD.

Civilians: 1 in 5 

First responders: 1 in 3