top of page

PTSD in First Responders

What are the consequences of PTSD in first responders?

Did you know that nearly 37 percent of EMS personnel and firefighters in the US have contemplated suicide at some point in their lives? This is nearly 10 times the rate in average Americans.

First responders are exposed to some of the most traumatic near-death experiences and asked to run towards these dangers and disasters in an effort to save the people therein. Their work is noble, but it comes at a cost.

Some of the other devastating consequences of PTSD in first responders include:

  • Mental health problems like depression and anxiety

  • Problematic alcohol use or substance abuse

  • Suicidal ideation

First responders are at very high risk for developing many different mental health issues, such as anxiety, depression, and especially post-traumatic stress disorder (PTSD.) Symptoms of PTSD can be difficult to spot, depending on the person, but there are signs of PTSD in EMS workers and first responders that can help determine if professional therapy for trauma or PTSD treatment may be necessary. 

PTSD Is Common and Dangerous in First Responders

First responders, EMS, law enforcement, and paramedic PTSD is common. These professions are all constantly exposed to traumatic events, and each of these experiences leaves its mark on their mental health. Whether it be the intensity of trying to save someone from a house on fire or going into a situation where a shootout is possible, to treating wounds and trying to save a life while still on grounds of a high-stress situation, there are any number of images and traumatic experiences that can stick with someone far beyond the day of the incident.

Due to this constant exposure, coupled with the idea that first responders are supposed to appear strong as to instill hope and comfort in those they are trying to protect, symptoms of PTSD may go unnoticed or unaddressed.

However, it is something that is all too common, and first responder trauma is something that needs to be addressed and supported. One of the first things that someone can do is to look to their loved ones in law enforcement, search and rescue, paramedics, and EMT for PTSD symptoms. 

Emotional Numbness

Emotional numbness is one way in which symptoms of PTSD can begin to present themselves. It can be a defense mechanism as someone tries to separate themselves from a world that is full of the trauma and pain that they may have experienced. However, this emotional numbness also includes emotionally distancing oneself from their families and loved ones, as well as any support systems they may have. As a result, those expressing emotional numbness as a sign of PTSD may wall themselves off from just about everything and everyone in their lives, and it can be very difficult to start a conversation.

Emotional numbness creates a situation where someone is trying to protect themselves from feeling the panic and mental turmoil that is present as the result of a traumatic experience, but it also provides no opportunity for someone to begin working through the trauma for their own health. Without being able to address one’s trauma, it is even more likely that someone will turn to drugs or alcohol in an effort to continue to numb the pain, which can put first responders at an increased risk for developing an addiction as a result. 


Avoidance is the practice of constantly steering away from either particular people or places. This is a conscious effort to ensure that someone doesn’t return to the scene of a traumatic event, but it also implies that someone is allowing the traumatic event to dictate their lives, and thus never really leaves their mind. By constantly creating plans around avoiding particular people or places, they are expressing the power that the emotional toll has over them, and thus it needs to be addressed. 

Addiction Prevention for First Responders

Repetitive Memories

PTSD can be an inability to progress from the site of a traumatic event. Even at times of rest, flashes and memories of the traumatic scene may still be playing in one’s head. Someone experiencing these may try to find a number of ways to distract themselves if possible, in order to try to get a break from the horrific images in their mind. However, continuously running through these memories means that the images are constantly taking a toll on someone and may lead them to try to distance themselves (akin to expressing emotional numbness). Furthermore, it may leave them feeling overall restless, as times of rest can also be times of horror from the trauma in their own mind. 

A Persistent Threat of Danger

First responders experiencing PTSD may take an over-preparedness approach to try to quell their fears. This can involve over-preparing for any kind of disaster, trying to prepare for all disasters at once, or even being unwilling to leave one’s own residence without a firearm or other sense of protection. As a result of PTSD, these preparations may take place regardless of the realistic chance of such disasters happening. Instead, this overly cautious nature stems from the very real, very intense trauma that they have already experienced. Having seen disaster and horror firsthand, sufferers of PTSD may try to prepare for everything possible, in order to regain any sense of safety or security that they can, no matter how small. 

Use of Drugs or Alcohol

man with ptsd

First responder PTSD is all too common, and addressing signs of PTSD early, as well as addressing the stigma surrounding professional therapy for their trauma, is the best way to help take a step in a positive direction. The nature of the work of first responders will always be perilous, so it is paramount to help identify and address signs of PTSD in each of those who have dedicated themselves to helping others.



Post-traumatic stress disorder, as well as any other effects of trauma, are all too common in those who have dedicated their time and wellbeing in order to protect us. If you or a loved one are noticing potential signs of PTSD, or are struggling with a relationship to drugs or alcohol as a result of the daily traumas that you may experience, Chateau Recovery is here to help.

With an array of programs all designed to help you take the first step towards your own goals, each program can be personalized to help address your own personal needs. Chateau creates a luxurious, comfortable atmosphere and a strong sense of community that allows both professionals and peers to build each other up and address their own goals in recovery from their trauma.

For more information on how Chateau Recovery can help you, or to speak to a trained professional about your unique circumstance, call us today at (435) 222-5225

bottom of page