Your Low-Stress Guide to Leveling-Up Your Bedtime Routine

Are You Burnt Out or Depressed?

Being first on the scene whenever something dangerous and potentially life-threatening happens is part of the job description.

In her private practice she focuses primarily on racial trauma, depression, and anxiety.

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Christopher Monroe, RN, is a trauma and emergency room nurse based in Indianapolis, Indiana.

Jaime Brower, PsyD, is a licensed clinical psychologist working out of Denver, Colorado.

She is American Board Certified as a specialist in the area of Police & Public Safety Psychology.

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Ashley McGirt is a psychotherapist as well as the founder and president of the WA Therapy Fund Foundation. In her private practice she focuses primarily on racial trauma, depression, and anxiety.

COVID-19 has only exacerbated the problem.

First responders, used to solving problems, encountered an invisible enemy they could not defeat.

And it is one they continue to face.

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My instructor paired me with a patient that was terminal, he says.

That was really helpful to me, Monroe says.

What I learned thenand put into practice still nowis that its important to be strong for your patients.

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But its also one factor of the job that contributes tohigh levels of burnout.

Like, yeah you should be burned out.

Maybe you do drink too much or have a divorce or two.

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Ashley McGirt is a psychotherapist as well as the founder and president of the WA Therapy Fund Foundation. In her private practice she focuses primarily on racial trauma, depression, and anxiety.

I have a good lockbox around my heart, he says.

I lock it up and shut the door so that I can function at my job.

But at some point, that door is going to break down.

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You cant hide [your heart] forever.

While Dr. Sovndal may appear unaffected on the outside, inwardly, that is not the case.

You see all these negative things, and then you start having negative emotions.

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For himandmany other first respondersthis has led to insomnia.

For some, its anxiety or depression.

He says even after that devastating tragedy, discussions about mental health resources for first responders were minimal.

People are drawn to this profession to help; theyre not used to asking for it.

Great,' he says.

Grattan says people in law enforcement are viewed as strong.

People are drawn to this profession to help; theyre not used to asking for it, he says.

He adds that it affected him personally as well.

I had my firstanxiety attackafter that shooting, he says.

But these after-effects werent commonly talked about in his profession.

Again, he says it was viewed as part of the job.

Dr. McGill says another big reason why Blue H.E.L.P.

was created was to address the way suicide was viewed in the law enforcement community.

He cites the1997 North Hollywood bank shootoutas a specific example.

This was a horrendous gun battle and [Sgt.

He is credited with changing the way law enforcement operates during shootouts, Dr. McGill says.

They want people to know what happened and to put a face with a story.

Anoperational stress injuryis any persistent psychological difficulty resulting from operational duties.

Its also often referred to as critical incident stress (CIS).

COVID-19 presented what we call a moral injury,' Hilton says.

Its something we talk about among ourselves.

Whats the call thats going to put me over the edge?

Its a heavy load to carry.

Many were seeing things they had never witnessed before.

All the experts say that what COVID-19 did for first-responders was get people talking about their mental health.

The conversation surrounding anxiety, depression, and suicide among first responders really gained momentum during the pandemic.

Hilton and Kelly both echo this sentiment.

People are paying attention in a new way, Kelly says.

There was this collective moment of, Wow, this pandemic is really tough for me.

I wonder what its like for them,' Hilton says.

Another example isFirst Responder Toolkit, a free app that helps first responders manage emotional and physical exhaustion.

For almost two years, she says first responders have been busy solving crisis after crisis.

Because of that, the mental health crisis isnt close to over, she says.

The worst is yet to come.

Hilton also says she is seeing more emphasis on giving first responders tools during training.

An ounce of prevention is worth a pound of cure, she says.

Were starting to see that shift, Kelly says.

Millennial first responders in training are starting to ask questions about work-life balanceand thats important.

People are recognizing its not a dishonor to look after yourself.

Grattan says hes noticed a shift with younger generations entering law enforcement.

as one in particular.

But he adds that there is still a long way to go.

This isnt the first time she has seen something positive stem from immense tragedy.

Then, the Pulse nightclub shooting happened, which made it even more pressing, she says.

Cailey is hopeful but says theres a long way to go for the culture to truly change.

I need to tap out because I cant do this anymore.'

If you want healthy communities, you need healthy first responders, she says.

Healthy first responders interact with their community in a healthy way.

If we dont prioritize their mental health, it will only lead to more problemsfor all of us.

*Last name has been withheld.

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