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Addressing the Stigma of Mental Health in First Responders

  • Nov 9, 2020
  • 7 min read

Updated: Sep 2

Addressing the Stigma of Mental Health in First Responders

For first responders, the daily exposure to traumatic events makes mental health a critical concern. Yet, a persistent stigma surrounding PTSD and other mental health issues often prevents them from seeking the help they need. This reluctance can lead to serious long-term problems, highlighting the urgent need to normalize counseling and support within this community.


What are some of the main barriers that prevent first responders from seeking mental health support?

First responders often face significant hurdles when it comes to seeking mental health support, including the perceived need to maintain an "image of strength," a sense of shame about acknowledging their struggles, and the fear of professional repercussions or discrimination.


The challenges that first responders face in addressing their mental health are widespread and complex, but understanding them is the first step toward creating real change. Keep reading to learn more about how we can break the stigma and provide vital support to those who serve our communities.


Why is it so hard for first responders to get help for their mental health?

First responders are subject to any number of traumatic situations. From life-threatening encounters to scenes of domestic abuse or destructive and bloody crime scenes, the mental health of first responders is always a concern. However, due to the stigma associated with PTSD, trauma, or mental health, first responders may not reach out to others for the support they need to process each traumatic event.


First responder stress can go unchecked, and lead to a number of other problems that they may have to face. Normalizing counseling for first responders and breaking down the stigma that surrounds mental health can allow each first responder to comfortably reach out for the help they need following stressful and traumatic events. 


The Problem Isn’t Isolated

The idea that only a few first responders would suffer from PTSD, anxiety, stress, or anything else related to their mental health is a fallacy. Due to the nature of their jobs, whether someone is an officer of the law, firefighter, or EMT, stress is commonplace through all different facets of being a first responder.


Many of one’s colleagues may have shared similar experiences or may even be actively concerned about their mental health. However, even if such experiences are widespread within the community of first responders, few may reach out for help regarding them, even if many first responders agree there is an issue that needs to be addressed.

According to a study conducted by the University of Phoenix in 2018, “nearly all first responders (93%) agree that mental health is as important as physical health, and more than 8 in 10 (83%) believe that people who receive counseling generally get better.” However, talk about one’s own mental health needs as a first responder is still met with several hurdles. 

Image of Strength

Being a first responder is a noble course that is synonymous with hope and protection. However, this mentality has its drawbacks. Not only can it instill the idea that as a first responder, they should be able to handle anything, but it also takes away the human element that is present in all first responders.


Each one is a courageous person, but they are still people that are exposed to stressful and traumatic events on a daily basis. First responders are much more than just the image of strength they are taught and proud to exude. The public, as well as first responders themselves, can all benefit from realizing that mental health, stress, and PTSD can affect anyone, especially in such a dangerous line of work. 


Letting Go of Shame

Shame is another factor that can cause first responders to be more reluctant about reaching out. This shame can be produced as a result of the notion that a first responder is somehow “letting others down” by acknowledging their own needs for mental health services.


Deconstructing this shame is important, as not only does it then allow someone to take care of themselves, it overall permits someone to rest and let down their guard. Deciding between one’s perceived shame of reaching out for counseling for first responders and the help they may need can add additional stress to already difficult situations. 


This shame may also manifest as a sign that they are somehow weaker than their first responder peers. However, reaching out may have the opposite effect overall. While someone may feel shame by allowing themselves to ask for help, the same study conducted by the University of Phoenix [1] also found that if team leaders normalized talking about their mental health, “82 percent [of first responders] say they would be encouraged to seek professional counseling. Peers have an even greater influence, with 89 percent.” 


Fear of Repercussions

Regardless of how necessary many first responders may agree the services are, there is always the fear of repercussions if someone is found to be seeking mental health services.

Whether it be professional discrimination or loss of status within their community, unit, or precinct, first responders can feel as if they have to choose between their mental health and their professional lives. However, the career of a first responder and mental health services go hand in hand and aren’t enemies of each other in any way. 


Getting Help and Breaking The Stigma of Mental Health in First Responders

Getting Help and Breaking The Stigma of Mental Health in First Responders

Addressing one’s mental health is an active part of getting better as a first responder in the field. Not only can it provide many coping techniques to help prevent burnout or mental fatigue, but it can give someone a better understanding of the effects these situations have on civilians, as well.


Some mental health facilities, such as Chateau Recovery, employ the idea that learning to take care of yourself means you can then better take care of others in the field while also providing the space for you to let down your guard and address your emotional state. Learning how PTSD can be dealt with out in public for oneself can also translate to employing your coping strategies for others in high-stress situations. 


Addressing the stigma that surrounds mental health in first responders begins with seeing one’s health is just as important as anyone else’s. Whether someone is reaching out to a colleague in their community with shared experiences, or expressing this need on a familial front, understanding that first responders are people, too, is paramount in creating an atmosphere where each person can take care of themselves.


With all of the protection and care, they give to their communities, normalizing talking about the intense situations can empower each first responder to take care of themselves in the same way that they take care of others in the line of duty. 


Sources & Expert Contributions

Frequently Ask Questions:

• Is the problem of first responder mental health isolated to a few individuals?

No, the idea that only a few first responders suffer from mental health issues is a fallacy. Due to the stressful nature of their jobs, stress and trauma are commonplace among all first responders.


• How do first responders feel about the importance of mental health?

According to a 2018 University of Phoenix study, nearly all first responders (93%) agree that mental health is as important as physical health.


• What is the "image of strength" and how does it affect first responders?

The "image of strength" is the idea that first responders should be able to handle anything, which can prevent them from acknowledging their own human vulnerability and the need for mental health support.


• What is the potential impact of team leaders and peers on a first responder's willingness to seek help?

The same University of Phoenix study found that if team leaders and peers normalized talking about their mental health, 82% and 89% of first responders, respectively, would be encouraged to seek professional counseling.


• What is one of the biggest fears first responders have about seeking mental health services?

First responders often fear professional repercussions, such as discrimination or loss of status, if they are found to be seeking mental health services.

We understand the unique challenges first responders face and the immense pressure you're under. At Chateau Health and Wellness Treatment Center, we are committed to providing a safe and understanding space where you can address the mental health challenges discussed in this article. Our team recognizes the strength it takes to seek help and is dedicated to supporting you on your journey toward wellness. We believe that by working together, we can overcome the stigma surrounding mental health and ensure you get the care you deserve. If you or a fellow first responder needs support, please don't hesitate to reach out to us. We're here to help. You can call us at (435) 222-5225 to take the first step toward healing and taking care of yourself so you can better care for others.

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About The Author

Ben Pearson, LCSW - Clinical Director

With 19 years of experience, Ben Pearson specializes in adolescent and family therapy, de-escalation, and high-risk interventions. As a former Clinical Director of an intensive outpatient program, he played a key role in clinical interventions and group therapy. With 15+ years in wilderness treatment and over a decade as a clinician, Ben has helped countless individuals and families navigate mental health and recovery challenges.





Danny Warner, CEO of Chateau Health and Wellness

Brings a wealth of experience in business operations, strategic alliances, and turnaround management, with prior leadership roles at Mediconnect Global, Klever Marketing, and WO Investing, Inc. A graduate of Brigham Young University in Economics and History, Danny has a proven track record of delivering results across diverse industries. His most transformative role, however, was as a trail walker and counselor for troubled teens at the Anasazi Foundation, where he directly impacted young lives, a personal commitment to transformation that now drives his leadership at Chateau.



Austin Pederson, Executive Director of Chateau Health and Wellness

Brings over eight years of experience revolutionizing mental health and substance abuse treatment through compassionate care and innovative business strategies. Inspired by his own recovery journey, Austin has developed impactful programs tailored to individuals facing trauma and stress while fostering comprehensive support systems that prioritize holistic wellness. His empathetic leadership extends to educating and assisting families, ensuring lasting recovery for clients and their loved ones.





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