Benefits Of Mental Health Counseling For EMT Paramedics
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A first responder's career may cause complicated emotions and traumas to rise under pressure. Emergency medical technicians (EMT) and paramedics often witness distressing scenes while facing the profound demands of their work. It takes mental fortitude to face the emotional highs and lows of emergency calls and continue to feel healthy and positive.
Because of these unique challenges, awareness of comprehensive mental health providers can be vital to a first responder's overall well-being. Learning how EMT emotional therapy can help EMTs, paramedics, and other first responders process the emotions that come with the job and address trauma can be beneficial.
Emergency medical service (EMS) professionals: What do EMT paramedics do?
EMT paramedics are trained to provide medical treatment to those involved in a crisis, often arriving first at the scene of an accident, crime, or another emergency. The nature of their job exposes them to potentially traumatic events, which can have demonstrated effects on their mental health.
Why is EMS mental health care important?
The pressure EMTs and paramedics face to provide emergency services quickly and efficiently may further strain their well-being. This makes it more important to consider mental health strategies and emotional healing to maintain resilience.
Research about EMS mental health and stress
Research, backed by evidence, shows that up to 22% of paramedics and EMTs have been diagnosed with post-traumatic stress disorder (PTSD), compared to the 7-12% of the general population diagnosed. Workplace trauma may be referred to as vicarious trauma because the EMS professional might witness a traumatic event without experiencing it firsthand. However, they could also experience trauma that directly impacts them, causing a significant shift in their emotional well-being.
Public safety employees may not discuss traumatic events, as they might be interested in avoiding them to feel safe. However, this approach could make it difficult for them to release their emotions healthily and lead to increased stress over time, in addition to symptoms of mental health conditions like anxiety. By utilizing mental health services, EMTs and paramedics can manage their emotions, confront the potential stress of their careers, and facilitate positive change.
Stress and trauma: Healthy coping techniques
For those procuring productive, healthy outlets for their emotions, a few options can connect them with guidance and support.
Workplace support
A first responder's specific department may have mental health services staffed by individuals familiar with the challenges inherent to an EMT or paramedic's job. Talking about trauma or other concerns with an empathetic listener could allow employees to sort through their feelings and develop tools for addressing stress and trauma responses in the future.
Support can also empower employees to follow through on healthy choices, such as exercise and nutrition. By taking the time to invest in their own well-being, workers could reduce the likelihood of physical pain or fatigue, which may influence how they process information or react to situations that happen in their line of work.
Peer support
Some public safety departments may have specially trained staff called peer support representatives, skilled in active listening and language techniques, and chaplains on staff who can provide spiritual guidance and support. These individuals can help their colleagues navigate the emotional energy and memory of challenging experiences.
Exercise
In addition to expressing themselves through counseling, EMTs and paramedics can engage in physical activity to reduce stress or other trauma-related feelings. Research grounded in science has shown that traumatic stress can be carried in the body for long periods. Exercise, whether running, yoga, biking, or other activities, can help reduce stress's physical and mental impacts and alleviate pain.
Meditation
Regular meditation can also help EMTs and paramedics move past work-related trauma. It may be uncomfortable initially, but meditation has been shown to reduce the intensity and frequency of flashbacks caused by exposure to work-related trauma. However, you may benefit from talking to a meditation coach or therapist before practicing.
Stress and trauma: Unhealthy coping methods
Some EMTs and paramedics use substances to cope with the emotional distress from their job. Repeated use of this coping mechanism may lead to medical issues and worsening mental health concerns. Some people living with trauma might turn to alternative behaviors like gambling.
At times, first responders may try to avoid addressing their concerns in the hopes that they will eventually pass. Repressing your feelings, however, can negatively impact your emotional health in the long run.
The benefits of mental health counseling for EMT paramedics
EMTs and paramedics living with mental health challenges may find that therapy is a valuable source of support and advice. A therapist can help the individual better understand and address the sources of their concerns, deliver the right message, and teach them coping mechanisms that can help them during stressful times.
Research shows that specific therapy modalities, such as cognitive-behavioral therapy (CBT), can reduce symptoms of PTSD. CBT often works by helping the individual identify negative thought patterns that may lead to maladaptive behaviors. A therapist may help the individual recognize and replace thoughts that may contribute to unwanted responses.
Emergency care for emergency medical service (EMS) professionals
If a first responder is experiencing suicidal thoughts, seeking emergency treatment is crucial. Suicide rates among first responders are high. Research shows that EMS professionals are 1.39 times more likely to die by suicide than the general population. This statistic further highlights the need for early mental health care interventions that may help prevent individuals from feeling like they do not have options.
Mental health counseling for EMT paramedics
While many emergency services departments may offer free services like grief or trauma counseling to first responders, they might not be long-term solutions. While many emergency services departments may offer free services like grief or trauma counseling to first responders, they might not be long-term solutions. Many first responders have transformed the world around them for the better, but too often they come home from work feeling wrong by a system that fails to recognize the immense toll their job takes on them.
While no single situation may work for everyone, having regular contact with an experienced professional may be a healthy way of managing the symptoms of stress, trauma, or other mental health challenges. If your schedule doesn't open up much room for in-person sessions, you can consider online therapy for flexible treatment. Online therapy may be a great way of managing the following conditions: depression, anxiety, PTSD, OCD, and more.
Online therapy and mental health counseling for EMT Paramedics
Recent research points to online therapy as an effective method of providing mental healthcare to those who may have experienced trauma in their job. For example, a study of 96 participants living with PTSD found that online cognitive-behavioral therapy could reduce distress and lead to a positive therapeutic alliance. Researchers noted that the positive results of treatment were sustained after three months and that comorbid anxiety and depression were also reduced after five weeks.
An online therapy platform like BetterHelp can provide valuable resources and support as you work through emotions related to your career or other aspects of your life. With online therapy, you may not have to set aside time to travel to an office. Because many platforms have thousands of therapists with various specialties and areas of expertise, your chance of matching with someone specializing in your specific concerns may be higher.
Takeaway
What percentage of paramedics have PTSD?
According to mental health statistics shared by SAMHSA, around 1 in 3 first responders (including paramedics, firefighters, and law enforcement) develop post traumatic stress disorder (PTSD). This is in comparison to the general population who have a 1 in 5 chance of developing PTSD.
Another study found that approximately 15% of paramedics present with PTSD.
What profession has the highest PTSD rate?
According to a systematic review published by BMC Public Health, emergency service workers (including paramedics) have the highest rate of PTSD, with first responders who work at disaster sites at higher risk.
Is being a paramedic traumatic?
Yes, those who work in emergency medicine are continually exposed to stress and trauma.
What do paramedics struggle with?
Paramedics who are lacking strong protective factors can be at risk for burnout, or developing symptoms of post-traumatic stress disorder (PTSD). Even those with access to mental health services, strong family and friend ties, and knowledge of adaptive coping skills can find themselves susceptible to challenges.
Is being a paramedic a high-stress job?
Yes, experts agree that the constant exposure to trauma and high-stress situations that emergency health care professionals endure rank them among the highest stress occupations.
Can I be a paramedic if I have anxiety?
A paramedic can do the job if they have mental health issues such as anxiety or depression, however it can be essential to ensure that they have access to the mental health treatment they need to function in a healthy way. Assistance programs are available in certain areas to ensure that paramedics and other emergency care providers can get the help they need to continue in their occupations.
Do paramedics get PTSD?
Paramedics can be especially susceptible to developing PTSD, due to high levels of stress and exposure to trauma that are inherent in the work.
What is first responder syndrome?
First responder syndrome, or Emergency Responder Exhaustion Syndrome (ERES), outlines a cluster of symptoms that commonly occur in emergency service providers, firefighters, and law enforcement officers. These symptoms can include:
- Emotional detachment
- Alcohol or substance misuse
- Hypervigilance
- Cynicism
- Ulcers or heart attacks
- Absenteeism
- Marital issues
- Suicidal ideation
What is hypervigilance in first responders?
When on-duty, first responders must be on heightened alert. In some cases, this need can lead to a sharp distinction between “on duty” and “off duty”. Hypervigilance syndrome can be identified by a tendency to be quick-thinking, funny, and feeling extra alive while working, compared to a quick switch to lethargy, detachment, apathy, or even anger when off-duty.
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