Tag: anxiety

  • A New Year, A Renewed Mission: 2025 Goals for Mind Over Mayday

    A New Year, A Renewed Mission: 2025 Goals for Mind Over Mayday

    As we step into 2025, I’m filled with gratitude for the journey so far and excitement for what lies ahead. Mind Over Mayday has become more than a blog—it’s a community, a conversation, and a space where first responders can find understanding, support, and encouragement. This year, my mission is clearer than ever: to advocate, inspire, and empower those navigating the often-overwhelming realities of life on the front lines.

    Reflecting on the Journey

    2024 was a year of growth, both personally and for the blog. I shared stories of resilience, loss, and healing, opening up conversations about the mental health challenges we face as first responders. I attended events, honored fallen heroes with the Maine EMS Honor Guard, and connected with so many of you who shared your stories with me. These moments solidified my belief that we need to keep the dialogue around mental health alive and growing.

    This mission is deeply personal. As a suicide attempt survivor, someone in long-term recovery, and a first responder, I know how critical it is to have support, understanding, and resources when navigating the mental and emotional weight of this work. It’s my goal to make Mind Over Mayday a resource that first responders turn to when they need connection, guidance, or simply a reminder that they’re not alone.

    Goals for Mind Over Mayday in 2025

    1. Expand Reach and Connection

    This year, I want to reach even more first responders. That means:

    • Partnering with organizations that share the mission of supporting mental health for first responders.
    • Attending conferences and events to spread the word about Mind Over Mayday.
    • Growing our online presence through social media, newsletters, and interactive content.

    I want Mind Over Mayday to become a place where first responders know they can find tools, resources, and community whenever they need it.

    2. Offer Practical Tools for Healing

    It’s one thing to talk about mental health; it’s another to equip people with actionable tools. This year, I aim to create:

    • A free downloadable resource guide with tips for processing trauma, building resilience, and maintaining mental health.
    • A series of blog posts highlighting proven techniques, from mindfulness practices to physical health strategies that support mental wellness.
    • Online workshops or webinars designed to help first responders navigate stress and trauma in real time.

    3. Elevate Voices in the Community

    Every first responder has a story, and every story matters. In 2025, I want to feature more guest contributors on Mind Over Mayday. Whether it’s a fellow EMT, firefighter, police officer, or dispatcher, this blog will continue to showcase the voices of those on the front lines. Sharing our stories helps break down stigma and reminds us all that we’re stronger together.

    4. Advocate for Systemic Change

    While individual support is crucial, the bigger picture matters too. This year, I want to advocate for improved access to mental health resources for first responders. That means:

    • Collaborating with local and national organizations to push for better policies and funding for first responder mental health.
    • Highlighting the gaps in the system and offering solutions through my blog and public speaking opportunities.
    • Continuing to normalize therapy, peer support, and other tools for mental health within our community.

    5. Inspire Through Vulnerability

    My personal journey is the heart of Mind Over Mayday. This year, I’ll continue to share openly about my experiences with sobriety, recovery, and the challenges of life as a first responder. Vulnerability is a superpower, and I hope that by being honest about my struggles and victories, others will feel empowered to do the same.

    Building a Stronger Future

    2025 is about more than just goals—it’s about creating a safer, more supportive world for first responders. It’s about leaving the job better than I found it and ensuring that the next generation of EMS professionals, firefighters, and police officers have the resources they need to thrive.

    This blog isn’t just about me; it’s about us. Every story shared, every conversation started, and every life touched is a step toward a stronger, healthier community.

    Thank you for being part of this journey. Your support means the world to me, and I’m excited to see what we can accomplish together in 2025. Let’s make this year one of growth, healing, and hope—for ourselves and for the people we serve.

    What are your goals for the new year? Let’s start the conversation. Together, we can make a difference.

    – Lacey Sawyer
    Mind Over Mayday

  • Breaking the Stigma: My Journey Through Crisis to Wellness

    Breaking the Stigma: My Journey Through Crisis to Wellness

    The pager vibrates, the tones drop, the trauma alert is heard overhead, and the adrenaline rush kicks in. For first responders and healthcare workers, this cycle is the rhythm of life. We’re the ones who answer the call, who rush in when others run out. We’re the caregivers, the problem-solvers, the ones people count on during their worst days. But what happens when the caregivers need care themselves? What happens when the very people who are trained to be strong for others find themselves struggling? For far too long, the answer has been silence—silence driven by fear, stigma, and the unrelenting pressures of our professions.

    I know this silence intimately. For years, I lived it. I’ve been the one who brushed off my own struggles, convincing myself that asking for help would be a sign of weakness, or worse, proof that I didn’t belong in this line of work. There’s an unspoken rule in our world: “If you can’t handle the job, get out of the business.” It’s a mantra designed to weed out those who don’t belong, but it’s also a trap. It keeps too many of us—good, capable, compassionate people—from acknowledging our humanity. It kept me from acknowledging mine.

    The demands of this life don’t help. Twelve-hour night shifts, back-to-back calls, and an endless stream of people who need us—there’s rarely time to eat, let alone to seek out therapy or other forms of care. And when we do manage to carve out the time, the resources are often scarce. Mental health care tailored to the unique needs of first responders and healthcare workers is hard to come by. The general resources available are often ill-equipped to address the cumulative trauma and high-stakes pressures we face. It’s easier to push it all down, to tell ourselves, “I’ll deal with it later.” But later never comes—until it’s too late.

    That’s what happened to some of my colleagues. I’ll never forget the heartbreak of attending their funerals, standing shoulder to shoulder with others who wore the same uniforms, all of us asking the same agonizing question: Why didn’t they reach out? But I knew the answer. They didn’t reach out for the same reasons I hadn’t. The stigma. The fear of judgment. The crushing weight of shame.

    Those losses were a turning point for me. They forced me to confront the reality that even the strongest among us—the ones who seem to have it all together—can struggle to a devastating degree. I realized that if I wanted to continue doing the work I love—and to be the mother, friend, and colleague my loved ones deserved—I had to start taking care of myself. I had to stop seeing my mental health as an inconvenience or a weakness and start treating it as the foundation of everything else in my life.

    It wasn’t easy. In the beginning, I felt an almost unbearable sense of shame. Asking for help felt like admitting failure. But I’ve come to understand that it’s the opposite. Asking for help is one of the bravest things we can do. It’s an acknowledgment that we’re human, that we’re not invincible—and that’s okay. It’s okay because we matter. You matter. I matter. We’re irreplaceable in the lives of those who love us, and we’re irreplaceable in the work we do. But to keep showing up—for our families, for our patients, for our communities—we have to put on our own metaphoric oxygen masks first.

    Today, I’m no longer ashamed to say that I see a therapist, that I take psychiatric medications, that I’ve prioritized my mental health, or that I’ve set boundaries to protect my well-being. It’s not selfish. It’s survival. And it’s the only way I can continue to do this work without losing myself in the process.

    To my fellow first responders and healthcare workers: I see you. I know the weight you carry, the sacrifices you make, and the strength it takes to do what you do. But I also know that strength isn’t about pushing through no matter what. True strength is recognizing when you need support and having the courage to ask for it. It’s knowing that you can’t pour from an empty cup, and taking the steps to fill it—even when it feels impossibly hard.

    My Personal Story

    In 2023, nine months after giving birth to my daughter, I experienced a complete breakdown of my mental health. Despite the joy of welcoming her into the world, I was overcome by crippling anxiety. Scenes from my work in EMS bled into my personal life, filling my mind with horrifying images of my daughter in catastrophic situations—falling down a flight of stairs, being ejected from a vehicle, or succumbing to SIDS. These spiraling thoughts, compounded by sleepless nights, mood instability, and destructive behaviors in my relationships, pushed me into a downward spiral.

    Adding to the pressure of new motherhood—even as a mother of two—I felt I should be able to handle everything. I feared being judged as a bad mother, an incapable professional, and a burden to my family. I isolated myself, neglected my well-being, and lashed out at those I loved most. I stopped eating regularly, and the stress-induced starvation caused me to lose nearly 70 pounds in just nine months. I was physically and emotionally depleted, tempted to relapse, and teetering on the edge of complete collapse. Eventually, I reached my breaking point, culminating in a mental health crisis that led me to seek intensive treatment.

    I entered New Freedom Academy, a 30-day intensive treatment facility in Canterbury, New Hampshire, which turned out to be my lifeline. The campus was stunning—a serene environment with manicured grounds and beautifully maintained facilities that fostered healing. Clients stayed in comfortable dormitories and shared meals in a cafeteria catered by a private chef, featuring vegetables grown on-site. Daily activities included classes and therapy sessions in a bright and inviting hall, yoga and meditation led by outside instructors, and opportunities to explore the peaceful grounds. The program wasn’t a locked facility, which gave me a sense of autonomy, but it provided the structure I needed to begin my healing journey.

    Each day was carefully structured, with approximately five hours of group therapy modeled like classes. Topics ranged from substance abuse and codependency to self-love, CBT, DBT, and health and wellness. I met with a nurse practitioner to manage my medications, a licensed trauma therapist, and a case manager to coordinate care for my discharge. The staff, many of whom had personal experiences with recovery, created a space of genuine empathy and connection. It was transformational to know that I was not alone and to bond with others from diverse backgrounds—including veterans, professionals, and elderly individuals struggling with isolation.

    It wasn’t easy being separated from my daughter, but the staff reminded me that taking this time for myself was an act of love for her. Throughout my stay, my recovery community and family supported me from a distance, sending letters and gifts and arranging video calls with my daughter. What initially felt like a failure turned into one of the most empowering decisions of my life. I left the facility with a renewed sense of hope, better tools to cope with my mental health, and the realization that seeking help is an act of strength, not weakness.

    Returning home wasn’t the end of the journey but the beginning of an ongoing process. I worked with a psychiatrist to fine-tune my medications—a painstaking but worthwhile effort that required honesty and patience. I continued therapy, incorporating Eye Movement Desensitization and Reprocessing (EMDR), a technique designed to help reprocess traumatic memories. In EMDR sessions, I was guided by a therapist to recall distressing events while focusing on a series of bilateral stimuli, such as moving my eyes back and forth or following hand taps. This process helped reduce the intensity of my trauma-related emotions and reframed my experiences in a less harmful way. It was difficult but profoundly effective.

    I also took steps to rebuild my physical health after months of weight loss and neglect. I focused on a well-balanced diet, reduced caffeine intake, began journaling, and started taking supplements to address high cortisol and oxidative stress levels in my body. I returned to running, meditation, and spending time in nature. I leaned on my recovery community, attending meetings and reconnecting with loved ones. And I started this blog as a way to process my experiences and inspire others to prioritize their mental health before it’s too late.

    Slowly but surely, I began to feel stronger. My journey is far from over, but I know I’m on the right path. I’ve learned that to give my best to the people who depend on me—my children, my patients, my colleagues—I must first give that care to myself. And if sharing my story can encourage even one person to seek the help they need, then every step of this journey has been worth it.

    The Mission

    The stigma won’t disappear overnight, but it starts with us. It starts with sharing our stories, breaking the silence, and reminding each other that it’s okay to not be okay. You don’t have to carry it all alone. There’s help out there, and there’s no shame in reaching for it. Finding and affording the right care can be hard, but it is possible if you deeply explore what is out there with the same fervent effort you dedicate to your career- because ultimately your performance at work, and the longevity of your career, depends on your wellness, and the ability to show up as the best version of yourself. 

    If you’re struggling, please know this: You are not alone. Your life matters. And the world is a better place with you in it.

  • The Challenge of Asking for Help: And the Consequence of Remaining Silent

    The Challenge of Asking for Help: And the Consequence of Remaining Silent

    First responders and healthcare workers are often seen as the people who run toward danger, chaos, and pain when others turn away. We are the caregivers, the fixers, the steady hands in a storm. But what happens when the caregivers need care themselves? What happens when the healers need healing?

    For a long time, I believed I had to be invincible. The unspoken rule in our world often feels like this: if you can’t handle the heat, get out of the firehouse, ambulance, or hospital. You don’t show weakness. You don’t admit to struggling. You push through. And if you can’t, there’s a pervasive sense that maybe you shouldn’t be in this field at all.

    These beliefs are not just whispers in our heads—they’re reinforced by the environments we work in. The long shifts, unpredictable hours, and the emotional weight of the job leave little time to process what we experience, let alone seek help. And when we do consider reaching out, we face limited resources, long waitlists, and a troubling lack of mental health services tailored to the specific needs of first responders. On top of it all is the fear of judgment: Will my coworkers see me as weak? Will my supervisors think I’m not cut out for this job?

    I’ve been there. I’ve carried the shame of needing help and told myself I didn’t have time to seek it. For years, I believed that asking for care would mean I wasn’t strong enough to keep doing the job I loved. It took the suicides of several colleagues—dear friends and mentors who I admired deeply—for my perspective to change.

    When Sawyer Coleman and Scott Latulippe died by suicide, it shook me to my core. I served with the Maine EMS Honor Guard at their funerals, and it was a challenge to remain stoic in my role when the gravity of their deaths moved us all to tears. These were people many looked up to, people who were thought of as unshakable. People who others relied on, whose families and close friends remember as being positive, humorous, and calm in the midst of even the most traumatic of calls. And yet, they were quietly battling mental health struggles that ultimately led them to making devastating and permanent decisions. Their deaths forced me to confront the reality that even the strongest among us can be brought to our knees by the weight of this work. It was a wake-up call—not just for me but for so many others in our field. It made me realize that ignoring our mental health doesn’t make us stronger; it makes us vulnerable in the most dangerous way possible.

    We need to ask ourselves some hard questions: What good am I to my patients, my coworkers, or my family if I’m running on empty? How can I continue to serve others if I refuse to care for myself? The answers are painfully clear. We are irreplaceable to the people who love us. Our children and families need us. Our colleagues rely on us. And to show up for them, we have to show up for ourselves first.

    That realization changed everything for me. I stopped seeing self-care as selfish or weak and started viewing my mental health as essential to my career. I began to prioritize my wellness in ways I never had before—therapy, support groups, time to decompress, and creating boundaries around my work and personal life. I also became vocal about these changes, hoping to break the stigma and encourage others to do the same.

    It hasn’t been easy. There are still moments of doubt and guilt. But I’ve learned that vulnerability is not a weakness; it’s a strength. Asking for help doesn’t mean you’re failing—it means you’re fighting to stay in the fight. It means you’re choosing to protect your ability to care for others by caring for yourself.

    The work we do as first responders and healthcare professionals is vital. But so is our well-being. If there’s one thing I want my colleagues to understand, it’s this: You are not replaceable. You matter—not just to your patients and your team but to the people who love you. Filling your cup first isn’t just an act of self-preservation—it’s a gift to everyone who depends on you.

    If you’re struggling, please know you’re not alone. There’s no shame in needing help. In fact, seeking it might just be the bravest thing you ever do. And if sharing my story can make even one person feel less alone or encourage them to take that first step, then every word I’ve written here has been worth it.

    Let’s continue to care for each other—and ourselves. Because this work, this life, this mission—it’s worth it. And so are you.

  • Breaking the Silence: Top Books to Help First Responders Talk About Mental Health

    Breaking the Silence: Top Books to Help First Responders Talk About Mental Health

    First responders face immense stress, trauma, and emotional challenges daily. Breaking the stigma around mental health in the first responder community is critical. To support this, I’ve curated a list of books specifically designed to help first responders and their families understand and address mental health challenges. Each book is a valuable resource, with actionable insights and relatable stories that can make a difference in the lives of those who dedicate their lives to helping others.


    1. Bulletproof Spirit: The First Responder’s Essential Resource for Protecting and Healing Mind and Heart

    Author: Dan Willis
    This book is a practical guide tailored for police officers, firefighters, EMTs, and other first responders. It covers mindfulness, stress reduction techniques, and resilience-building strategies to help first responders safeguard their mental health. Dan Willis, a retired police captain, shares personal stories and proven methods to manage the emotional toll of a high-stakes career.


    2. Emotional Survival for Law Enforcement: A Guide for Officers and Their Families

    Author: Kevin M. Gilmartin
    Although written with law enforcement in mind, this book is beneficial for all first responders. Gilmartin discusses the psychological impact of serving in high-stress environments and offers tools for officers and their families to maintain emotional wellness.


    3. I Love a Fire Fighter: What the Family Needs to Know

    Author: Ellen Kirschman
    This book is a lifeline for families of firefighters, offering insights into the unique challenges of the profession. Ellen Kirschman provides compassionate advice for navigating relationships and fostering communication about mental health and emotional challenges.


    4. Processing Under Pressure: Stress, Memory, and Decision-Making in Emergency Situations

    Author: Matthew J. Sharps
    This book dives into the science of stress and decision-making during high-pressure situations. It offers actionable advice for first responders to better understand and cope with the psychological demands of their work.


    5. The Resilient 911 Dispatcher: A Comprehensive Guide to Surviving and Thriving Together in the 911 Center

    Author: Jim Marshall
    Dispatchers are often overlooked in mental health discussions. This book provides an in-depth look at the stressors faced by 911 dispatchers and offers practical strategies for resilience and stress management.


    6. Post-Traumatic Stress Disorder and the First Responder: A Comprehensive PTSD Guide for EMS, Firefighters, Police, and Dispatch

    Author: David J. Carey
    This book offers a comprehensive look at PTSD within the first responder community. Carey breaks down the signs, symptoms, and treatment options, emphasizing the importance of seeking help and breaking the stigma around mental health.


    7. Stronger: Overcoming My Struggles and Reclaiming My Strength

    Author: Jeff Bauman
    Jeff Bauman shares his journey of recovery after the Boston Marathon bombing, offering inspiration and insight into dealing with trauma and rebuilding mental strength. While not specific to first responders, this memoir resonates deeply with those who have witnessed or experienced life-altering events.


    8. The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma

    Author: Bessel van der Kolk
    This bestselling book is a must-read for anyone dealing with trauma. Van der Kolk explains how trauma affects the body and mind and explores innovative treatments, including mindfulness, EMDR, and body-focused therapies. It’s particularly relevant for first responders working through cumulative trauma.


    9. Call for Backup: Navigating Mental Health and Wellness in Emergency Services

    Author: Shawn Thomas
    Written by a firefighter and paramedic, this book addresses mental health challenges specific to emergency responders. It offers practical tips for reducing stress, building resilience, and fostering open conversations about mental health.


    10. Meditations for First Responders: Calm Amid Chaos

    Author: Alexis C. Davis
    This book introduces mindfulness and meditation techniques tailored for first responders. It’s an excellent resource for those seeking to incorporate mindfulness into their daily routine to reduce stress and enhance focus.


    These books not only provide valuable guidance but also help normalize conversations about mental health in the first responder community. By sharing these resources, we can take a step toward breaking the stigma and ensuring that those who protect and serve receive the support they deserve.


    Feel free to share this list with colleagues, friends, or loved ones who might benefit. Do you have a favorite mental health resource for first responders? Let me know in the comments below!

  • The Need for Expanded Crisis Intervention Services in Maine and Training for First Responders

    The Need for Expanded Crisis Intervention Services in Maine and Training for First Responders

    Crisis intervention is one of the most challenging yet critical aspects of public service, especially in rural states like Maine. As a first responder and mental health advocate, I’ve seen firsthand how the gaps in crisis intervention services directly affect the well-being of individuals and communities. In a state where resources are already limited, these gaps can leave vulnerable populations without the support they desperately need during moments of crisis.

    At the same time, first responders often find themselves at the forefront of these crises, acting as the first—and sometimes only—line of support. However, without proper training in crisis intervention, many of us are left feeling unprepared to provide the level of care these situations demand.

    This blog post dives into the current state of crisis intervention services in Maine, the challenges first responders face, and why Crisis Intervention Training (CIT) is essential for improving outcomes for everyone involved.

    Limited Crisis Intervention Services in Maine

    Maine faces unique challenges when it comes to crisis services:

    1. Geographical Barriers: With vast rural areas and small towns, access to crisis services can be a logistical nightmare. Individuals in remote areas may face significant delays in receiving the help they need.
    2. Understaffed Crisis Teams: Many regions lack sufficient crisis intervention professionals, meaning teams are often overworked and unable to respond promptly to calls. Wait times for follow-up care can stretch for weeks or even months.
    3. Lack of Comprehensive Support: For many individuals experiencing a mental health crisis, emergency rooms and law enforcement become the default points of contact. These systems are not designed to provide the kind of holistic care that mental health crises often require.
    4. Stigma and Misinformation: Stigma around mental health often prevents individuals from seeking help until the situation escalates into a full-blown crisis. This further strains the limited resources available.

    The Role of First Responders in Crisis Situations

    First responders—EMS, firefighters, and law enforcement—are often the first to arrive when someone is experiencing a crisis. We are tasked with de-escalating volatile situations, ensuring safety, and providing care until further support is available. Yet, without specialized training, many of us lack the tools needed to address the mental health component of these emergencies effectively.

    The emotional toll of these encounters can also weigh heavily on first responders, leading to burnout, compassion fatigue, and mental health challenges of our own. The lack of adequate training amplifies these challenges, leaving responders feeling overwhelmed and underprepared.

    The Importance of Crisis Intervention Training (CIT)

    Crisis Intervention Training equips first responders with the skills to handle mental health crises effectively. CIT focuses on de-escalation techniques, communication strategies, and understanding the signs and symptoms of mental illness. It empowers responders to:

    • De-escalate situations without the use of force.
    • Provide immediate, compassionate care to individuals in crisis.
    • Connect those in crisis with appropriate resources, reducing the likelihood of repeated emergencies.
    • Recognize their own emotional responses to these situations, fostering resilience and mental wellness.

    States that have implemented CIT programs have seen remarkable outcomes, including reduced injuries to both responders and individuals in crisis, fewer arrests of individuals experiencing mental health emergencies, and better long-term outcomes for those individuals.

    Notable examples include:

    Tennessee

    Tennessee has developed a comprehensive statewide CIT program, emphasizing collaboration between law enforcement and mental health professionals. The program focuses on training officers to de-escalate crises and connect individuals to appropriate services, resulting in reduced arrests and improved safety.

    Namitn

    Ohio

    Ohio has established a robust CIT program with a focus on community-based responses to mental health crises. The state’s approach includes specialized training for law enforcement and strong partnerships with mental health agencies, leading to better outcomes for individuals in crisis.

    Mental Health Portland

    Maryland

    Anne Arundel County’s CIT program in Maryland has been recognized for its excellence, receiving a platinum certification from CIT International. This distinction highlights the program’s adherence to best practices in crisis intervention and its success in fostering collaboration between law enforcement and mental health services.

    CBS News

    Minnesota

    Minneapolis launched the Behavioral Crisis Response (BCR) program, dispatching unarmed mental health professionals to 911 calls involving behavioral health crises. Since its inception in 2021, BCR has responded to approximately 20,000 calls, providing timely and compassionate services, and has been praised for its effectiveness in addressing mental health emergencies.

    Wikipedia

    Oregon

    Eugene’s CAHOOTS (Crisis Assistance Helping Out On The Streets) program serves as a model for alternative crisis response. Operating since 1989, CAHOOTS dispatches teams of medics and crisis workers to respond to mental health crises, reducing the burden on police and emergency medical services. The program has inspired similar initiatives across the country.

    Wikipedia

    These examples demonstrate the effectiveness of CIT programs in enhancing responses to mental health crises through training, collaboration, and innovative approaches. Implementing similar programs can lead to better outcomes for individuals in crisis and the communities they reside in.

    A Call to Action for Maine

    To address the gaps in crisis intervention services and training, Maine needs to take action:

    1. Increase Funding for Crisis Services: This includes hiring more crisis workers, expanding mobile crisis units, and improving access to follow-up care.
    2. Mandate CIT for First Responders: Making CIT a standard part of first responder training would better prepare us for the realities of our jobs and improve outcomes for individuals in crisis.
    3. Raise Awareness: Public education campaigns can help reduce the stigma surrounding mental health and encourage individuals to seek help before crises occur.
    4. Collaborate Across Disciplines: Bringing together mental health professionals, first responders, and policymakers can foster innovative solutions tailored to Maine’s unique challenges.

    Conclusion

    The role of crisis intervention is not just about responding to emergencies—it’s about creating a system of support that prevents crises from happening in the first place. For first responders like myself, Crisis Intervention Training offers a pathway to more compassionate and effective care. For Maine, investing in crisis services and training represents a commitment to the well-being of our residents and the health of our communities.

    As a state, we have an opportunity to lead the way in creating a model of crisis response that prioritizes humanity, understanding, and resilience. Let’s rise to that challenge—together.

  • The State of Mental Health Care in Maine: Limited Options, High Costs, and a Broken System

    The State of Mental Health Care in Maine: Limited Options, High Costs, and a Broken System

    Maine’s mental health system is in crisis, and the strain is felt by everyone—from first responders like myself to individuals across the state who are left without adequate care. Whether you’re navigating the system as someone seeking services or as someone supporting others in crisis, it’s impossible to ignore the profound gaps that exist between outpatient therapy and full-scale inpatient hospitalization.

    Beyond the state-run Riverview Psychiatric Center in Augusta and Dorothea Dix Psychiatric Center in Bangor, Maine has only a handful of facilities that provide inpatient psychiatric care. Spring Harbor Hospital in Westbrook, St. Mary’s Behavioral Health Services in Lewiston, and Northern Maine Medical Center in Fort Kent all offer critical services, but their capacity is limited. The number of beds available in these facilities is far too small to meet the needs of our population. When someone is in crisis, the odds of finding a bed nearby are slim, leading to long waits in emergency departments or, worse, no care at all.

    One of the most glaring issues is the lack of services that bridge the gap between outpatient therapy and inpatient hospitalization. For those experiencing a mental health crisis that doesn’t require inpatient care but goes beyond what a weekly therapy session can address, the options are nearly nonexistent. Intensive outpatient programs (IOPs) and partial hospitalization programs (PHPs), which provide structured support without requiring overnight stays, are rare in Maine. This leaves individuals in limbo—unable to access the level of care they need until their situation worsens to the point of requiring hospitalization- which is then limited by the number of beds.

    As someone who has personally needed psychiatric services, I’ve felt the frustration and fear of navigating this broken system. The financial cost of care is another barrier for many. Even with insurance, the out-of-pocket expenses for therapy, medications, and specialized programs can be overwhelming. For those without insurance or with high-deductible plans, these services are simply out of reach.

    For first responders like myself, the stakes are even higher. We’re often the ones called to respond when someone’s mental health crisis reaches a breaking point, and we see the toll that untreated mental illness takes on individuals, families, and communities. Yet, when we or our peers need help, we face the same challenges as everyone else—long waits, limited options, and prohibitive costs. This lack of support contributes to burnout, trauma, and tragically, high rates of suicide among first responders.

    What’s most disheartening is the lack of any meaningful initiatives in Maine to address these issues. Mental health funding remains insufficient, and there’s little momentum toward expanding services or making care more accessible. While telehealth has improved access for some, it’s not a solution for everyone, especially those in rural areas without reliable internet or those who need in-person support.

    We need real change. Maine must invest in creating more beds for inpatient psychiatric care, expanding intermediate care options like IOPs and PHPs, and ensuring that these services are affordable and accessible to everyone. We also need to address the workforce shortage by incentivizing mental health professionals to work in Maine, particularly in underserved areas.

    Mental health care is not a luxury—it’s a necessity. Whether you’re a first responder carrying the weight of others’ crises or an individual struggling to navigate your own, you deserve access to the care you need. It’s time for Maine to prioritize mental health and take bold steps to fix a system that is failing far too many of us.

    Advocating for Improved Mental Health Services in Maine

    To effectively advocate for improved mental health services in Maine, connecting with your local legislators is essential. You can easily find your State Senator and State Representative using the resources provided by the Maine State Legislature.

    Once you’ve identified your legislators, you can contact them using the following options:

    • Mail:
      • State Representatives: House of Representatives, 2 State House Station, Augusta, ME 04333-0002
      • State Senators: Maine State Senate, 3 State House Station, Augusta, ME 04333-0003
    • Phone:

    For a full list of contact details, including email addresses, visit the Maine House of Representatives Contact Page.

    Engaging with your local legislators is a vital step toward addressing the gaps in Maine’s mental health system. Your voice can drive meaningful changes to improve access, affordability, and availability of mental health services across the state.

  • Using TIPP to Manage Emotional Distress After Traumatic Calls

    Using TIPP to Manage Emotional Distress After Traumatic Calls

    First responders often face high-stress, emotionally taxing situations that can lead to overwhelming emotions after a traumatic call. TIPP (Temperature, Intense exercise, Paced breathing, Progressive relaxation) provides actionable strategies to manage these feelings effectively. These practices have each helped me tremendously after intense or traumatizing calls. Here’s how first responders can use each component:

    T – Temperature: Cool Your System

    Trauma can cause your body to go into fight-or-flight mode, escalating emotional intensity. Using cold temperatures can help calm your nervous system.

    • How to Apply:

    • Splash cold water on your face or hold an ice pack against your cheeks for 30 seconds.

    • Use cold compresses on your neck or wrists.

    • If accessible, step into a cooler environment (e.g., an air-conditioned space).

    • Why it Works:

    Cooling your body activates the mammalian dive reflex, which slows your heart rate and reduces stress.

    I – Intense Exercise: Burn Off Energy

    After a traumatic call, adrenaline and cortisol levels spike, leading to physical restlessness and emotional overwhelm. Intense exercise provides a healthy outlet.

    • How to Apply:

    • Do 30-60 seconds of jumping jacks, push-ups, or sprinting.

    • Engage in vigorous activities like running stairs or shadowboxing.

    • If at your station, consider using available equipment like kettlebells or a treadmill.

    • Why it Works:

    Intense movement burns off excess stress hormones, re-regulating your body and mind.

    P – Paced Breathing: Reclaim Control

    Hyperventilation often accompanies emotional distress. Paced breathing counters this by slowing your breath and calming your body.

    • How to Apply:

    • Inhale deeply through your nose for 4 seconds.

    • Hold your breath for 4 seconds.

    • Exhale slowly through your mouth for 6-8 seconds.

    • Repeat this pattern for 1-2 minutes.

    • Why it Works:

    Deliberate breathing engages the parasympathetic nervous system, helping reduce feelings of panic or overwhelm.

    P – Progressive Muscle Relaxation: Release Tension

    Trauma often causes physical tension. Progressive relaxation helps release that tension and refocus your mind.

    • How to Apply:

    • Start with your toes: tense the muscles tightly for 5-10 seconds, then release.

    • Gradually work upwards through your legs, torso, arms, and face.

    • Pair this exercise with deep, slow breathing for added relaxation.

    • Why it Works:

    This technique reduces physical tension associated with stress and anchors you in the present moment.

    When to Use TIPP

    First responders can use TIPP immediately after a traumatic call, during a quiet moment at the station, or at home when distress surfaces. These techniques are portable, require no special tools, and work quickly to lower emotional intensity.

    By incorporating TIPP into self-care routines, first responders can process trauma effectively, reduce emotional overload, and maintain mental well-being. Remember, seeking additional support from peers or mental health professionals is always encouraged.

  • The Silent Epidemic: Substance Use and Mental Health in First Responders

    The Silent Epidemic: Substance Use and Mental Health in First Responders

    First responders are often hailed as heroes, people who put their lives on the line every day to protect and serve their communities. However, behind the sirens and the courage, there is an undeniable, silent epidemic: the link between mental health struggles and substance use. The very nature of their work—responding to life-threatening situations, witnessing tragedy, and managing high-stress emergencies—creates an environment where mental health challenges are common. Unfortunately, many first responders turn to substances as a way to cope, often unknowingly feeding into a dangerous cycle that can impact their lives and careers.

    The Coping Mechanism: Substances and Mental Health

    Substance use, whether it’s alcohol, marijuana, or other drugs, is frequently used as a coping mechanism to manage the overwhelming stress and trauma that first responders face daily. These substances may offer a temporary sense of relief, dulling the emotional pain of a difficult call or a sleepless night, but this relief is fleeting and comes with significant risks.

    Alcohol, in particular, is commonly used as a way to unwind after a shift. However, the impact of alcohol on sleep and stress hormones cannot be ignored. While alcohol might help someone fall asleep faster, it actually disrupts the quality of sleep, preventing the body from entering restorative deep sleep. This sleep disturbance can worsen mental health conditions like anxiety and depression, both of which are prevalent among first responders. The regular use of alcohol also interferes with the body’s stress response system, exacerbating feelings of stress and making it harder to cope with daily challenges.

    Marijuana, which has been legalized both medicinally and recreationally in Maine, is often viewed as a less harmful alternative. However, it comes with its own set of risks. While marijuana may seem to offer stress relief, it does not actually reduce stress in the long term. In fact, using marijuana can worsen anxiety and emotional dysregulation over time, making it more difficult to process emotions effectively. Moreover, marijuana can impair cognitive functions such as judgment and reaction time, which is especially dangerous for first responders who need to be sharp and clear-headed when making life-saving decisions, particularly when driving emergency vehicles.

    When Does Substance Use Become a Problem?

    It’s important to recognize when substance use has crossed the line from a temporary coping mechanism to a problem. Signs that substance use is becoming a problem include:

    • Increased tolerance – needing more of the substance to achieve the same effect.
    • Mood swings or emotional numbness that lasts long after using the substance.
    • Physical symptoms such as hangovers, poor sleep, or gastrointestinal issues.
    • Negative impact on work – including missing shifts, declining performance, or unsafe practices.
    • Relationship issues – conflicts with family, friends, or colleagues.
    • Using substances to cope with stress, anxiety, or trauma, rather than addressing the root cause.

    If you notice any of these signs in yourself or a colleague, it’s time to seek help.

    Stories of Recovery: A Path Forward

    Recovery from substance use is not only possible but can be transformative. Many first responders have shared their stories of overcoming substance dependence and turning their lives around. Rehab programs and support groups, such as Alcoholics Anonymous (AA) and Narcotics Anonymous (NA), provide a crucial support network. These programs offer not only sobriety tools but a community of individuals who understand the unique challenges of first responders.

    For me, my own journey to sobriety has been both liberating and life-changing. On July 29, 2020, I made the decision to live a life free from mind-altering substances. Little did I know, this decision would not only change my health and my mindset but would also be the catalyst that led me to the career I have today in emergency medical services and fire fighting. Had I not chosen sobriety, I might have never answered the call to serve as a first responder. Sobriety connected me to my true calling, and since then, I’ve found that the alternative stress management techniques I use—like meditation, exercise, and connecting with others—allow me to process trauma in a way that substances never could.

    Treatment Options: Finding Help

    If you or someone you know is struggling with substance use, it’s important to know that there is help available. Treatment options for substance use disorders are varied and can be tailored to fit individual needs. Inpatient and outpatient rehabilitation programs provide structured environments to help individuals detox and learn new coping mechanisms. Support groups like AA, NA, and even specialized groups for first responders can provide a sense of community and understanding during the recovery process.

    In addition, therapy options such as cognitive-behavioral therapy (CBT) and trauma-focused therapy can help address the underlying mental health issues that often contribute to substance use. These therapies work to reshape negative thought patterns and develop healthier coping mechanisms for dealing with stress and trauma.

    The Importance of Sobriety

    Living a life free of substances is not just about avoiding the negative impacts of alcohol and drugs. It’s about gaining clarity, strength, and resilience in the face of trauma. Sobriety has given me the tools to handle stress and trauma in healthier ways, without relying on substances to dull the pain. My ability to serve as a first responder has been strengthened because I can think clearly, react appropriately, and make decisions based on my training and experience—without the clouding effects of substances.

    As first responders, we must advocate for better mental health services, not only for those we serve but for ourselves as well. It’s time to end the stigma surrounding mental health in our profession and embrace sobriety and recovery as pathways to healthier, longer careers and lives. If you are struggling with substance use, know that there is no shame in seeking help. Your health, both mental and physical, depends on it.


    If you are in need of assistance or support, don’t hesitate to reach out to a trusted peer- such as myself, a professional, or a support group. Sobriety is possible, and it can lead to a brighter future, both for you and the community you serve.

  • The Impact of Sleep Deprivation on Mental Health: A Focus on First Responders

    The Impact of Sleep Deprivation on Mental Health: A Focus on First Responders

    As a first responder, we are often tasked with facing intense, high-stress situations that demand immediate action and clear decision-making. However, one of the lesser-discussed challenges we face is the toll that irregular shifts and sleep deprivation take on our mental health. While adrenaline can push us through difficult moments, inadequate or poor-quality sleep can have long-lasting effects on our cognitive function, mood, and overall health. It’s crucial to recognize the dangers of sleep deprivation and adopt strategies to protect our well-being, both on and off duty.

    The Consequences of Poor Sleep on Mental Health

    Sleep is foundational to our physical and mental health. It’s during sleep that the brain processes information, restores itself, and prepares for the demands of the next day. Without enough rest, the body and mind can become overwhelmed, leading to a number of negative consequences.

    1. Cognitive Function: Sleep deprivation significantly impairs cognitive abilities, making it difficult to concentrate, recall information, and process new data. This is especially concerning for first responders, whose jobs require quick thinking, precise memory recall, and rapid decision-making. Even small lapses in judgment or mistakes in a high-pressure environment can have severe consequences.
    2. Mood and Emotional Health: Lack of sleep is directly linked to mood disturbances. When you don’t get enough rest, the brain’s emotional regulation systems become unbalanced. This can lead to irritability, increased stress, anxiety, and even depression. For first responders, the emotional toll of the job is already heavy, and poor sleep can exacerbate these feelings, leading to burnout and emotional exhaustion.
    3. Overall Health: Chronic sleep deprivation has been linked to various physical health issues, including weakened immune function, heart disease, and obesity. It also impacts hormone levels, affecting everything from stress response to appetite regulation. When our bodies don’t get the restorative sleep they need, the physical toll can be just as damaging as the mental.

    Sleep Deprivation and Its Impact on Job Performance

    In the high-stakes environment of emergency response, poor sleep can impair job performance in critical ways. First responders are responsible for protecting lives, and their ability to stay sharp is essential. Sleep deprivation can:

    • Slow Reaction Times: In emergency situations, seconds matter. A lack of sleep can delay your response, making it harder to act quickly and effectively.
    • Increased Risk of Errors: Fatigue impairs judgment, which can lead to mistakes—small errors that could have significant consequences.
    • Decreased Problem-Solving Abilities: Sleep-deprived brains struggle to solve problems and think critically, both of which are key components of emergency care and rescue operations.
    • Higher Risk of Accidents: Drowsiness is as dangerous as alcohol impairment in terms of its impact on reaction times and attention. Fatigue can lead to accidents, whether in the field or on the road.

    Strategies to Improve Sleep Quality Despite Unconventional Hours

    While irregular shifts are often a necessary part of being a first responder, there are strategies you can implement to improve your sleep quality, even when the hours are far from ideal. Here are some tips for managing sleep despite the challenges of an unconventional work schedule:

    1. Prioritize Sleep Hygiene

    Sleep hygiene refers to the habits and practices that support better sleep. A few key practices to incorporate include:

    • Establish a Routine: Try to keep a consistent sleep schedule, even if it’s not at night. Going to bed and waking up at the same time every day helps regulate your body’s internal clock.
    • Limit Caffeine and Stimulants: Avoid caffeine and other stimulants, particularly in the hours leading up to your sleep time. These can interfere with your ability to fall asleep, even when you’re exhausted.
      • AXIO by LifeVantage is a smart energy supplement designed to provide a natural boost without the sugar, calories, or caffeine crash commonly associated with traditional energy drinks. This nootropic formula combines a blend of vitamins, minerals, and phytonutrients that support energy metabolism while also helping your body manage everyday stress. AXIO delivers instant energy, promotes mental clarity, and supports overall well-being, so you can stay motivated and focused throughout the day—without the jitters.
    • Wind Down Before Bed: Create a calming pre-sleep routine, such as reading, meditating, or listening to relaxing music. This helps signal to your body that it’s time to rest.

    2. Create a Restful Environment

    Your sleep environment plays a crucial role in the quality of your rest. Here are some tips to optimize your space for sleep:

    • Darkness: Use blackout curtains to block out light, which can interfere with your body’s ability to fall into a deep sleep.
    • Temperature: Keep your room cool, ideally between 60 and 67 degrees Fahrenheit. A cooler environment helps promote better sleep.
    • Sound: Use earplugs or a white noise machine to block out disruptive noises, especially if you live in a noisy area or work irregular hours.
    • Comfort: Make sure your mattress, pillow, and bedding are comfortable, as discomfort can disrupt sleep quality.

    3. Incorporate Napping into Your Routine

    For first responders working long shifts, napping can be an effective way to reduce the effects of sleep deprivation. A well-timed nap—lasting anywhere from 10 to 30 minutes—can help improve alertness and performance during a shift. However, avoid napping too long or too close to your next sleep period, as this can interfere with your ability to fall asleep later.

    4. Utilize Stress-Reduction Techniques

    Managing stress and unwinding before sleep can be just as important as getting enough hours of sleep. Consider incorporating stress-reduction techniques such as mindfulness, deep breathing exercises, or light stretching before bed to help your body relax and prepare for restorative sleep.

    Conclusion

    The impact of sleep deprivation on mental health is profound, particularly for first responders who face high-stress, unpredictable work schedules. Sleep deprivation can impair cognitive function, disrupt mood, and negatively affect overall health, ultimately compromising job performance. However, by adopting effective sleep hygiene practices, creating a restful environment, and utilizing strategic naps, first responders can mitigate some of the negative effects of poor sleep. Recognizing the importance of sleep and taking proactive steps to prioritize rest is essential for sustaining both our mental health and our ability to perform at our best when we’re needed the most.

    Taking care of our sleep is not just about personal well-being; it’s about being able to show up for those who rely on us—patients, colleagues, and our families. Let’s start making sleep a priority.

  • The Weight of the Badge: Navigating the Emotional Burdens of Being a First Responder

    The Weight of the Badge: Navigating the Emotional Burdens of Being a First Responder

    When you take the oath to serve as a first responder, you accept a level of responsibility most people will never fully understand. The badge is more than just a symbol; it represents a commitment to protect and serve others, often in their most vulnerable moments. While this calling is honorable and rewarding, it carries an emotional and psychological toll that can feel insurmountable at times.

    The stress of being responsible for others’ lives, making split-second, life-and-death decisions, and witnessing trauma daily can lead to mental health struggles that many first responders face in silence. Feelings of isolation, anxiety, or depression often creep in, uninvited and persistent. Yet, the stigma surrounding mental health in our profession sometimes keeps us from seeking the help we need.

    Understanding the Burden

    The emotional toll of the badge doesn’t just hit you during the call—it follows you home. Memories of a tragic accident, a call that didn’t go the way you hoped, or even the cumulative stress of always needing to be “on” can weigh heavily. This burden can manifest in ways that are hard to detect at first:

    • Isolation: The unique nature of our experiences can make it feel like no one outside the job understands.
    • Hypervigilance: Being always on edge, even during downtime, can strain relationships and rob us of peace.
    • Emotional Numbing: To cope with the trauma we see, we may shut down emotionally, making it hard to connect with loved ones.

    Advice for Navigating the Weight

    It’s crucial to recognize the signs that your mental health may be struggling and take proactive steps to manage the weight of the badge. Here are some strategies to help:

    1. Set Healthy Boundaries

    • Leave Work at Work: While it’s easier said than done, establishing routines to mentally transition out of “work mode” can help. For example, use the drive home to decompress by listening to music, practicing mindfulness, or even sitting in silence.
    • Limit Overcommitment: It’s okay to say no. Taking on too many shifts or responsibilities can lead to burnout.

    2. Build Emotional Resilience

    • Practice Self-Care: Prioritize sleep, nutrition, and exercise. These basic habits have a profound impact on your ability to cope with stress.
    • Find an Outlet: Whether it’s journaling, painting, or a physical activity like hiking, having a way to process emotions is key.
    • Train Your Mind: Consider therapy, mindfulness practices, or resilience training programs specifically designed for first responders.

    3. Recognize When You Need Help

    • Be Honest with Yourself: If you’re feeling overwhelmed, irritable, or detached, it’s a sign to check in with your mental health.
    • Seek Professional Support: Therapy isn’t a sign of weakness; it’s a tool for strength. Look for counselors or therapists who specialize in working with first responders.

    Voices from the Field

    Hearing from those who’ve walked the same path can provide comfort and inspiration. Here are a few testimonials from first responders who’ve found ways to balance the pressures of the badge:

    • Mark, a firefighter/EMT with 15 years of experience:
      “For years, I thought I had to be the strong one all the time. But then I started talking to a peer support group, and it changed everything. Just knowing I’m not alone has made such a difference.”
    • Sarah, a paramedic and mother of two:
      “Boundaries were the hardest lesson for me. I used to take every call to heart, but I’ve learned to focus on what I can control and let go of the rest. It’s a daily practice, but it’s worth it.”
    • Tom, a police officer who recently retired:
      “Therapy saved my life. I thought I was just angry all the time, but it turned out I was depressed. Getting help not only made me a better officer—it made me a better husband and dad.”

    Creating a Culture of Support

    We must normalize mental health conversations in our profession. It starts with each of us being willing to open up, check in on our colleagues, and advocate for better mental health resources within our departments. The badge is heavy, but we don’t have to carry it alone.

    If you’re struggling, remember: help is available, and your mental health is just as important as the lives you protect. Let’s honor the badge by also honoring ourselves.

    Call to Action:
    If you or someone you know is a first responder struggling with mental health, reach out to peer support groups, employee assistance programs, or national hotlines like the First Responder Support Network or Safe Call Now. You’re not alone, and there’s no shame in seeking help.