Professional first responders are prepared, equipped and trained to handle various emergency situations, from car accidents to terrorist attacks and other major disasters. Today, however, this great responsibility can be particularly burdensome on one's emotions.
"As first responders, part of our job is to run towards a bad or challenging situation to help out, while everyone else runs away," says Officer Dan Ennenbach, a Kirkwood police officer. "However, the psychological repercussions of what we may experience in those situations can be overwhelming and, in some cases, even life-changing. In a sense, we also can become victims, simply because we're affected by what's happened. "
According to Miggie Greenberg, MD, assistant professor of neurology and psychiatry at Saint Louis University School of Medicine, different people react to traumatic situations differently. It's not uncommon to experience a broad range of emotions - it's actually quite normal and healthy. The challenge with first responders is that they are trained to deal with high-intensity situations without emotionally reacting. Therefore, the aftermath can be that much more devastating. Additionally, those who have experienced some type of trauma in the past are more likely to react adversely to a traumatic event.
Like most first responders, Officer Ennenbach has wrestled with the emotional aftermath of the tragic incidents he has witnessed. He has learned a lot during his nine years on the force, and now uses his experience and knowledge to help other first responders better cope with the emotional challenges of the job. Ennenbach is a crisis intervention team specialist, who has been trained to recognize the symptoms of psychological distress, including lack of sleep, unexplained weight loss, lack of focus and irritability, to name a few.
"Following a traumatic incident, you have to step back and evaluate things, both personally and professionally," advises Ennenbach. "Of course, in our line of work, it can be that much more difficult. It's important to recognize the difference between a normal, healthy reaction and an unhealthy one."
Some normal reactions include being in shock, feeling sad, acting more emotional, having intrusive thoughts about the incident, and behaving in a hyper-vigilant manner. These should fade over time. However, when one's day-to-day routine is frequently sidetracked by such reactions, then this may be evidence of major distress. Some signs of psychological distress include constant anxiety, inexplicable crying, erratic behavior, isolation, and the increase use of drugs and/or alcohol. This distress can be characterized as one of the following and may require professional treatment: