10 Signs of PTSD in First Responders (And When to Get Help)
First responders are the backbone of our communities—rushing into burning buildings, responding to critical calls, witnessing trauma most people can’t imagine. But all that exposure to crisis and stress comes at a cost. PTSD (Post-Traumatic Stress Disorder) is more common in first responders than many realize, and it doesn’t always look the way we expect.
At Northern California Family Counseling & Wellness Center, we specialize in helping first responders and their families heal from the invisible wounds of service.
Here are 10 common signs of PTSD that we see in the heroes we work with:
1. Nightmares or Flashbacks
Reliving the trauma in your sleep or during the day is one of the most common signs of PTSD.
2. Feeling Numb or Disconnected
A sense of emotional detachment from your family, friends, or partner is a red flag—especially if you were once very connected.
3. Avoidance
Avoiding people, places, conversations, or situations that remind you of the trauma.
4. Anger or Irritability
PTSD doesn’t always show up as sadness. Unexplained outbursts, impatience, or a short fuse can also be indicators.
5. Hypervigilance
Constantly scanning your environment, trouble relaxing, or feeling “on edge” even when you’re safe.
6. Sleep Disturbances
Trouble falling asleep, staying asleep, or waking up throughout the night due to stress or fear.
7. Guilt or Shame
Many first responders carry guilt—even when the outcomes were out of their control.
8. Depression or Hopelessness
A lingering sense of sadness, worthlessness, or emptiness that interferes with daily life.
9. Substance Use
Using alcohol or drugs to numb the pain or quiet your mind is a common but dangerous coping mechanism.
10. Relationship Strain
PTSD can create distance in even the strongest relationships. If your loved ones say you’ve changed—you probably have.
When Should You Reach Out for Help?
If you or someone you love is experiencing two or more of these symptoms for more than a month, it may be time to talk to a professional. Therapy is not a weakness—it’s a strength. It’s a way to reclaim your story, rebuild trust, and feel alive again.
We offer trauma-informed therapy, EMDR, and first responder-focused counseling in Redding, Chico, and across Northern California, both in-person and via telehealth.
You Don’t Have to Carry This Alone.
Call us today or book a confidential consultation. Let us help you find your way back to peace.
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