Handling Stress and Burnout as a First Responder
- Responder Health Staff
- Jul 28
- 2 min read

The daily stress and constant exposure to life threatening situations that first responders encounter can lead to burnout. They also have to face the physical strain of working long hours and getting very little sleep. In addition to burnout, handling the pressures of the job can eventually lead to drug and alcohol use.
Burnout is a feeling of extreme exhaustion and being completely overwhelmed. Due to their exposure to distressing situations, first responders have a higher level of burnout and fatigue. Plus, those who work at disaster scenes can encounter a secondary traumatic process, which leads to flashbacks and PTSD.
Why is burnout a common career killer for first responders?
Stress of the calls
Long shifts
Too many shifts
High call volume
Too few people on the job
Dealing with difficult people or patients
Facing risks that lead to anxiety and depression
Feeling they have to appear invincible
Stress from PTSD
Due to the physically demanding nature and high stress levels of these careers, first responders are prone to increased drug or alcohol use. The images they see can cause PTSD and other stress disorders. To cope with these issues, they may turn to drugs or alcohol for help. Unfortunately, self-medicating can make the problem worse and starts a disastrous cycle of increased use and worsening anxiety or stress.
Signs of drug or alcohol abuse for those on the job include:
Difficulty concentrating or focusing
Difficulty making decisions
Struggling to recall specific details
Needing assistance with basic tasks like paperwork
Experiencing memory lapses
Appearing distracted
When the stress and burnout of the job starts to creep into the life of a first responder, these tips can help keep it at bay:
Get enough sleep
Eat well and stay hydrated
Work out regularly
Do activities like yoga, massage and meditation
Talk to a therapist
Wash up when leaving work (wash away the day) or create another ritual to help leave work behind
Take time to be alone and reflect
Practice your spiritual beliefs
Take time off when you need it
Connect with others in the same career
Limit time working alone
Take time to journal
Many first responders avoid treatment due to the stigmas of the issues they face. They also worry about the negative consequences they could face at work. However, ignoring these problems can only increase stress levels and allow them to grow. Know that you are not alone, and specialized treatment help is available for the unique burdens that first responders face daily.
If you, someone you love or someone you know needs help, call:





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