Episodios

  • E.240 When Systems Fail: First Responders, Crisis Work, And The Cost Of Care Part 2
    Jan 23 2026

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    The calls keep coming, but the solutions don’t. We sit down with crisis clinician and EMDR therapist Morgan Yaskus to trace how a frayed safety net pushes first responders into impossible roles—and how that mismatch breeds moral injury. From long drives to the nearest DMV or ER to midnight discharges with no plan, we map the structural barriers that turn compassion into exhaustion and good intentions into public criticism.

    Morgan shares what mobile crisis teams can do well—resolving most calls on scene, staying with families after deaths, and offering a humane handoff—and where policy still ties everyone’s hands. We talk about the revolving door of brief psychiatric evaluations, the bureaucratic maze of IDs and benefits, and the social media spotlight that amplifies one bad moment over a hundred quiet saves. Small towns feel this even harder: everyone knows everyone, scanners travel fast, and rumors outrun the facts.

    We also get practical. Morgan explains how EMDR intensives can speed recovery from single‑incident trauma, why embedded wellness trainings reduce stigma, and how family wellness programs give spouses and kids tools to navigate shift work, hypervigilance, and communication breakdowns. The theme isn’t “do more with less.” It’s “build a system that holds what responders are asked to carry,” with warm handoffs, guaranteed short holds, transport support, and streamlined ID recovery to break the cycle.

    If you care about first responder mental health, this conversation is a map and a motivator. Listen, share with your team, and send this to someone who thinks burnout is a willpower issue. Then tap follow, leave a quick review to help others find the show, and tell us: what single policy change would make the biggest difference where you live?

    To contact Morgan, go to her website at www.bewildandrooted.com

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    30 m
  • E. 240 Alaska, Crisis, And The Thin Line Part 1
    Jan 21 2026

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    The toughest calls rarely end when the sirens go quiet. We sat down with Alaska-based counselor Morgan Yaskus to explore how real support for police, fire, EMS, dispatchers, and paramedics takes shape in small communities where everyone knows your truck, your shift, and your business. Morgan spent three years on a nonprofit-led mobile crisis team working alongside first responders through MOUs, navigating scenes that were neither strictly medical nor criminal. That proximity reshaped how debriefs happen, how trust is earned, and why cultural competence matters more than any script.

    We get honest about the barriers that keep first responders from care: parking outside a therapy office that sits between the firehouse and PD, the risk of being recognized by neighbors, and the thin bench of clinicians who truly “get it.” Morgan breaks down what helpful looks like—clear boundaries, discreet logistics, and a therapist who understands dark humor without pathologizing it. We challenge voyeuristic “worst call” questions and focus instead on regulation, meaning-making, and peer-informed support that fits the tempo of the job.

    Beyond the room, access and policy loom large. Telehealth opened doors, but interstate licensure compacts and reimbursement rates remain sticking points in places with higher costs of living. We talk ethical realities in rural practice, the trade-offs when conflicts of interest are unavoidable, and the duty to serve when the alternative is no care at all. If you’re a responder, a clinician, or a leader trying to build a healthier department, you’ll leave with practical steps for debriefs, privacy, and finding culturally competent help.

    If this conversation resonates, follow the show, share it with your team, and join us for Part 2!

    To reach Morgan, go to www.bewildandrooted.com

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    30 m
  • E.239 How A Fire Chief-Turned-Therapist Is Changing First Responder Mental Health
    Jan 14 2026

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    Strength without silence. That’s the thread running through our conversation with Jeff Dill, a former battalion chief turned licensed counselor and the founder of the Firefighter Behavioral Health Alliance. Jeff has spent years validating firefighter and EMS suicide data, building workshops from real-world stories, and leading behavioral health efforts for Las Vegas Fire and Rescue. He brings hard-won clarity on what actually helps: simple language, daily habits, and policies that protect people when the job wears them thin.

    We break down the internal size up, a practical check-in that asks, “Why am I acting this way? Why am I feeling this way?” It helps catch irritability, isolation, and sleep loss before they morph into bigger risks. Jeff draws a vital line between PTSD and moral injury—showing how betrayal, guilt, and shame often sit beneath the surface while treatment chases fear and trauma. Forgiveness becomes a survival skill, not a pass for bad behavior, and we talk about how to practice it without forgetting or restoring unsafe trust.

    From there, we get tactical. Sleep debt, high call volumes, and 24-hour shifts push good people into impulsive decisions. Cultural brainwashing tells responders to be brave, strong, and self-reliant—until that story keeps them from getting help. We dig into the data, including surprising patterns among women in fire and EMS, and outline what a proactive program looks like: family education, annual mental health checkups, vetted clinicians outside insurance for privacy, real-time aftercare after tough calls, and telehealth to reach rural members. Leaders will hear budget-smart ways to protect training from the chopping block, and crews will gain language for checking on a partner without making it awkward.

    You can reach Jeff at the following websites:

    For the Firefighter Behavioral Alliance (FFBA), please go to: https://www.ffbha.org

    For the moral injury white paper, download it by clicking: https://www.ffbha.org/wp-content/uploads/2023/02/Moral-Injury-White-Paper-2-9-23.pdf

    For the Firefighter Behavioral Alliance (FFBA) Facebook page, please go to https://www.facebook.com/FirefighterBehavioralHealthAlliance


    If you’re a firefighter, EMT, dispatcher, or cop—or you love someone who is—you’ll walk away with tools you can use today and a clearer picture of how to build a healthier culture tomorrow. Subscribe, share this with your crew, and leave a review so others can find it. You’re not alone.



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    1 h y 10 m
  • E.238 Part 2 How Shift Work, Hypervigilance, And Silence Erode Love—and What We Can Do About It
    Jan 9 2026

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    In part 2 with Alexa Silva, we discuss how love doesn’t clock out when the tones drop. We sat down to unpack what really happens when a first responder’s world of shift work, hypervigilance, and on-call stress collides with the everyday demands of family life—and why even strong couples can drift into silence, scorekeeping, and resentment without clear structure and care.

    Across a candid, fast-moving conversation, we dig into how intimacy has to evolve over time, especially when schedules are brutal and sleep is scarce. We talk about the danger of tallying sex and affection, the quiet slide into emotional affairs powered by loneliness and praise, and the small, steady actions that rebuild safety: consistent compliments, micro-moments of touch, and explicit “ask for what you need” scripts. You’ll hear practical frameworks for decompression after shifts, deciding whether you want listening or solutions, and using shared calendars to lower friction when overtime or call-outs derail plans.

    We also get honest about money, overtime, and the resentment loop that forms when one partner feels like both parents while the other chases a bigger paycheck. There’s a path out: monthly “state of us” check-ins, clear rules for spending, and tradeoffs made in daylight instead of assumptions made in anger. We cover role clarity—your spouse can be your partner, not your therapist—plus the kind of self-care that actually restores a nervous system hammered by trauma exposure. Whether you’re a cop, firefighter, medic, dispatcher, or the person holding down the fort at home, these tools meet the reality of your life.

    If you’re ready to replace mind reading with honest asks and turn resentment into repair, hit play. Then tell us what changed after you tried one tool. Subscribe, share with your crew, and leave a review to help more first responder families find the support they deserve.

    To reach Alexa, here is the link: https://www.psychologytoday.com/us/therapists/alexa-silva-chelmsford-ma/1140390

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    32 m
  • E.238 Part 1 Inside The Therapy Room: Addiction, Culture, And Trust
    Jan 7 2026

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    The badge asks for everything, then hands you a shift change and a smile. We sat down with returning guest, licensed clinical social worker Alexis Silva, to dig into the quiet realities behind the uniform: why trust is scarce, why stigma is sticky, and how substance use becomes a steady companion long before it becomes a crisis. Alexis works almost exclusively with first responders, military, and veterans, and brings her own sobriety and family experience to the table. That honesty opens a door many are afraid to touch—because careers are on the line, documentation feels risky, and walking into a room where you don’t have to translate the language of the job can be the difference between shutting down and speaking up.

    We break apart common myths: not every struggle is trauma from the job; for many, it starts with childhood adversity, genetics, and family patterns. Alcohol, THC, and benzos promise relief and steal sleep, fueling irritability, poor decisions, and conflict at home. We unpack the tipping point where use shifts from choice to maintenance—when your body drives the next drink—and why matching care to risk matters. Sometimes inpatient comes first, then outpatient therapy and groups, so progress isn’t crushed by daily stress. We also go beyond substances to behavioral addictions like gambling, tracing how the chase hooks into the same adrenaline circuits that make first responders so good under pressure.

    Across the hour, we map practical steps you can use today: how to assess risk without shame, how to reset routines every few career years, what honest partner check-ins sound like, and how peer support and culturally competent clinicians reduce fear of being “the problem” at the station. If you’ve wondered whether your coping is helping or hiding, this conversation offers a clear path forward—grounded, direct, and built for people who don’t have time for fluff.

    If this resonates, follow the show, share it with a teammate, and leave a quick review to help other first responders find it. Your story isn’t a liability—it’s a starting point.

    If you want to reach Alexa, please go to https://www.psychologytoday.com/us/therapists/alexa-silva-chelmsford-ma/1140390

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    29 m
  • E.237 Best of 2025: How A Police Sergeant Faced Trauma And Found A Path Back
    Dec 31 2025

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    The most downloaded conversation of the year returns for a reason: it’s the raw, practical guide first responders and their families keep asking for. We sit with Sgt. Michael Sugrue—Air Force security forces veteran, Walnut Creek Police sergeant, and author of Relentless Courage—to talk about the weight of hundreds of traumatic calls, how a 2012 shooting upended his life, and the exact steps that pulled him back from the edge.

    Michael breaks down why suicide remains the top threat for police, fire, EMS, and dispatch: a culture that prizes invincibility, training that skips mental readiness, and an identity so fused to the job that retirement can feel like free fall. He explains how “silent” suicides hide in line‑of‑duty risks, why official counts underreport the crisis, and what leadership must do to turn the tide. We go deep on solutions: culturally competent therapy, confidential peer lines, retreats like West Coast Post‑Trauma Retreat and Save A Warrior, and daily practices—meditation, gratitude, strength work, honest conversations—that sustain real resilience.

    We also challenge common myths. Therapy doesn’t take your gun; it gives you your life back. EMDR helps many but not all; the real power is a personalized toolkit. Early intervention keeps stress acute and treatable; waiting turns injuries into entrenched patterns that cost careers and families. Michael’s book, co‑authored with Dr. Shauna Springer, bridges the gap between gut‑level storytelling and clear psychology, giving responders and loved ones a shared language to start hard conversations and map a path forward.

    If you serve—or love someone who does—this is a roadmap to stay in the fight without losing yourself. Hit play, share it with a partner or teammate, and let’s normalize help as a standard of care. If the episode resonates, subscribe, leave a quick review, and pass it to one person who needs to hear it today.

    You can reach Michael on LinkedIn at: https://www.linkedin.com/in/sgtmichaelsugrue?utm_source=share&utm_campaign=share_via&utm_content=profile&utm_medium=ios_app

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    40 m
  • E.236 We Celebrate A Year Of Hard Lessons, Healing Wins, And The People Who Keep First Responders Going
    Dec 26 2025

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    From crime and trauma scene cleanup to midnight dispatch and station kitchens, we gathered the most powerful lessons from a year of conversations with first responders, clinicians.

    Here are the links for all the episodes:

    Krista Gregg (E.188): https://podcasts.apple.com/us/podcast/e-188

    Jessica Jamieson (E.192): https://podcasts.apple.com/us/podcast/e-192

    Beth Salmo (E.204): https://podcasts.apple.com/us/podcast/e-204

    Elizabeth Ecklund (E.207): https://podcasts.apple.com/us/podcast/e-207

    Gordon Brewer (E.211): https://podcasts.apple.com/us/podcast/e-211

    Bill Dwinnells (E.220): https://podcasts.apple.com/us/podcast/e-220

    Deidre Gestrin (E.221): https://podcasts.apple.com/us/podcast/e-221

    Adam Neff (E.222): https://podcasts.apple.com/us/podcast/e-222

    Renae Mansfield (E.225): https://podcasts.apple.com/us/podcast/e-225

    Amanda Rizoli (E.227): https://podcasts.apple.com/us/podcast/e-227

    Blythe Landry (E.228): https://podcasts.apple.com/us/podcast/e-228

    Stephanie Simpson (E.229): https://podcasts.apple.com/us/podcast/e-229

    Lisa Trusas (E.231): https://podcasts.apple.com/us/podcast/e-231

    Joe Rizzuti (E.233): https://podcasts.apple.com/us/podcast/e-233

    Justin Jacobs (E.235): https://

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    34 m
  • E.235 How Unprocessed Loss Fuels Burnout And What To Do About It
    Dec 22 2025

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    When the lights are flashing and the clock is ticking, we train for everything—except the weight we carry home. We sit down with Coast Guard veteran and grief coach Justin Jacobs to unpack the invisible load of moral injury, the shock of losing the uniform, and the quiet ways unprocessed grief leaks into performance, relationships, and health. From the chaos of capsized boats to the stillness after a tough outcome, Justin names what many feel and few say out loud.

    We explore how grief hides inside anxiety, depression, and burnout, and why so many transitions—retirement, reassignment, even a “first civilian job”—feel harder than expected. Justin explains decision fatigue after service, when structure vanishes and every choice suddenly feels permanent. He offers a simple reframe: plan early, expect detours, and treat course corrections as progress, not failure. Along the way, we draw clear parallels between the Coast Guard and first responders—rapid action, limited bench strength, and constant pressure to move on to the next call.

    Most importantly, we get practical. Think “mental PPE”: a shared vocabulary for moral injury, short decompressions after hard calls, peer check-ins that don’t try to fix but do make space to feel. We talk about what genuinely helps the bereaved—curiosity, presence, honest permission to tell the whole truth about the person who’s gone—and what to retire forever, including hollow platitudes that minimize real pain. Justin’s own story of loss and growth brings empathy and precision to every tool he shares.

    If you serve, lead, or love someone who does, this conversation is a field guide for staying human under pressure and building a culture that protects people as fiercely as it protects the mission. Listen, share with your crew, and tell us what “mental PPE” looks like in your world. If this resonates, follow, rate, and review so more first responders can find it—and subscribe for more candid, actionable conversations.

    His Instagram is @manlygrief

    His Website is: http://www.manlygrief.com


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    42 m