First Responders Addiction Treatment Program at Wellbridge

How Is Being a First Responder Linked to Substance Use?

Being a first responder can be linked to substance use due to several factors:[2]

• Work-related stress: First responders often encounter high-stress situations, including accidents and emergencies. This chronic exposure to stress can lead some individuals to turn to substances as a coping mechanism.
• Trauma exposure: First responders frequently witness traumatic events, which can increase the risk of developing post-traumatic stress disorder (PTSD) or other mental health conditions. Substance use may be a way to self-medicate symptoms of trauma or PTSD.
• Peer influence: Within the first responder community, there may be a culture of using alcohol or other substances as a means of bonding or coping with the challenges of the job. This can create an environment where substance use is normalized or even encouraged.
• Shift work: Irregular and demanding work schedules, such as rotating shifts or long hours, can disrupt sleep patterns and lead to fatigue and stress. Some individuals may use substances to stay awake during night shifts or to relax after a particularly stressful shift.
• Lack of resources: Despite the critical nature of their work, first responders may face barriers to accessing mental health resources or may be reluctant to seek help due to stigma or concerns about confidentiality. This can lead to untreated mental health issues and an increased reliance on substances as a coping mechanism.

The Link Between PTSD and Substance Use Disorder

The link between PTSD and substance use is often bidirectional.[3] People grappling with PTSD may turn to substances like alcohol or drugs as a coping mechanism. In their efforts to manage these overwhelming experiences, first responders may find temporary (and problematic) solace in substance use.

However, substance use can exacerbate the symptoms of PTSD over time as well.[4] Rather than providing lasting relief, substances may intensify feelings of anxiety, depression, or emotional numbness, ultimately perpetuating a harmful cycle.

On the other hand, experiencing trauma and developing PTSD can also increase your vulnerability to developing a substance use disorder.[5] The psychological and emotional distress associated with PTSD may drive first responders to seek relief through substance use, even if they did not engage in such behavior prior to experiencing trauma. This vulnerability stems from the profound impact that trauma can have on your mental and emotional well-being, often leading to difficulties in regulating emotions and coping with stressors.

Addressing both PTSD and substance abuse concurrently (known as co-occurring disorders) is essential for effective treatment and recovery.[6] By treating the underlying trauma and providing coping strategies for managing substance cravings and triggers, a first responder addiction treatment program aims to break the cycle of PTSD and substance use disorder and help you regain control over your life and your work.[7]

What Are the Warning Signs of Addiction for First Responders?

Recognizing the warning signs of substance use and addiction among first responders is crucial for early intervention and support:[8]

• Changes in behavior: Noticeable shifts in behavior, such as increased secrecy, withdrawal from social activities, or avoiding responsibilities both at work and home, can be indicative of a potential substance use problem.
• Physical symptoms: Physical signs of addiction may include changes in appearance, such as bloodshot eyes, unexplained weight loss or gain, tremors, slurred speech, or impaired coordination.
• Emotional instability: Mood swings, irritability, agitation, or sudden outbursts of anger or hostility can be signs of underlying emotional distress, which may be exacerbated by substance use.
• A decline in work performance: Decreased productivity, frequent absences, tardiness, errors on the job, or an increase in accidents or near misses could indicate that substance use is interfering with job performance.
• Financial difficulties: First responders struggling with addiction may experience financial difficulties, such as unexplained expenses, borrowing money frequently, or selling personal items to fund their substance use.
• Relationship issues: Strained relationships with coworkers, friends, or family members, as well as isolation or withdrawal from social connections, may signal that substance use is impacting interpersonal dynamics.
• Risk-taking behavior: Engaging in risky behaviors, both on and off duty, such as driving under the influence, taking unnecessary risks during emergency responses, or engaging in unsafe sexual practices, can be red flags for addiction.
• Physical health problems: Chronic health issues, frequent illnesses, or unexplained injuries may result from frequent substance use or related risky behaviors.
• Changes in sleep: Disrupted sleep patterns, insomnia, or excessive tiredness could be indicative of substance use, particularly if it’s related to shift work or attempts to manage the effects of substance withdrawal.
• Legal issues: Involvement in legal problems, such as DUI charges, arrests for possession, or disciplinary actions at work, may suggest that substance use has reached a critical point.