August 29, 2018
With increased awareness and discussion around post-traumatic stress in the fire service, it’s important to know what post-traumatic stress is and what it’s not. While the term post-traumatic stress (sometimes called PTS) is often used interchangeably with the term post-traumatic stress disorder (PTSD), the two are quite different. At some point in their career, most fire fighters and paramedics will experience post-traumatic stress, while only a relatively small fraction of these individuals will develop the mental health disorder known as PTSD. The fact remains that fire fighters and paramedics are an extremely resilient population.
Post-traumatic stress is a normal reaction to any event that threatens violence or the loss of life. You may personally experience the event, see the event occur to someone else or have direct exposure to aversive details of the event in its aftermath. Post-traumatic stress is NOT recognized as a mental health disorder and often requires no treatment intervention. Symptoms usually subside within a few days or weeks and do not significantly impair daily functioning.
Post-traumatic stress is considered the experience of one or more symptoms listed below for any period of time following a traumatic event. Symptoms are classified in categories B-E:
Acute stress disorder is the experience of nine or more symptoms of post-traumatic stress in any category (B-E). Symptoms must persist for at least three days but less than a month AND cause significant daily impairment. This means it is very difficult for the individual to function at work, at home or with others. ASD is considered a mental health disorder and some individuals with ASD will go on to develop PTSD.
PTSD occurs when an individual experiences symptoms in all four categories of post-traumatic stress listed above (intrusion, avoidance, altered mood/cognition and arousal/reactivity). Additionally, symptoms persist longer than one month AND cause significant daily impairment. PTSD is NOT a normal reaction to a traumatic event and is a considered a mental health disorder that warrants treatment.
Acute Stress Disorder (ASD)
Post-Traumatic Stress Disorder (PTSD)
The IAFF Center of Excellence for Behavioral Health and Treatment and Recovery is a 64-bed comprehensive residential treatment center designed exclusively for IAFF members struggling with PTSD, addiction and other co-occurring mental health problems. You can start the recovery process by reaching out to a representative today for a free and confidential screening.Medical Disclaimer: The IAFF Center of Excellence aims to improve the quality of life for people struggling with a substance use or mental health disorder with fact-based content about the nature of behavioral health conditions, treatment options and their related outcomes. We publish material that is researched, cited, edited and reviewed by licensed medical professionals. The information we provide is not intended to be a substitute for professional medical advice, diagnosis or treatment. It should not be used in place of the advice of your physician or other qualified healthcare provider.