clarity clinic

How to Manage Stress as a First Responder

May 30th, 2025

blog

First responders run toward what most of us run from—crisis, danger, the unknown…. Whether you're a firefighter, paramedic, police officer, doctor, or emergency worker, the weight of that responsibility doesn't clock out at the end of a shift. Over time, the pressure can build, making stress feel like part of the uniform. But it doesn’t have to be that way.

Managing stress as a first responder is not just about surviving the job—it’s about preserving your mental health, protecting your relationships, and ensuring you can keep doing the work you were called to do. Let's go over some practical, stress management techniques to help first responders recognize, reduce, and manage stress— both on and off the job.

What is Stress?

Let’s start with the basics, what exactly is stress? Stress is your body’s natural response to a challenge or demand. It can be triggered by external pressures (like emergencies or deadlines) or internal worries (like fear or self-doubt). In small doses, stress can be helpful—it sharpens focus, boosts energy, and helps you respond quickly in high-stakes situations.

But when stress becomes constant or overwhelming, it can take a serious toll on both your physical and mental health. For first responders, the nature of the job means high stress is often part of the routine, making it even more important to understand their stress—and learn how to manage it effectively. Learning how to manage this unique type of stress can help prevent first responder burnout and health problems in the future.

Understanding Stress in First Responders

First responders face a unique set of stressors that go far beyond the average day-to-day challenges most people experience. The nature of the job means repeated exposure to trauma, crisis situations, long hours, and even death. Whether it’s witnessing human suffering, making split-second life-or-death decisions, or delivering devastating news to families, the emotional toll can be profound.

In addition to these high-stakes responsibilities, many first responders also deal with public scrutiny, long hours, disrupted sleep schedules, and the pressure of unrealistic standards to stay perfect and composed—no matter what. Over time, these stressors can accumulate, leading to burnout, compassion fatigue, anxiety, depression, or even symptoms of PTSD.

Understanding the source of this stress is the first step toward managing it. You’re not “too sensitive” or “not tough enough”—you’re human. Recognizing these unique challenges is essential to building resilience and protecting your mental health in the long run.

What is Critical Incident Stress?

Critical incident stress is the intense emotional reaction that can occur after experiencing or witnessing a highly traumatic or life-threatening event. For first responders, this might include responding to a mass casualty scene, the death of a child, a colleague’s injury, or any event that overwhelms your normal coping abilities.

Unlike everyday stress, critical incident stress is often sudden and deeply distressing, and it can lead to symptoms like anxiety, nightmares, intrusive thoughts, emotional numbness, or difficulty concentrating. While these reactions are normal, they can become problematic if left unaddressed.

Recognizing critical incident stress early and seeking appropriate support—such as debriefings, therapy, or peer support—can be vital in preventing long-term mental health challenges like PTSD or depression.

What is Critical Incident Stress Management​

Critical Incident Stress Management (CISM) is a structured approach designed to help first responders process and recover from traumatic events. Whether it’s a natural disaster, serious accident, or violent incident, these high-stress situations can leave lasting emotional impacts.

CISM provides immediate and short-term support through debriefings, peer support, and counseling to reduce the risk of long-term psychological harm. At Clarity Clinic, we recognize the importance of addressing trauma early and offer mental health services tailored to the unique needs of first responders.

CISM aims to minimize the harmful effects of traumatic events through coordinated individual and group support, stress education, and coping techniques.

Red Flags: Warning Signs of Stress Overload

Stress is a normal part of life—especially in high-pressure roles like first responders—but when it becomes chronic or overwhelming, it can start to impact your health, relationships, and job performance. Recognizing the red flags or stress symptoms of stress overload early can help you take action before things spiral.

Here are some common warning signs to watch for:

  • Physical symptoms: Headaches, fatigue, muscle tension, digestive issues, or changes in sleep and appetite
  • Emotional changes: Increased irritability, mood swings, anxiety, or a sense of hopelessness
  • Cognitive difficulties: Trouble focusing, forgetfulness, or constant worry
  • Behavioral shifts: Withdrawal from others, using alcohol or substances to cope, missing work, or feeling numb
  • Loss of motivation or burnout: Feeling detached from your work or questioning your purpose

If you notice any of these signs in yourself or a colleague, it’s a signal to slow down and seek support. Stress overload is not a personal failure—it’s your mind and body asking for balance.

How to Reduce Stress Immediately

When stress starts to feel overwhelming, it’s important to have quick, effective tools to help you regain a sense of control. While long-term strategies are key for lasting relief, there are also simple stress management techniques you can use in the moment to calm your body and mind.

Here are a few immediate ways to reduce stress:

  • Deep Breathing: Try box breathing—inhale for 4 counts, hold for 4, exhale for 4, hold for 4. This slows your heart rate and activates your body’s relaxation response.
  • Grounding Techniques: Engage your senses to bring yourself back to the present. Try the 5-4-3-2-1 method: name 5 things you see, 4 you can touch, 3 you hear, 2 you smell, and 1 you taste.
  • Physical Movement: Even a short walk, a few stretches, or shaking out your hands can release built-up tension and help you reset.
  • Cold Water or Ice: Splashing cold water on your face or holding an ice cube can help "shock" your system out of a heightened stress state.
  • Mantras or Affirmations: Remind yourself: “This feeling is temporary,” or “I’m doing the best I can with what I have.”
  • Step Outside: Spending time in nature—even for just a few minutes—can have a powerful calming effect. Step into the sunlight, listen to the birds, or take a quiet walk in a park to help reset your nervous system.
  • Connect with an Animal: Hugging or petting an emotional support dog, cat, or other pet can lower cortisol levels and release calming hormones like oxytocin. Even a few minutes of contact with a furry friend can bring comfort and relief.
  • Chewing Gum: Chewing gum can possibly reduce cortisol levels and improve focus—an easy and subtle way to relieve stress, especially in high-pressure environments. However, while studies are promising, more research is needed to see if chewing gum can directly impact cortisol levels and help you relax. Either way it can be worth trying out for yourself!

These techniques aren’t a cure, but they can help take the edge off in moments when stress feels like too much. Practicing them regularly can also make it easier to cope when things get tough.

How to Manage Stress: Long Term Treatment Options

While quick coping strategies are helpful in the moment, long-term stress management requires a more sustained and structured approach. Building resilience, improving emotional regulation, and addressing the root causes of stress all take time—and the right support.

We understand that in high-demand careers like first responders, healthcare workers, or emergency personnel, making lifestyle changes like getting more sleep or carving out time for self-care can feel nearly impossible. Long shifts, unpredictable hours, and emotional exhaustion can make even the smallest steps feel out of reach. That’s why it’s okay to ask for help—taking care of your mental health isn’t a sign of weakness, it’s a step toward resilience and healing.

Here are some effective long-term treatment options for managing stress:

  • Therapy: Working with a licensed therapist can help you process trauma, build coping skills, and develop healthier thought patterns. Cognitive Behavioral Therapy (CBT), EMDR, and trauma-informed therapy are especially helpful for chronic stress.
  • Medication: For some, stress and anxiety may be linked to underlying mental health conditions. A psychiatrist can evaluate your symptoms and, if needed, prescribe medication to help regulate mood and reduce physical symptoms of stress.
  • Group Support: Peer support groups—especially those designed for first responders or high-stress professions—offer a safe space to share experiences and learn from others facing similar challenges.
  • PHP & IOP Programs: For individuals experiencing severe or persistent stress, Partial Hospitalization Programs (PHP) and Intensive Outpatient Programs (IOP) offer structured, team-based care with therapy, psychiatry, and support multiple times per week.
  • Lifestyle Changes: Consistent sleep, balanced nutrition, regular exercise, and mindfulness practices like meditation or yoga can significantly reduce stress levels over time.

Managing stress long-term isn’t about perfection—it’s about finding sustainable ways to support your mental health, even in the midst of demanding work. You don’t have to do it all at once, and you don’t have to do it alone. Reaching out for help is the first—and bravest—step.

Learning to Prioritize your Health in a Demanding Career

It’s no secret that asking for help in high-stakes professions—like being a doctor, firefighter, or first responder—can carry a stigma. Society often places these roles on a pedestal, expecting strength, composure, and resilience at all times. As a result, struggling with mental health is too often seen as a weakness or something to hide.

But that couldn’t be further from the truth. This stigma is not a reflection of the individuals—it’s a failure of the system. The reality is: first responders and healthcare workers are human. They face daily trauma, stress, and emotional strain on a level most people can’t even imagine.

Seeking mental health support doesn’t mean you’re broken—it means you’re taking care of yourself. Everyone deserves compassionate, nonjudgmental care—especially those who dedicate their lives to caring for others.

Stress Management Therapy in Chicago

In high-pressure careers—especially those where you're constantly caring for others—prioritizing your own mental health is essential. You can’t show up fully for others if you’re running on empty. At Clarity Clinic, we understand the unique challenges first responders and professionals face, and we're here to help.

Whether you're looking for in-person care or the flexibility of online therapy, Clarity Clinic offers compassionate, expert support to help you manage stress and restore balance. With multiple mental health clinics across Chicago and virtual options available, finding the best mental health therapist near you has never been easier.

Take the first step toward feeling better and learn how to manage stress when you find the right therapist in Chicago for you. Book a consultation at Clarity Clinic today!

Find a Therapist

Related Readings:

Related Blog Posts

blog
Surviving a Layoff: Nurturing Your Mental Health Through Uncertainty
February 21, 2024
blog
Navigating Valentine's Day: Understanding its Impact on Mental Health
February 12, 2024
blog
Tis the Season for Self-Care: How to Manage Holiday Stress
December 12, 2023
Find a provider
clarity clinic
© 2025 Clarity Clinic. All Rights Reserved.Privacy Policy