First responders experience repeated exposure to adverse details of traumatic events. This may lead to vicarious traumatization and/or secondary trauma. Overwork often leads to burn out or compassion fatigue resulting in absenteeism, increased carelessness or mistakes leading to substance abuse or other risky behaviors to manage overwhelming feelings. It’s often easier to take on an extra shift or multiple shifts to avoid what is happening in the present. In a culture that rewards being strong, tough, and keeping your emotions to yourself, I am here to listen and help you achieve a healthy work-life balance.