Mindfulness-Based Psychotherapy Approaches for First Responders: From Research to Clinical Practice

Am J Psychother. 2018 Oct 1;71(2):55-64. doi: 10.1176/appi.psychotherapy.20180015. Epub 2018 Jul 27.

Abstract

First responders are psychosocially burdened with work-related stressors that occur frequently during required duties. Related mental health difficulties, such as direct and vicarious trauma, depression, and interpersonal problems often affect first responders' ability to perform effectively, and their personal lives may be disrupted. Mindfulness-based interventions have been shown to directly promote first responders' mental and physical health while providing increased resilience when facing work-related stressors. This article summarizes mindfulness-based benefits and empirical research related to first responders, using law enforcement officers as one specific example. Two specific mindfulness-based psychotherapies are introduced, as are generalizable mindfulness techniques useful for first responders. Psychotherapists can use these empirically supported treatment approaches to help first responders understand and incorporate awareness-based, nonjudgmental, and present-centered mindfulness techniques during critical incidents and while off duty as resilience-building mechanisms.

Keywords: first responders; mindfulness; police; resilience; traumatic stress.

MeSH terms

  • Awareness
  • Behavioral Research*
  • Emergency Responders / psychology*
  • Humans
  • Mental Disorders / prevention & control
  • Mental Disorders / therapy*
  • Mindfulness*
  • Police / psychology*
  • Psychotherapy / methods*
  • Translational Research, Biomedical*