A 20-year veteran fire fighter at an urban fire department, John Smith had responded to every kind of imaginable — and unimaginable — emergency incident over the course of his career.

As a fire fighter, Smith sees people on their worst days, and the incidents he responds to on a daily basis can be truly horrific.

But it wasn’t until he saw a brother fall through the floor of a burning home to his death that the trauma stayed with him, and it seemed it would never get out of his mind. At the most unexpected times, he would relive the tragedy or hear his brother call for help. Every call became a stressful experience, even the most routine.

Smith thought he just needed time to recover, but the anxiety only escalated. Even stepping foot in the firehouse or completing routine tasks became daunting.

But he never told anyone about what he was experiencing. One day, a crew mate took him aside and said, “I think I know what you’re going through, and I think I can help.”

While this is a fictional account, it depicts an all-too-common behavioral health issue in the fire service.

Emergency responders are more susceptible to Post-Traumatic Stress Disorder (PTSD) because of the nature of the profession, coupled with the personal demands and challenges fire fighters and paramedics face.

“IAFF members respond to any number of incredible events, many of them tragic,” says General President Harold Schaitberger. “PTSD is a terrible condition that affects fire fighters and paramedics at double the rate of the general population, and we need a better way to deal with it.”