Pittsburgh Firefighter Tackles Mental Health Challenges with Innovative Therapy

In Pittsburgh, firefighter Brian Matts is addressing the mental health challenges faced by first responders by undergoing a pioneering brain scan for post-traumatic stress disorder (PTSD) and related mental trauma. Matts, a veteran with over 20 years of service at Engine Company 28 in Beechview, participated in the scan conducted by Daniel Jarvis, founder of Healing the Hero, a nonprofit focused on assisting first responders in overcoming mental health issues.

According to Jarvis, the statistics are alarming: in the United States, one first responder dies by suicide every day, whether they serve in police departments or fire units. He explained that the constant high-stress environment leads to elevated levels of the stress hormone cortisol, contributing to serious health complications such as heart attacks and strokes. “The body is under a significant amount of stress for a very long time,” Jarvis said, highlighting the urgent need for mental health support in these professions.

For Matts’ evaluation, Jarvis utilized a device known as EVOX, which employs an 18-channel electroencephalogram (EEG) to measure the brain’s electrical activity. This technology allows practitioners to obtain objective indications of conditions like PTSD, anxiety, and depression by identifying specific areas of brain activation. “Each channel is measuring something in the brain in the frequency range,” Jarvis noted, emphasizing the device’s effectiveness in pinpointing mental health issues.

The treatment process begins with an initial brain scan, followed by a series of interventions called the Trauma Resilience Protocol, and concludes with a follow-up scan to evaluate progress. This marks Matts’ second brain scan as part of his mental health journey. Jarvis explained the therapeutic aim: “You’re not going to change the memory; the memory is going to always be there. It’s just the visceral feeling won’t be there anymore.”

In a striking illustration of the treatment’s impact, a police officer’s brain scan initially displayed extensive areas highlighted in red, indicating significant levels of PTSD, depression, or anxiety. Subsequent imaging after treatment showed marked improvement, underscoring the potential for these therapies to assist first responders in managing their mental health.

Dr. Sheila Roth, a therapist involved in training peer support groups for Pittsburgh firefighters, discussed the cumulative effect of traumatic experiences on first responders. Many individuals already bear the weight of anxiety and depression, which is exacerbated by the traumatic aspects of their jobs. Roth engages in one-on-one therapy sessions, where she addresses deeply troubling past events that may include abuse or the loss of loved ones. She described her approach: “As a clinician, my job is to go towards the pain. Tell me about that.”

Roth also noted that she has encountered first responders who have attempted or contemplated suicide. Her work often involves the application of cognitive behavioral therapy, specifically a program known as the Unified Protocol. “It’s called tactical breathing,” she explained, describing a technique that helps individuals engage their relaxation response during stressful moments.

First responders have additional support through the Critical Incident Stress Management Team, which offers immediate psychological assistance after traumatic events. Clinical social worker Peggy Kearney detailed the team’s role: “They will ask us to come out to their locations and sit down and talk with the individuals that were firsthand at that scene.” This immediate support aims to educate responders about potential psychological reactions to trauma.

Within the Allegheny County Emergency Services, call takers and dispatchers handle upwards of 100 traumatic calls during a single shift, resulting in significant mental and physical toll. Matthew Brown, Chief of Emergency Services, emphasized the importance of providing a space for his team to decompress. He showcased areas designed for relaxation, including a walking trail that allows staff to step outside for fresh air during demanding shifts.

The conversation surrounding mental health is crucial, not just for first responders but for everyone. Mark Kneebone, a retired Pittsburgh police officer, remarked on the universality of mental health struggles, stating, “It will affect anyone at any time if the door is open.” Experts advocate for proactive mental health care, emphasizing that seeking help is vital for maintaining overall well-being.

As Pittsburgh continues to address the mental health challenges faced by first responders, initiatives like those spearheaded by Jarvis and Roth highlight the importance of innovative support systems. These efforts not only aim to improve the lives of those who serve but also foster broader awareness about the mental health needs of all individuals in high-stress professions.