Clinical Considerations When Working With Veterans Who Are First Responders

Veterans who are also first responders (V-FRs) represent a distinct, underserved population with complex and compounded mental health challenges. In addition to facing high rates of posttraumatic stress disorder, depression, anxiety, substance use, insomnia, and chronic pain, V-FRs encounter significant cultural and logistical barriers to accessing mental health services. This article aims to provide clinical guidance on addressing these issues while considering the unique cultural context of V-FRs. It outlines evidence-based treatments and assessments, offering practical strategies for clinicians to adapt these approaches to meet the specific needs of this population.