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Dialectical Behavior Therapy (DBT) for First Responders
Mastery of Emotional Balance and Resilience
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In the high-pressure world of first responders, managing emotions and stress effectively is not just a skill—it’s a necessity. First responders are often on the front lines of crisis, facing situations that test their limits physically, mentally, and emotionally. Dialectical Behavior Therapy (DBT) offers a lifeline, providing the tools needed to navigate these challenges with strength and resilience. At After Action, we specialize in adapting DBT principles to meet the unique needs of first responders, ensuring they have the support required to thrive in their critical roles.

DBT is a evidence-based psychotherapeutic approach that combines cognitive-behavioral techniques with mindfulness practices. It is designed to help individuals develop skills in four key areas:

Mindfulness: Enhancing present-moment awareness and acceptance.
Distress Tolerance: Building resilience to stress without resorting to negative coping mechanisms.
Emotion Regulation: Learning to manage and reduce vulnerability to emotional instability.
Interpersonal Effectiveness: Navigating relationships with assertiveness and maintaining self-respect.

Our DBT program is specifically designed with the unique pressures and experiences of first responders in mind:

Critical Incident Stress Management: Incorporating strategies to process and recover from traumatic incidents encountered on the job, reducing the risk of PTSD and other stress-related conditions.

Enhanced Emotional Agility: Teaching first responders to navigate their intense emotional landscape with skill, enabling them to remain focused and effective in crisis situations.

Resilience in High-Stakes Environments: Strengthening the ability to tolerate distress and uncertainty, critical skills in the unpredictable realm of emergency response.

Supportive Peer Interactions: Facilitating group sessions where first responders can share experiences and strategies, fostering a supportive community that understands the unique challenges of their roles

At After Action, our DBT program begins with a comprehensive assessment to identify the specific needs of each first responder. Led by therapists experienced in first responder mental health, our program includes:

Individual Therapy: Focused sessions that delve into personal challenges, enhancing self-understanding and growth.

Group Therapy: A supportive environment where first responders learn from and support each other, guided by DBT principles.

Skills Training: Practical, hands-on sessions where first responders can learn and practice DBT skills in real-time, tailored to their unique work environment


Phone Coaching: On-demand support to apply DBT skills in challenging situations encountered in the field.

Choosing After Action for DBT means investing in a future where challenges are met with strength, resilience, and a balanced emotional outlook. Our program is not just about coping with the demands of being a first responder; it’s about thriving in them, ensuring those who serve our communities have the support they need to maintain their well-being and effectiveness.

Embarking on this journey with us, first responders will gain invaluable skills that not only enhance their professional performance but also enrich their personal lives. Together, we stand ready to support our first responders in mastering the art of emotional balance and resilience through DBT

Find Safety in 
Healing

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Siri Sat Khalsa, MD, Medical Director
Clinically Reviewed By
Siri Sat Khalsa, MD
Dr. Siri Sat Khalsa is a board certified Addictionologist with over a decade of experience as a specialist in detoxing and treating patients with alcohol and substance use disorders. As a graduate of USC medical school and Harbor UCLA residency, she spent 10 years a Family Practitioner before discovering her passion for caring for patients struggling with addictions. Her approach is to safely detox patients as comfortably as possible and to then focus on caring for the anxiety and depression and other mental health issues that typically accompany substance use disorders while simultaneously crafting plans to sustain long term sobriety.

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