This Puzzled Life is a mental health and recovery blog exploring addiction, trauma healing, LGBTQ experiences, humor, and the strange moments that shape us.
“No amount of me trying to explain myself was doing any good. I didn’t even know what was going on inside of me, so how could I have explained it to them?
-Sierra D. Waters, Debbie
Light the charcoal. Sprinkle the sage. Negative energy go away. Today I want to continue talking to you about different types of domestic violence. Now let’s continue.
ELDER ABUSE
· Physically or sexually assaulting the older person.
· Physically restraining the older person, and limiting their ability to move around.
· Preventing the older person from leaving the house or having contact with others.
· Neglecting to provide basic necessities including food and medical care.
· Using the older person’s money or property without their permission.
· Forcing or pressuring the older person to alter documents such as a will.
LATERAL VIOLENCE
also known as ‘horizontal violence’ or ‘intra-racial conflict’. It is a mixture of historical, cultural and social dynamics that results in a range of behaviours. It is not just an individual’s behaviour. It can involve a group of people working together to attack or undermine individuals, families. Lateral violence doesn’t just refer to physical violence. It is also a form of coercive control and is related to social, emotional, psychological, economic and spiritual violence.
Malicious gossip
Group bullying
Social exclusion and isolation
Claims that the individual does not ‘belong’ in the group
Physical violence
Sexual violence.
*Each of these were done to be when both he and his brother worked as a team. They ruined my name to their friends and family. They told horrible lies about things that I had not done. They both knocked me down. Ripped my clothes. And started kicking me in both my stomach and my back. And if I was being too resistant to what my husband wanted, he would call his brother to threaten me in other ways by saying, “He would pay people to rape me until I couldn’t walk.” And when I went back to my husband and told him what was said he simply told me, “Well, I guess you shouldn’t have made him mad.” In essence, he called his brother and set the whole thing up.
LEGAL ABUSE
Preventing a person from getting legal help, including making false claims about their rights to legal protection.
· Hiding or destroying legal documents and other evidence.
Making false reports.
Not complying with court orders.
Deliberately delaying legal procedures.
Deliberately running up large legal bills.
*He continually threatened me with legal action. I was told that no one would believe my claims about him because he hadn’t left one identifiable mark on me. And because I had been diagnosed with depression and prescribed medication that I was the one with the mental history. The fact still remains that he never had the balls to go to therapy about his own issues. Because all of his behavior was because of someone else. Had they gone, he would have a diagnosis of Narcissitic Personality Disorder and also labeled as a sociopath for his behavior that both he and his brother exhibited without a conscience. I think that’s why neither one of them ever got any help. Because they didn’t want a label that accurately described them.
FINANCIAL ABUSE
Forcing or pressuring a person to get a credit card or take out a loan against their wishes.
Using a person’s name to get a credit card or take out a loan, without their knowledge.
· Controlling what a person can spend their money on.
v He was so tight with money that you couldn’t slide a piece of notebook paper between the cheeks of his ass. I wasn’t allowed to spend money without permission. But he was able to buy whatever he wanted.
Controlling a person’s access to their own money, such as their wages or salary.
v I was never allowed to keep or use my own money. He would come up to my jobs and I was expected to hand over my checks. I was given $20 per week and was told, “Don’t let me find out that you’re eating food that I would allow.”
Using a person’s money without their permission.
Selling a person’s property without their permission.
Preventing a person from getting a job and earning money.
“You know you’re a stoner when your bong gets washed more than your dishes.”
-Unknown
Light the charcoal. Sprinkle the sage. Negativity energy, go away. Staying in-line with the purple awareness color, I’m going to tell you about a strain called Purple Canyon.
Purple Canyon is an indica-dominant hybrid that is a cross between Topanga Canyon x Purple Punch. Topanga Canyon is an equal hybrid of Topanga x Sweatband. Purple Punch is a cross between Larry OG x Grandaddy Purple. And this strain has a “hazy” taste that is typical of purple strains. The “hazy” taste is one that reminds me of a “mold and mildew” smell of an older house.
The main terpenes in this strain are trans-Caryophyllene, Myrcene and Linalool. And the medical benefits include anxiety, body aches, appetite stimulation, chronic pain, and insomnia. This is a very average potency. It is mild enough for a lunchtime break and regrouping. And not strong enough to give you “couch lock.” Keep blazin.’ And stay safe.
Affirmation: I embrace the moments of calm and creativity that cannabis brings to my day.
“Never stop fighting for your freedom, you are worth it.”
-DA Survivor-Anon
Light the charcoal. Sprinkle the sage. Negativity energy, go away. Today is the beginning of Domestic Violence Awareness Month. This month is when our voices from all over the globe will be heard. We as victims, survivors and warriors bring to light the horrors of domestic violence and the impact that it leaves on our lives and those around us. Let’s take time out for a little education on a few of the topics surrounding domestic violence.
Domestic Violence is a topic that I know a lot about. Well, I know how to function in it. And I know how to get away from it. But living with the aftereffects reveal a whole other set of problems. Where domestic violence used to be seen as something that only happens to women and their partners. There is more awareness on the abuse of men by their partners. No matter how you identify. It also happens to the most innocent, children and pets. This happens in all forms of relationships. And the statistics are staggering.
Domestic violence is violence committed by someone in the victim’s domestic circle. Which include partners and ex-partners, immediate family members, and other relatives and family friends (https://www.UN.org, 2025). The behaviors can include such things as:
· Physical
· Sexual
· Emotional
· Financial
· Psychological actions or threats of actions that influence another person.
This includes any behavior that intimidate, manipulate, humiliate, isolate, frighten, terrorize, coerce, threaten, blame, hurt, injure, or wound someone. The repetitive exposure to violence teaches children that violence is a normal way of life (https://dvcc.delaware.gov, 2025). And for those of us who leave, constant confusion and every minute of no knowing when something else will happen again, is our normal. And the many years of programming by our abusers takes years of therapy to de-program ourselves. But you will never be who you used to be.
Recovery is not for the faint of heart. It is hard and uncomfortable. And it takes years to undo the damage that was caused on so many levels. I was one of the lucky ones. Long story short, I survived. But the mental damage that was caused has left me crippled in some ways. And through the sleepless nights filled with tears, therapy, psychiatric medications, body memories, flashbacks, phobias, and panic attacks, I have learned that I have a voice that deserves to be heard. And no matter what people say or believe, I can validate my own story regardless of the opinions of others. Because I lived it.
The main thing I want to say to other women and men across the globe who are still in their own processes, “YOU ARE NOT ALONE!” Because it happened to me too. Thanks for reading! Keep smiling and pushing forward.
“I had gotten to the point where I was suicidal every day for six straight years…On that day, I made a choice. The choice to live, the choice to get better for me.”
-Justin
Light the charcoal. Sprinkle the sage. Negative energy, go away. Today, I want to tell you about a couple more suicide awareness and prevention groups. I wish I could cover them all. Unfortunately, there are just way too many. Please familiarize yourself and those you love and are affected.
Stop Soldier Suicide
This is the only national nonprofit focused on solving the issue of suicide among U.S. veterans and service members. They have an aggressive goal of reducing the suicide rate by 40% by 2030. Veterans are at a 58% higher risk of suicide than those who haven’t served.
Other statistics about veteran suicide:
· 6,407 veteran suicides in 2022.
· 22 consecutive years with 6000+ veteran suicides.
· 140K+ veterans have died by suicide since 2001.
· Second leading cause of death in veterans under age 45.
· The rate of veteran firearm suicide has increased by 65%.
· The suicide rate among veterans ages 18-34 has more than doubled.
· Western states have experienced the greatest increase in veteran suicide rate, increasing by 55%.
· 31% Depending on branch, up to 31% of service members develop PTSD after returning from combat.
· 7x the rated of suicide for veterans in the LGBTQ+ community is up 7x higher that for non-LGBTQ+ veterans.
The organization’s impact on veteran suicide.
· 90%+ of our most at-risk clients completed a crisis response plan in 2023, giving them tools and resources to cope in moments of crisis.
· 73% of clients experienced a decrease in thoughts of suicide over the course of treatment.
· 92% of clients who were meaningfully engaged in our care showed some improvement in mental wellbeing by the end of treatment (www.stopsoldiersuicide.org, 2025).
The Trevor Project
The Trevor Project was founded in August 1998 by the creators, James Lecesne, Peggy Rajski, and Randy Stone, of the Academy Award-winning short film “Trevor.” The film was about a gay teen who attempted suicide. The filmmakers then established a crisis hotline for LGBTQ+ youth after realizing that there was not a resource available. They have since expanded services to include text and chat support and resources for parents, schools and others seeking support for LGBTQ+ support (https://obamawhitehouse.archives.gov, 2025).
Crisis Services: Providing counseling support services for LGBTQ+ young people 24/7 all year around.
Peer Support: Providing an affirming international community for LGBTQ+ youth.
Advocacy: Working to change hearts, minds, and laws in support of LGBTQ+ lives.
Research: We conduct research studies to equip policymakers and other LGBTQ+ youth providing professionals.
The Mission
To end suicide among LGBTQ+ youth by providing crisis support, suicide prevention resources, and educational programs (www.thetrevorproject.org, 2025).
Thanks again for reading. The more education and resources we can provide each other with, the better the outcomes for us all. Please pass this information along to anyone who could benefit. I am one of those who suicide has affected my life in epic proportions. I am also one who continues to fight for understanding and compassion in a world that is lacking.
Affirmation: I am not alone, and others care about me.
“It is dangerous, misleading, and illegal” and a “massive fraud on consumers that puts their safety directly at risk.”
–American Kratom Association
Light the charcoal. Sprinkle the sage. Negative energy go away. Today, I want to talk to you about the deadly synthetic opioid products known as 7-OH (gas station heroin). You might think that these products are safe. But there is only one descriptive term for them…..DANGEROUS.
Let me break down the problems associated with these products. The product is so dangerous that the FDA is specifically targeting the 7-OH products a concentrated byproduct of the kratom plant. They are not focused on the natural kratom leaf products. These products have a high potential for abuse because they bind to opioid receptors. They are not FDA-approved 7-OH opioid products. FDA Commissioner Marty Makary, M.D., M.P.H. is quoted saying, “7-OH is an opioid that can be more potent than morphine” (https://www.fda.gov, 2025).
What is 7-OH? –hydroymitragynine is a powerful opioid-like compound found in the leaves of the kratom plant. While this compound is naturally in trace amounts because manufacturers have begun to concentrate or synthesize it into highly potent and addictive products. They are sold at gas stations, vape shops and smoke shops. At this time, anyone of any age can purchase these products. And they are appealing to kids and teens because they are also made into edibles.
“It’s a recipe for a public health disaster.”
-Jim O’Neill, U.S. Department of
Health and Human Services
· Significantly stronger than morphine:Some synthetic products are reportedly 13 to 40 times more potent than morphine.
· Intense opioid effects: these include pain relief, euphoria, and sedation.
· High risk of dependence and addiction:Regular use can quickly lead to physical and psychological dependence with severe withdrawal symptoms when use is stopped.
· Serious adverse effects: There have been a notable rise in emergency room visits with symptoms that include nausea, agitation, rapid heart rate, high blood pressure, seizures and respiratory depression that can be fatal.
Difference between natural and concentrated 7-OH
· Natural kratom: in the natural form as a plant leaf, kratom contains only a small amount of 7-OH (less than 2%). It is often used for its mild stimulant or opioid-like effects, but the risk profile is significantly different from highly concentrated products.
· Concentrated/Synthetic 7-OH: lab created product where the 7-OH has been concentrated to a higher potency reaching 98%. These unregulated products are sold in forms like gummies, drinks, and tablets ((https://www.dshs.texas.gov, 2025).
I cannot express enough the dangerousness of these products. I, for one, fell in love with heroin and pills many years ago. And what a difficult process it has been to break free from those substances. Because “One is too many. And a thousand is never enough.” That’s how addiction works. Parents if you think that this is all a bunch of hoopla for nothing, you are dead wrong. This product scares me like most can’t. We have enough of an “opiate crisis” without introducing more into the family line. Educate yourself and your children. It just might save lives. Thanks for reading!
Affirmation: I have the ability to make a different choice.
“Grit your teeth and let it hurt. Don’t deny it. Don’t be overwhelmed by it. It will not last forever.”
-Harold Kushner
Light the charcoal. Sprinkle the sage. Negative energy go away. Keeping in line with suicide awareness, I thought I would talk about a couple of groups that reflect awareness and prevention. There are so many groups out there that stay along these same lines. And I wish that I could spotlight them all.
To Write Love On Her Arms
This group is a nonprofit group dedicated to presenting hope and finding help for people struggling with depression, addiction, self-injury, and suicide. Jamie Tworkowski set out only to help a friend and to tell her story. When he met Renee Yohe, she was struggling with addiction, self-injury, and suicidal thoughts. He wrote about spending five days with her prior to her entering a treatment facility. And he began selling t-shirts to help fund her treatment by posting them on Myspace. Soon people from all over the world began contacting him and telling him about their struggles and heartbreaks. And in 2007, TWLOHA became an official organization.
Here are some numbers associated with their organization:
· 210,000 messages from individuals in over 100 countries.
· 3.8 million miles have been traveled to meet people in their communities.
It is an online community that began in 2013, when Amy Bleuel created it to honor her father, who died by suicide. The organization centers around mental health awareness and suicide prevention. The World Health Organization (WHO) reports a 25% increase in anxiety and depression during the first year of COVID-19. That combined with the nation’s political instability characterized by protectionism and unilateralism has led to strained international relations. And the stress funnels down to our families and personal stories.
The semicolon represents a continuance of life where a period could have easily ended the story. There have currently been over 89,000 assessments completed. 5,336 journal entries shared. And have provided direct support to 214 individuals. Semicolon badges in Apex Legends and Call of Duty has reached over 1.3 million gamers and additionally 50 new chapters. And 84% of Project Semicolon members report that the organization has saved with lives in times of crisis (www.projectsemicolon.com, 2025).
Mission Statement
Our mission is to empower individuals with mental health experiences to embrace their journey and recognize that their story is far from over.
I hope that you can take something from this information. Please take what you can use and leave the rest. And please pass along the information to someone who can benefit. Even if that someone is you. Keep smiling! And do not be afraid to reach out for help.
Affirmation: There are other ways to end my pain, even if I cannot see them right now.
Light the charcoal. Sprinkle the sage. Negativity energy, go away. Today, I want to discuss a cannabis strain concentrate called Brett Farve. I know what you’re thinking. She wrote about this one earlier this year. Well, just when you thought that was the end of that magnificent strain, they come through with a concentrate. And since we’re heading into football season, I thought it would be a perfect strain name for the occasion.
Fire! Fire! Fire! Is how I would describe this concentrate. One thing I’ve come to understand about the cannabis industry is that sometimes, for marketing purposes, strains already have a name and then a company comes along and just assigns it a novelty name. And I’m pretty sure that this “Brett Farve” strain is one of those. Most companies will provide strain genetics for we cannabis nerds. But for some strange reason the exact genetics are not being told. And for me, it helps to identify the terpenes and strains that fit both my medical and psychological needs.
I described this very potent and gassy strain in an earlier blog. But this concentrate is gassy wax that is sure not to disappoint. Brett Farve might’ve retired from the NFL. But this cannabis concentrate won the Super Bowl in my opinion. And one thing I know about stinky flower is that the concentrate is just a big “stink fest” with a beautiful high. This concentrate peaked at around 58%.
This strain is not for novice users. Because the probability of “greening out” is extremely high. For my fellow dabbers, jump on this concentrate. Beware that this indica will have you with such heavy “couch lock” that you won’t even remember if you have Cheetos in your house for those “atomic munchies.” Nevertheless, this concentrate must be used to fully give credit where credit is due.
Any Brett Farve products that I have sought out don’t stay around for very long. And it’s potency and medicinal benefits are some that can be enjoyed by all with caution. If you don’t enjoy heavy indicas, this strain is not for you especially in concentrate products. But I would make sure that I didn’t have much to do. Late evening when you can get blasted right before going to sleep is what this strain was made for. Thanks for reading. Keep blazin!
Affirmation: I release any shame or stigma over using cannabis.
“Our country is grappling with a youth mental health crisis, and it is particularly pronounced for LGBTQ+ youth.”
-Ronita Nath
Light the charcoal. Sprinkle the sage. Negative energy, go away. Today, keeping in line with the topic of suicide, I want to discuss suicide in the LGBTQ+ community.
The prevalence of suicide in the LGBTQ+ community is nothing new. The risk for suicide attempts and suicidal ideation can be 3 to 6 times greater for lesbian, gay and bisexual adults according to the National Institutes of Health. But there are also other statistics to keep in mind.
In 2024, 39% of LGBTQ+ youth considered attempting suicide according to The Trevor Project’s national survey. 1 in 10 of LGBTQ+ youth attempted suicide in the past year. And LGBTQ+ youth are more than four times likely to attempt compared to heterosexual youth. I can tell you that personally, I’ve been suicidal many times because of rejection from my family as a lesbian woman.
Transgender and Nonbinary identified individuals are at an even higher rate of suicide. And almost half seriously considered suicide in the past year. In 2022, 80% of transgender people had considered suicide and 40% had attempted. These statistics while staggering are not surprising. These demographic struggles are way more than they should be with little compassion from society.
Bisexual identified individuals are 1.5 times more likely to report thoughts and attempts compared to gay and lesbian individuals. And 2.98 times more likely to have a suicide-related event compared to heterosexuals according to a 2022 study. And the LGBTQ+ youth of color report higher rates of suicidal ideation and attempts compared to white peers (www.therevorproject.org, 2025). And there are several contributing factors such as:
· Discrimination and Prejudice:discrimination, harassment and violence due to sexual orientation or gender identity increases the risk of suicide.
· Lack of Support Systems: Limited social support from family, peers and community exacerbates the mental health challenges.
· Mental Health Disparities: LGBTQ+ individuals are more likely to experience depression and may face barriers to accessing mental health services (https://mhanational.org, 2025).
For someone who is a member of the LGBTQ+ community, I can tell you that I’ve considered suicide many times. The rejection from family and friends are sometimes more than I can bare. And having worked with someone in therapy many years ago, who was not sensitive to the needs of someone in these communities, there was little progress made. Mainly, because I couldn’t trust her. And she was extremely judgmental.
Since collaborating with coach for almost a decade, I can tell you that I have been able to fully accept the fact that I’m gay, despite my family’s disapproval. And then the religious communities also seem to greet us with bible verses telling how many ways we are going to hell. We all know that “choosing” to be gay is such an easier way of life. There the secret is out.
With the current political administration taking away the rights and freedoms that the Stonewall riots stood against, and the lack of funding for suicide hotlines for LGBTQ+ youth, these rates will only climb. Our families, friends, churches, and government should be ashamed of standing by people who are ok with the policies set in place. We are the same as we ever were. We just wear rainbows now.
There are those beautiful allies out there who remain the strength and backbone of our continual fight for equality. We are youth, parents, aunts, uncles, cousins, husband, and wives who just want to be recognized as equals in the eyes of the law. But where reputations and political agendas are from the far right, we must be even more solidified as a community. If someone is for rights with some and not others, I have no room for them in my life. But it’s taken me years to come to this conclusion.
Is it lonely? At times, yes. However, I want people in my life who not only support me but also my friends. The suicide hotline is something that our community not only wants but needs. Many of us have non-supporting families and mine is no different. But I do have a place to live currently. But that does not constitute me putting up with homophobia or fragile masculinity and femininity.
The very few “true” friends I have, understand that being gay is not a “choice.” It’s who I am. And if that’s too much for someone to manage, that’s just too damn bad. To my fellow allies and community members, keep up the good fight. We must take up the original Pride flag are carry on. I love our colors. And I’m proud to call myself a member of the LGBTQ+ community.
Keep smiling. Keep shining. Knowing you can always count on me, for sure. That’s what friends are for. We are seen. And we are heard. And….WE ARE FABULOUS! Thanks for reading. Take what you can use and leave the rest.
Affirmation: I am proud of myself and will continue to strive to do well.
“Real heroes don’t wear capes. Real superheroes wear uniforms and badges and stethoscopes! Real superheroes are members of our military, law enforcement, and first responders. Pretend superheroes wear capes.”
-Dean Cain
Light the charcoal. Sprinkle the sage. Negativity energy, go away. Today, I want to talk about first responder suicide. This is another group that seems to be looked over when discussing this topic. Having worked in the EMS field, I can tell you that sometimes I saw things that continue to haunt me to this day.
Individuals, who have also worked in the field, have told me, “they just left work at work.” And it was simple. In that case, “Congrats! You are the winner! And you were much stronger mentally, I guess.” But in my situation, I was trapped in a domestic violence situation where emotional abuse was normal. So, working myself to death while experiencing trauma in both my private and professional life, my mind was so overloaded that I developed PTSD from both situations.
Maybe it was the 7-year-old who was hit by a drunk driver and left for dead. Maybe it was the car wreck where sister and boyfriend we both killed. And older sister’s face was ripped off in the wreck. Maybe it was the murder that left a body with half a head from a shotgun blast. Maybe it was the screaming mother, who I had to tell that her child was dead. Maybe it was the mother on Mother’s Day that was told that her law enforcement son was killed in a drunk driving accident. Maybe it was the woman who was ejected from a vehicle after falling asleep behind the wheel, whose legs were pinned behind her head. Maybe it was the suicide scenes. Maybe it was putting a child in a body bag in front of a mother. Maybe it was the person hit by a train where chunks of meat were the only thing that remained. Maybe it was the disabled individual in a wheelchair who was raped by her cousin. Maybe it was the woman who was cut from ear to ear, because she was cheating on her boyfriend with a white man. Maybe it was working hard on a grandmother, in front of the family, begging for us to save her when we couldn’t. Maybe it was the male body that was found in a house that had been dead for several days. And the only way the neighbors knew something was wrong was because they smelled him through the walls. Maybe it was the little girl who innocently climbed up in her daddy’s pickup truck only to find a loaded gun and accidentally pulled the trigger leaving one of the bullets lodged in her brain. Maybe it was the little boy who was handed to a good Samaritan from inside his father’s eighteen-wheeler, only for the truck to explode because the jaws of life were not available. Maybe it was the car wreck where I had to sit in the dead passenger’s lap to work on the dying driver. Maybe it was the mother who died from a seizure and her little girl was left in the home alone for over 8 hours before the body was found. Maybe it’s the smells of decaying bodies that I continue to smell almost 30 years later. Maybe it was telling my boss that I was having flashbacks from a gruesome scene only to be told, “If you can’t handle it, pick a different profession. Maybe it’s the incessant scenes that I continue to replay beyond my control with questions about if we did enough. Maybe, Maybe, Maybe.
In the time that I worked, I saw enough trauma to last me a lifetime. There was no one to talk to about anything. Like I was told that there would be. Getting shifts covered was more important than the safety and well-being of employees. And somehow, sexual harassment and a near rape by a co-worker was viewed as though I brought it on myself. And eventually, trying to survive by living in my car and attempting to distance myself from the domestic violence situation led me to a level of depression and despair that was somehow new to me. I was forced to keep unethical secrets which was “normalized behavior.”
A lot of people that I worked with were dealing with problems through narcotic diversion, sex with random partners, alcohol and drugs were seen as “off-day or working” coping skills. And the level of compassion for another human being “hitting the skids” to a level that was disturbing. There was not just one reason that I was having suicidal thoughts. But I had nowhere to turn for help that was “safe.” And the work environment was just as toxic.
Life said, “Here are the pieces. Figure it out.” And I tried to bury them so far down that I never wanted to revisit those fears and feelings again. For a long while, I was able to do just that. But when you have unresolved trauma there’s only one thing that you can be sure of, it will surface again. And almost 20 years later it would come forth vigorously. And it almost killed me.
First responders include police officers, firefighters, paramedics, EMTs, and telecommunicators. Due to the unique occupational stressors, the risk for mental health issues and suicide are at a much higher rates of depression, PTSD, suicidal ideations, and behaviors (www.cdc.gov, 2021). And due to consistent exposure to traumatic events can impact the brain’s ability to process the experiences.
The Impact on Mental Health:
· PTSD, depression, and anxiety: first responders are at a significantly higher risk of developing these.
· Cognitive Issues: Trauma can lead to difficulties with memory, attention, planning, problem solving, which can affect daily functioning and relationships.
· Secondary Traumatic Stress (STS) and Vicarious Trauma (VT): first responders can experience emotional and/or psychological distress from observing or hearing about the trauma of others. And can lead to the symptoms of emotional numbness, irritability, sleep disturbances, and physical complaints.
· Burnout and Compassion Fatigue: Demanding nature of the job and frequent exposure to suffering can lead to emotional exhaustion and reduce capacity for empathy (https//extension.usu.edu, 2025).
It has been said too many times, “Well you chose the profession.” And to that I respond, “Yes, I did. Who else would’ve done it? You?!” And then, of course, the sound of crickets followed. To this day I can say that I loved working in the field of EMS. But my brain took a beating. The trauma of the event doesn’t happen at that exact moment. It creeps. And if you are running back-to-back traumatic calls, then the brain never has a chance to recover. Also, when therapeutic help is seen as shameful or weak, this further ostracizes the employee to thinking that there is no way out. There are those “trauma junkies” as they are called that seem to enjoy the trauma. However, from working with those types of individuals, I have found that there is also a higher rate of alcohol and drug use.
Reducing the stigma will only happen when senior management are supportive of mental health efforts to keep all employees safe. And in the environment where I worked, the stigma couldn’t have been any stronger. People were allowed to work an extreme amount hours without sleep, which was very dangerous. In fact, an EMT who was in paramedic school, was allowed to work without adequate sleep and he wrecked an ambulance with a patient on board, because he fell asleep at the wheel striking a telephone pole. And sadly, there are currently no federal laws that regulate this. This problem is still left up to the digression of private companies.
A national organization known as the National Association of Emergency Medical Technicians have issued guidelines for managing fatigue in EMS personnel. This sets guidelines such as limiting shifts to less than 24 hours in duration and providing access to caffeine to help counteract fatigue. And offering naps. However, I can tell you that the only “nap” I was offered was during the time it took for a red light to change to green. And there is a recognized concern about EMS worker fatigue for both workers and the public. Research also shows that more than half of EMS workers report severe mental and physical fatigue, poor sleep quality, and inadequate recovery between shifts (www.ems.gov, 2019).
I can only hope that those entities that have an ambulance or some other type of EMS service abides by this. However, I can almost guarantee that senior administrators are more concerned with the dollar amount that is acquired at the end of the month. Because the low pay rate of EMS workers makes the individual “a dime a dozen.” And they will just be replaced if they can’t handle the stress. And this attitude combined with the difficult nature of the job is why I would still consider this working environment dangerous for the worker, as well as patients.
If you are or know someone in this profession, it is imperative that you and they both know the importance of “healthy” self-care. Asking for help is not a weakness. It’s the personal responsibility of the employee and the companies that employ them. Please make use of services that are provided. Thanks for reading! Stay safe.
“The soldier above all others prays for peace, for it is the soldier who must suffer and bear the deepest wounds and scars of war.”
-Douglas McArthur
Light the charcoal. Sprinkle the sage. Negativity energy, go away. Today, I want to discuss veteran suicide. I know that this topic has seemed to get old and fast. However, I believe that the more we talk about the harshness of life, the more the stigmas will begin to disappear.
In 2022, the most recent year for the current data, 6,407 veterans and 41,484 nonveteran adults died by suicide. The rate among veterans was 34.7 per 100,000 compared to 17.1 per 100,000 for nonveterans. Since 2005, veteran suicide has risen faster than any other group. And these rates are unacceptable.
The veterans who died by suicide in that year, 40% were under the care of the Veterans Health Administration. Among those patients, who were also diagnosed with a mental health disorder or substance abuse disorder, there were 56.4 per 100,000, which was twice the rate of those without a diagnosis. And among 1,548 veterans who died by suicide 64% were diagnosed with depression, 43% had an anxiety disorder, 40% had PTSD, and 32% had an alcohol use disorder. However, the highest suicide rates were associated with veterans who had sedative use disorder which include benzodiazepines, barbiturates, and opiates (www.rand.org, 2025). And the stigma about mental health in the military further increase this problem.
Aspects of Veteran Mental Health stigma:
· Fear of judgment and perception: Veterans worry about how seeking help will affect all areas of their lives and especially on career repercussions.
· Military culture: The “warrior ethos” which emphasizes self-reliance and stoicism create barriers to seeking help.
· Loss of security clearance: Some fear that seeking mental health treatment will lead to revocation of security clearances.
· Impact on treatment: stigmas can lead to untreated mental health conditions, substance abuse and increased risk of suicide.
· Self-stigma: Veterans may internalize negative societal views about mental health which can lead to shame, self-blame, and more reluctance to seek help (https://oxfordtreatment.com, 2025).
As an advocate for medical cannabis, I believe that our veterans should be given an ounce of cannabis the minute their feet hit US soil upon returning from active duty. As I personally deal with PTSD, there is not another medication on the planet that can bring me relief like cannabis can. And it’s such a safer alternative to alcohol, opiates, and benzodiazepine medications.
Currently, the Safe Healing Act, which was introduced on February 4, 2025, is designed to prohibit the Secretary of Veterans Affairs from denying a veteran benefit administered by the Secretary by reason of the veteran participating in a State-approved marijuana program and other purposes. But unfortunately, there is only a 3% chance of being enacted (www.govtrack.us, 2025). And I consider this utterly ridiculous. There is an unmistakable problem with veteran suicide. It appears Big Pharma is still in the way of progress. I wonder how many people who oppose this bill must suffer, daily, with the horrible effects of PTSD, anxiety, and chronic pain that “Big Pharma” can’t seem to help?
Our returning soldiers are faced with horrors that no one understands until they’ve been there. And though I have never served our country, I can tell you that the above-mentioned mental health disorders have also almost taken my life many times. The symptoms are horrific in nature. Put chronic pain in the mix and suicide often seems like the only answer to have a break, though it be permanent, for even a moment of peace.
Veterans, in my eyes, should be held to the utmost respect. They should be the highest paid employees before professional athletes. And we as a country should make sure that the best treatment is available to them for the rest of their lives. Some have paid the price of their lives on the battlefield. And a high percentage of others pay with their lives when they return home. But instead of treating them like the heroes like they are, they are often discarded by the government that they so proudly serve.
Is cannabis the only answer? Not at all. However, while they find the modality that works for them, I think that cannabis could lighten the load and make their futures seem a little brighter. Discarding them along with all the judgmental stigmas only adds to the problem. And until this is rectified, we will continue to lose those beautiful people who are willing, at any moment, to lay down their lives for our freedoms. Shame on the United States of America for treating them like that!
I know reading this is not easy. But we as a nation must stand up for these individuals who continue to pay the price every time, they open their eyes. Let’s get past the “reefer madness” ignorance and allow our veterans the opportunity to extend their lives at home. A special thanks and salute to one of my favorite veterans who I’ll call Joe. Thanks for reading! And God Bless America!
This Puzzled Life 