Critical Incident Stress Management

First responders are sensitive to stress deriving from critical incidents they have to face on a daily basis. They report high figures of Posttraumatic stress disorder (PTSD) as well as higher suicide rates.


This is why, Critical Incident Stress Management is often used to support them. Although it is not a pyrotherapy, this support system is devoted to:

  • Minimising the impact of the critical incident
  • Encouraging a natural recovery process
  • Ventilating emotions
  • Providing guidelines if help is needed
  • Knowing if more support is needed in therapy services
  • It is a voluntary, confidential, and psychoeducational process


There are several types of CISM interventions that can be used, depending on the situation. Some variations can be used for groups, individuals, families and in the workplace, such as:


  • Debriefing
  • Defusing
  • Grief and Loss Session  
  • Crisis Management Briefing 
  • Critical Incident Adjustment Support 
  • Pre-Crisis Education 


We’ll have a look at some of them: