--- title: "Therapy for First Responders in Utah — Police, Fire, EMS | Brian Lewis, LCMHC" description: "Therapy for police, fire, EMS, and dispatch in Utah — shift work, critical-incident and cumulative trauma, hypervigilance. 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We can start when something feels off, not only when it falls apart." } }, { "@type": "Question", "name": "Will what I say end up in my department file?", "acceptedAnswer": { "@type": "Answer", "text": "No. This is a private practice. Sessions are confidential under HIPAA and Utah law. I'm not contracted with your agency and I don't share records without your written consent, outside the narrow legal limits I'll explain at intake." } }, { "@type": "Question", "name": "I work nights and rotating shifts. Can we still meet?", "acceptedAnswer": { "@type": "Answer", "text": "Yes. I hold telehealth and Midvale slots that work around shift schedules, including before and after panel." } } ] }, { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://respondersherpa.com/" }, { "@type": "ListItem", "position": 2, "name": "Specialties", "item": "https://respondersherpa.com/counseling" }, { "@type": "ListItem", "position": 3, "name": "First Responder Therapy", "item": "https://respondersherpa.com/first-responder-therapy" } ] } ] --- [![Brian Lewis, LCMHC](/__l5e/assets-v1/29b77877-8fcd-4343-bfe8-799fde6d8037/mind-sherpa-mark.png)Brian Lewis LCMHC ](/) [Meet Brian](/about)[Counseling](/counseling)[Coaching & Consulting](/coaching)[Service Areas](/service-areas) Specialties [First Responder Therapy](/first-responder-therapy)[Healthcare Worker Therapy](/healthcare-worker-therapy)[PTSD & Trauma Therapy](/ptsd-trauma-therapy)[Addiction Counseling](/first-responder-addiction)[EMDR Therapy](/emdr-therapy-utah)[ART Therapy](/art-therapy-utah) [Booking](/booking)[Book free consult](/booking) ![Ridge line at first light over a Utah valley](/assets/hero-ridge-BrHJH2PY.jpg) Specialty · First responders # Therapy for first responders in Utah — police, fire, EMS. You went into this work because you could handle what other people couldn't. That part is still true. What no one warned you about was the shift-stacked weight of it — calls that don't leave, sleep that doesn't come, a version of you at home who's harder to live with than the one at work. That's the work I do. [Book a free 15-minute call](/booking)[See all counseling →](/counseling) You might recognize this ## Some of this sounds familiar . You’re fine at work and falling apart at home — short fuse, distant, on the couch instead of in the room. Sleep is broken. You’re either wired past 2am or out for four hours and awake. You’ve started replaying calls, smells, scenes — not on purpose, and not when you want to. You’re scanning rooms, sitting facing the door, jumpy at sounds civilians don’t hear. How I help ## The work, unhurried . We move at the pace of your nervous system, not your calendar. Most weeks blend EMDR or Accelerated Resolution Therapy (ART) with practical, solution-focused work on sleep, anger, and the at-home version of you. EMDR and ART help your brain reprocess the calls and shifts that got stuck on the shelf — so the memory stays, but the body stops bracing for it. We don't need to relive every detail in narrative form. Outside of trauma work, we look at what the job has trained your system to do automatically — scanning, suppressing, isolating — and start giving it permission to stand down when it's safe. I grew up around this culture and have worked with enough responders to know what you're not saying. You won't have to explain "mandatories" or why you can't talk about a specific call. ### What to expect - A free 15-minute call — no pressure, just see if we fit. - Honest intake — your story, your goals, your pace. - 50-minute sessions, weekly or biweekly. - Telehealth anywhere in Utah, or in-person in Midvale. ### The practical part Where Telehealth across Utah, or in-person in Midvale. Investment $150 per 50-minute session. Out-of-network superbill on request. No referral needed. First step A free 15-minute call to see if we're a fit. [Book a free consult](/booking) FAQ ## Common questions . Do I have to be in crisis to come in? + No. Most of the responders I work with are still functioning at work — that's part of what makes it hard to ask. We can start when something feels off, not only when it falls apart. Will what I say end up in my department file? + No. This is a private practice. Sessions are confidential under HIPAA and Utah law. I'm not contracted with your agency and I don't share records without your written consent, outside the narrow legal limits I'll explain at intake. I work nights and rotating shifts. Can we still meet? + Yes. I hold telehealth and Midvale slots that work around shift schedules, including before and after panel. You took the call. Now let something take some weight off you. [Book a free 15-minute call](/booking)[Meet Brian →](/about) Brian Lewis, LCMHC · Midvale, Utah · Telehealth across Utah · Utah LCMHC license #5497978-6009 Steady ground. Forward momentum. Therapy, coaching, and consulting for first responders, healthcare workers, and the clinicians who serve them. [Book a free consultation](/booking) Visit Brian Lewis, LCMHC Midvale, Utah Telehealth across Utah [(801) 554-6372](tel:+18015546372) Utah LCMHC license #5497978-6009 Site - [Meet Brian](/about) - [Counseling](/counseling) - [Coaching & Consulting](/coaching) - [Service Areas](/service-areas) - [Booking](/booking) - [Contact](/contact) - [Privacy](/privacy) Specialties - [First Responder Therapy](/first-responder-therapy) - [Healthcare Worker Therapy](/healthcare-worker-therapy) - [PTSD & Trauma Therapy](/ptsd-trauma-therapy) - [Addiction Counseling](/first-responder-addiction) - [EMDR Therapy](/emdr-therapy-utah) - [ART Therapy](/art-therapy-utah) Utah cities - [Midvale](/service-areas/midvale) - [Salt Lake City](/service-areas/salt-lake-city) - [Sandy](/service-areas/sandy) - [West Jordan](/service-areas/west-jordan) - [Murray](/service-areas/murray) - [Draper](/service-areas/draper) - [South Jordan](/service-areas/south-jordan) - [West Valley City](/service-areas/west-valley-city) - [Lehi](/service-areas/lehi) - [Provo](/service-areas/provo) - [Ogden](/service-areas/ogden) - [All service areas →](/service-areas) **In a crisis:** call or text **988** (Suicide & Crisis Lifeline), or call **911**. Contacting this practice does not establish a client relationship. This website is not a HIPAA-secure channel — please do not share confidential health information here. [Privacy Policy](/privacy)[Notice of Privacy Practices](/notice-of-privacy-practices)[Good Faith Estimate](/good-faith-estimate)[Accessibility](/accessibility) © 2026 Brian Lewis, LCMHC. Individual outcomes vary; nothing on this site guarantees a specific clinical result. Website by [Automaus.ai](https://automaus.ai)