[ID: Four coloured columns, from left to right: green (Thriving), yellow (Surviving), orange (Struggling), red (In Crisis). Below the titles is a white two-headed arrow with circles in each column. Descriptions of each state in each column, from left to right:
Thriving “I got this.”
Calm and steady with minor mood fluctuations
Able to take things in stride
Consistent performance
Able to take feedback and to adjust to changes of plans
Able to focus
Able to communicate effectively
Normal sleep patterns and appetite
Surviving “Something isn’t right.”
Nervousness, sadness, increasing mood fluctuations
Inconsistent performance
More easily overwhelmed and irritated
Increased need for control and difficulty adjusting to changes
Trouble eating or sleeping
Activities and relationships you used to enjoy seem less interesting or even stressful
Muscle tension, low energy, headaches
Struggling “I can’t keep this up.”
Persistent fear, panic, anxiety, anger, pervasive sadness, hopelessness
Exhaustion
Poor performance and difficulty making decisions or concentrating
Avoiding interaction with coworkers, family and friends
Fatigue, aches and pains
Restlessness, disturbed sleep
Self-medicating with substances, food or other numbing activities
In Crisis “I can’t survive this.“
Disabling distress and loss of function
Panic attacks
Nightmares and flashbacks
Unable to fall or stay asleep
Flashbacks
Thoughts of self-harm or suicide
Easily enraged or aggressive
Careless mistakes or inability to focus
Feeling numb, lost or out of control
Withdrawal from relationships
Dependence on substances, food or other numbing activities to cope
Adapted from Watson, P., Gist, R., Taylor, V., Eviander, E., Leto, F., Martin, R., Vaught, D., Nash, W. P., Westphal, R. & Litz, B. (2013). Stress First Aid for Firefighters and Emergency Services Personnel. Fallen Firefighters Foundation.]
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