No matter how tough, no one is immune to the anguish that can build from a career of difficult calls.

All too often, we keep the anguish buried inside, afraid to be labeled as weak or unfit. "The 'suck it up, buttercup' mentality believes ... all you need to do is rub some dirt in it and get back out there." The thing is, the same line was used against SCBA, seat belts, turnouts and other safety equipment and practices that are saving firefighter lives. As with any injury, allowing this anguish to fester can lead to unhealthy habits, behaviors, and, sometimes, death. Mental health is medical health.