I. The Basics of Cultural Competency

1. Working in the Law Enforcement Culture

2. Managing the Therapeutic Alliance

3. The Emergency Responder's Exhaustion Syndrome

4. Growing Old in a Young Person's Profession

II. Line-of-Duty Issues

5. Death by 1,000 Cuts: Critical Incidents, Trauma, and Posttraumatic Stress Injuries

6. Betrayal: The Hidden Critical Incident

7. Shift Work and Sleep Deprivation

III. Treatment Tactics

8. Reading Your Client: Assessment Strategies

9. Treatment Strategies

10. When Your Client Needs Medication

IV. Common Presenting Problems

11. Alcoholism, Substance Abuse, and Other Addictions

12. Depression and Suicide

13. Somatization, Panic Attacks, and Stress Reduction

V. Working with Police Families

14. Resilience and the Police Family

15. Givens and Paradoxes

16. "Why Didn't You Shoot Him in the Leg?": Police Family Communication

17. The First Responder Relationship

18. Infidelity, Divorce, and Domestic Abuse

VI. Getting Started

19. Special Considerations for Treating Other First Responders

20. Breaking and Entering

Appendix: Residential Treatment/Group Therapy

Resources