1. Journey to Recovery After Storm King Mountain

2.  Intrusive  Avoidance  Arousal Common Symptoms of PTSD

3. Intrusive Symptoms  Persistent re-experiencing of the event in images, thoughts, recollections, daydreams and nightmares  Acting and feeling as if re-living the event  Distress in the presence of symbolic reminders

4. Common Symptoms of PTSD Avoidance Symptoms  Avoiding places and thoughts symbolic of the trauma  Problems in recalling the event  Loss of interest in important activities  Restricted emotion

5. Common Symptoms of PTSD Arousal Symptoms  Hypervigilance  Exaggerated startle response  Sleep disturbance  Difficulty concentrating  Irritability or angry outbursts

6. Lessons Learned  Fire Peer Support Teams  Pre-Incident planning  Follow-up/Referral (EMDR)  Validate Experience