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March 4, 2026 14 mins

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What do first responders actually need from therapy to make it stick? We unpack fresh survey results from 46 clients and more than 30 first responders to surface what’s working, what’s missing, and the changes we’re rolling out next. From session length and structure to real follow-up and safer groups, this is a candid look at the nuts and bolts of care that moves the needle.

We dig into why 60 minutes often isn’t enough and how a 90-minute option creates space to warm up, process, and land with a clear plan. We’re honest about insurance friction and share practical paths forward, including an optional add-on that protects access without cutting depth. You’ll also hear how our first responder group keeps trust high with two hard lines—strict confidentiality and a no-apologies norm—so people can speak plainly about trauma, hypervigilance, substance use, and family strain without fear of gossip or judgment.

A big theme is momentum between sessions. Listeners asked for homework, short videos, book recs, and a single “action before next session” to keep progress alive on real shifts like sleep, sobriety, anger, or communication. We share how we’re building lightweight follow-ups that fit busy schedules and how wellness visits, vetted resources, and culturally competent clinicians can make help easier to find and safer to use. We also preview more solo segments by request, upcoming presentations, and a growing network designed to connect police, fire, and EMS with trusted treatment options across Massachusetts.

If you care about first responder mental health, you’ll leave with clarity on what changes are coming—longer sessions, stronger follow-up, and a tighter, safer community of support. Listen, share your take, and help shape what rolls out next. Subscribe, leave a review, and tell us the one change you want to see first.

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Episode Transcript

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SPEAKER_00 (00:01):
Welcome to Resilience Development in Action
with Steve Beesman.
This is the pumpcast dedicatedto first responder mental
health, helping police, fire,EMS, disc mentors, and
paramedics create better growthenvironments for themselves and
their teams.
Let's get started.

SPEAKER_01 (00:29):
Well, hi everyone, and welcome to episode 244.
If you haven't listened toepisode 243, it was with A.K.
Desante.
Hope you go and listen to it.
It was a really good interview.
But for this episode, I want toreview the client's survey.
I know that uh it was about twomonths ago.
If you're my client, youreceived a survey.
If you're a first responder thatI know, you received a survey.
And if you're a podcast listenerthat you know about that I know

(00:51):
about, you received a survey.
Bottom line is if you want to bepart of that newsletter, just
write to me at Steve Bison Lmhcat gmail.com and I'll add you to
the newsletter that goes outabout once a month, give or
take.
But we got three winners, and Iactually filmed the winners, and
then I realized, oh my god, I'dbe violating HIPAA.

(01:12):
So I wasn't able to give you thethe five the final results.
But congratulations to Sam andBeth and someone else won.
There's a third person that wonthat I can't remember off the
top of my head right now.
But I sent them the uh the giftcard.
If you need to see the video toprove that it was random, I can

(01:33):
show it to you.
But because it was no alwaysMelanie, the third one.
Anyway, if you want to see thevideo, I can show it to you.
I promise it was all random, butthey all but one got the card so
far.
So it was a true random thing,and I appreciate all your
feedback.
But I wanted to talk about thefeedback.
The first thing I want tomention is I'm very proud to say
that I got 46 response for mysurvey, and I received over 30

(01:57):
responses for the firstresponder people.
And I got a lot of differenttypes of feedback, and most of
it was positive.
You'd think that you knowwouldn't be so positive, but I'm
kidding.
One of the things going back toHIPAA and my my how proud I am
in regards to the work I do isthat only a few people, like
less than a quarter of you, knewthat I had a podcast.

(02:20):
And that basically means I keepmy I keep my lane, right?
I do therapy, I don't talk aboutmy podcast.
So for those of you who are intherapy with me listening, thank
you.
You know, you you know forlistening.
But for my clients who don'tlisten, perfect, they know I
keep in my lane.
I do therapy with them.
That's what I'm paid for.
I'm not here to promote mypodcast.
I know that seems strange, butthat's how it is.

(02:41):
And for the first responder, Ilike that was a lot of
responses, and there was a lotof truthful responses that I
really appreciate.
You know, I got a lot ofpositive stuff.
Most people like I had thelowest I got is how valuable is
your work with Steve.
I got valuable for two people,and the rest of them were either
very valuable or extremelyvaluable, which was really

(03:02):
helpful.
Most people know I do mentalhealth counseling and substance
abuse counseling, but they don'tknow the rest of it, which is
kind of interesting.
The group people don't knowabout, and I want to talk a
little bit about my mentalhealth first responder group
after this because it is very,very important to me to do so.
I can give you a sample ofsomeone, you know, I cannot

(03:22):
thank you enough for all you do.
I'm always grateful for you.
Keep it up.
I really enjoy working towardshealing and learning from one
another.
That's from the group, actually.
Looking forward to more growthand momentum in 2026, longer
sessions would be nice.
There's a lot of feedback that Igot that I want to talk about
here on the podcast, in thesense that this may not be a
first responder podcast per setoday.

(03:45):
Guys, bear with me, listen toit, please, because it's
important to know what you wantout of counseling.
I'm working really hard onsomething, a project right now
to for first responders and todomystify therapy, but I'll
continue working on that.
But wanted to share somethingabout longer sessions.
Here's the example, the thing Iwant to explain.
The coding for a longer sessionis truly painful, and they don't

(04:10):
always pay.
And I'm not saying that I'm thatmuch money hungry, but I do have
to pay the bills, right?
So some people say thatsometimes I don't care as much,
which is true.
But I want to make sure you knowthat I do pay attention to that,
and I will sh probably addwithin the next few months a
longer session, it's probably 90minutes, probably not much

(04:31):
longer than that.
And I'll figure out the billingmaybe, or maybe we can talk
about an extra fee, because alot of people said I'll pay an
extra fee for a longer session.
So there's a lot of ideas there.
So let me know what you think.
Any insurance companies, ifyou're listening, yes, I just
said you're a pain in the ass ifI go over 60 minutes, and that's
why I hate using you.

(04:55):
Just a quick break, guys.
I'm gonna talk about a newproduct that I really like.
I actually bought one of theirhoodies, it was amazing, and I
really enjoyed wearing it.
Uh, it this episode is gonna besupported by Deemed Fit.
Deemed Fit is a firstresponder-owned activewear and a
leisure brand.
And one thing that I genuinelylike about them is that they
support different causes.
I actually gave a few people Iknow who work with first

(05:17):
responders or nonprofits theirname to uh Deemed Fit, and I
know they're talking to them.
They do a lot of initiatives andcollections that are based on
mental health for firstresponders.
And if you go there right nowand you buy anything, including
the mental health support stuff,uh use the code R D A15.
That's right, R D A 15 to get15% off on any products that you

(05:41):
get.
Again, it's called RDA15.
Go to deanfit.com, D-E-E,M-E-D-F-I-T.com, and enjoy 15%
off at checkout to save.
Now, right back to the episode.
The other part too is the group.
We a lot of people have grownfrom the group.
We have about 20 members, giveor take, some regulars, some not

(06:04):
so regular, and that's okay.
They can come whenever theywant.
But group has been somethingthat people really enjoy, and
that's something I willabsolutely probably starting in
April.
I will start doing a longergroup instead of 60 minutes and
90 minutes, because we get tothe the crust of it because
guys, you know, and gals, we welike to shoot the shit at the
beginning of the sessions, thegroup sessions, and then we kind

(06:27):
of jump into the conversation,but then an hour goes by really
fast.
So I will probably extend thatby I would say April 2026 to an
hour and a half.
Hopefully that will make somepeople happier about it.
The other part that I wanted tomention that was very
interesting is that people saythat they don't have a lot of
follow-up between sessions.

(06:48):
They would have to would likemore regular sessions, which is
fine.
And if you're a first responder,you can have your regular
session plus your group.
I invite you to both.
And the group is also one of thethings that I want to mention
for those who've never heard myfirst responder group.
I try not to add people from thesame department because I don't
want it to be a gossip game.
I also tend to, if I will addpeople from the same department,

(07:12):
the there's two rules from mygroup.
The first rule, which is veryimportant, never repeat what is
said in this group.
Why?
You can grow if you want to fromit and you can learn, but you
got to keep it anonymous.
You can't talk about anyone inthe group.
People know I'm very seriousabout that because I don't want
it to become such a story forpeople that they're not coming
in because they're afraid thattheir story will be getting out

(07:34):
there.
So that's, you know, it'sautomatic for me.
If people talk about anythingthat's said in the group,
bye-bye, there is no remorse onmy part.
The second one is no apologies.
And I think that with the group,it's always interesting because
the group, I'm sorry to take allyour time, or I'm sorry for
bringing that up.
I'm sorry to sound like a pussy.
Name the story I heard it.
And I always remind people thatthat's why we don't apologize in

(07:57):
our group because we all needthe help.
We all want to reach out.
This is what we're gonna do.
And group is supposed to be asafe place.
And I hate, I know this is notfun for first respondents to
hear safe haven for them, butnonetheless, that's what it is.
And I think that it's importantfor them to be able to say
whatever the hell they want andnot be too apologizing for
having issues because, hey,that's why you have the group,

(08:18):
right?
To talk about those issues.
So I'm very much looking forwardto that.
I forgot, I jumped a little bitbecause I talked about the
follow-up.
A lot of people talked aboutneeding some sort of follow-up
after each session.
What I heard is I like homework,videos and books are very
helpful.
Setting goals out loud makes mecomfortable.
We set goals, but it's notalways talking about the goals.

(08:40):
I think additional training, Ilove homework.
I don't believe that justtherapy is good enough.
I need something between mysessions.
I'm reading them directly.
And for all of those who wrotethe comments, thank you.
So I will tell you that I'mworking on a couple of ideas
here.
One of the ideas I have is todefinitely create something from

(09:00):
follow-up.
I'm also working on a projectwith someone right now, which
will probably help.
That's as much as I can sayright now.
If you need any of the support,you can go to my website
www.steve-bsunn.com, and you'llsee all everything that I have,
including wellness visits,including group, and everything

(09:20):
else that I do.
So it's all gonna be on there.
I think that one of the thingsthat people got to realize is I
love doing this podcast.
It's a labor of love.
But I don't like, I think thisis my second or third individual
in about a year.
And the reason why is just Ilike talking to people, getting
people's story out there andpeople hearing that.
So I will make sure that I do alittle more individual sessions

(09:42):
because when I did the podcastthing, a lot of people like the
interviews, but they're like,when are you talking?
When are you sharing your ideas?
What are you sharing about whatyou do?
So it sounds like it's somethingpeople want to hear.
So I will probably start doingthat sooner rather than later.
I think the other part too thatI hear is we someone said
something about what's the topone action before next session.

(10:04):
They want to know which actionthey have to take at the end of
each session.
I think I'm gonna try tointegrate that if people want
that.
And what I mean by that is thissome people just want to come to
therapy, talk, and leave.
But I got to find a way to bringthat up for those who want
something like an action plan inregards to the therapy.
So looking at the survey, thisis the two main, this is the two

(10:25):
main things.
And you can see some of thetestimonials, they'll be on my
website too at the end of theday, probably after this, when
you listen to this podcast,it'll probably be out.
Otherwise, I want to thank youbecause I'm in the transition
part of my career now.
And what I mean by that is this,as I my goal, my girls are
gotten older, and now I cantravel a little more because

(10:46):
they they can be a little moreindependent.
I'm gonna start doing a lot ofmore presentations.
You you know, at the end ofprobably by the time this
podcast comes out, I didsomething with McLean Hospital
that'll be out.
Please go and listen to it.
I you can, it'll highly likelybe on my website, if not, in my
newsletter.
If not, call me, text me, or youknow, contact me through the

(11:07):
podcast and I'll send it to you.
I'm also presenting at thefraternity order of police at
the end of March, which I'mextremely proud of.
And I've put in a few moreplaces where they wanted me to
submit my ideas for a one-hourpresentation.
So hopefully I'll be goingtowards more presentation.
So for those of you who are myclients, wait a minute, is he
gonna abandon us?

(11:27):
Of course not.
I'm not abandoning anyone, but Iwant to get to a point where I'm
doing a lot more ofpresentations because I really
enjoy that.
So if you are someone who needsa person like me, please let me
know.
The other part, too, that Ireally want to transition to is
doing a lot of wellness visits.
I'm gonna reach out to a lot ofwith my partner, uh, my business
partner, Bill Dwinnells.

(11:48):
He's been on Dwinnells.
Why am I not pronouncinganything right today?
Anyway, he has been on thepodcast before.
We're gonna be working onwellness visits in our area, how
it works, how it doesn't work,what it does, what it doesn't,
and making sure that it'saccessible to everyone.
And finally, we've been workingon this networking pro uh
process for several months now,over a couple of years, frankly.

(12:11):
And we're getting closer andcloser to a working model for us
to become something.
And I don't really want topronounce myself just yet
because we haven't decidedexactly what model we're gonna
use, but we want torevolutionize access to
resources in Massachusetts.
And what I mean by that is thiswe want therapists who are
culturally competent to workwith first responders.

(12:33):
We want to have places where wevetted for treatment, whether
it's IOP, whether it's a partialhospital or an inpatient place.
That's why I went down toMaryland.
Joe Razuti is another personwho's been on my podcast, who is
part of this group, who has beendown there.
He's really good at thosetreatment places.
So that's why we're doing allthat.
But those are the few things I'mworking on.

(12:54):
So is it less work with theclients?
It does feel that way, and itprobably is.
And you gotta understand thatthis is more of a choice of, you
know, I love my job, I willnever change my job, but I also
want to be able to do differentthings, call it whatever you
want.
It doesn't have to be adiagnosis.

(13:15):
I need some freshness in mywork, I always need something
new.
So that's what I'm working on.
Hopefully, by the end of 2026,we can talk about all the stuff
that I did, including thispodcast, but more importantly,
talking about resources.
Next episode will be with NikkiMason, who is someone who is and
works as a relation person and arepresentative for the Granted

(13:37):
Recovery Center.
So that's the interview you'regoing to hear next week and the
following week.
And hopefully I can do some moreindividual and my five-year
anniversary is coming up.
Any ideas?
Contact me.
Please let me know what you yourthoughts are, what I should do
for my fifth anniversary show.
I thank you for your time, guys,and I'll see you in the next
episode.

SPEAKER_00 (13:57):
Please like, subscribe, and follow this
podcast on your favoriteplatform.
A glowing review is alwayshelpful.
And as a reminder, this podcastis for informational,
educational, and entertainmentpurposes only.
If you're struggling with amental health or substance abuse
issue, please reach out to theprofessional counselor for
consultation.
If you are in a mental healthcrisis, come 98 for assistance.

(14:21):
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