Cognitive Behavioral Therapy (CBT) is active, directive, structured approach to therapy. Most first responders feel more comfortable in active participation rather than passive.
CBT helps a first responder notice how they think, act and feel. Often times, we can have assumptions about ourselves and others that can negatively affect our thinking, feeling, and behavior. CBT can help a person monitor negative thoughts, examine evidence for and against our beliefs, and substitute a more positive, reality-oriented interpretation for our emotions and begin active problem-solving.
Eye Movement Desensitization and Reprocessing (EMDR) is a psychotherapy where a person can diminish negative feelings and visceral reactions when recalling a troubling memory or trauma. This is accomplished by bilateral stimulation, talking or thinking of the event, deep breathing, and reprocessing the emotions to be more realistic appraisal and adaptive response to the event itself.
Exposure Therapy is a cognitive behavioral therapy technique that is intended to help a person face and gain control of the fear and distress that is overpowering their body. This must be done systematically to not overwhelm the body. Slow and progressive exposure may include imaginal (thinking about it) or in vivo (directly facing it). A client is never forced to do anything they are not comfortable, again this is slow and progressive.