This page answers common questions about starting therapy at Joel Neild Counseling in Orlando. Topics include scheduling your first session, confidentiality, fees, and what therapy is like for first responders and LGBTQ+ clients.
FAQs
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Can firefighters go to therapy confidentially?
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Absolutely. Everything said in therapy is confidential. Your therapist is legally and ethically bound to not disclose what is talked about in therapy.
Since I am not employed by a fire department, police department, or EMS agency as a counselor, there is no worry that what you tell me your chief will hear.
How do I know if you’re the right therapist for me?
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The best way to find out is through a brief consultation. We can talk about what you're hoping to work on, how I approach therapy, and whether working together feels like a good fit. If it doesn’t feel like the right match, I’m happy to help connect you with another therapist who may be a better fit.
Do you offer therapy for LGBTQ first responders?
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Yes! I am an LGBTQAI+ ally and a LGBTQAI+ affirming therapist. Counseling is a safe space for everyone in the community.
Do you understand fire service culture?
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What is moral injury in first responders?
I have been in the fire service and EMS for over 30 years. I have worked as a volunteer firefighter, as well as a career firefighter. I am a Florida licensed paramedic and a certified flight paramedic (FP-C). You won’t have to explain the culture to me. I’ve seen many calls similar to what you’ve seen and might want to work through.
Moral injury occurs when you see or hear about an event which goes against your moral beliefs. Often in first responders a potentially morally injurious event happens on a call. When you do everything correct and the patient still does not make it. When a chief or other line officer asks you to perform a task which is ethically questionable, it can be a moral injury.
Often, a moral injury shows up as grief, guilt, self doubt, or depression. Moral repair does not respond to common PTSD treatments and requires a different approach. You can read more about Moral Injury here.