I understand why they have the mentality they do, but I find it frustrating in all aspects of life when people are unwilling to evolve their thought processes. I find it especially upsetting on topics such as this, where we have providers struggling with substance abuse and suicide as unhealthy coping mechanisms because the previous generation (which is now in charge) refuses to acknowledge this is an issue that can be addressed.Just to echo what Remi said, most of us from the "John Wayne generation" (WWII, early boomers) -- especially males -- were taught to endure stress and misfortune while hiding our feelings. Consequently, there was little regard for counselling, debriefing, or almost any other outpatient interventions to preserve mental health. That's not an excuse for people my age to belittle anyone in distress, but it might help those of you much younger to understand why some senior EMS providers feel less urgency than you do about addressing PTSD. Remember, we didn't even know what PTSD is.