After the Watch Episode 1After the Watch Episode 1
Anatomy of Addiction
Matt VanLiere speaks with Tracy Rogers and Tessa Sterling about stigma, trauma and substance use among first responders and veterans, focusing on why asking for help feels so hard. They share practical perspectives on leadership, peer support and early intervention to make it safer to speak up long before crisis point.
36:01•26 Apr 2026
After the Watch: Breaking the Silence for First Responders and Veterans
Episode Overview
- Silence around mental health is deeply rooted in first responder and veteran culture and often delays help until life feels unmanageable.
- Repeated exposure to trauma, without processing it, can lead to substance use, isolation, agitation, hopelessness and suicidal thinking.
- Hypervigilance and other survival skills may keep people safe on duty but can become harmful when they never switch off.
- Leadership that listens, removes repercussions for asking for help and treats mental health like fitness standards can reduce stigma and harm.
- Asking for help may feel terrifying, but it can be career-saving and life-saving, rather than a sign of weakness or failure.
“"Seeking support does not have to be career-ending, but not seeking support can absolutely be career-ending and life-ending."”
What can we learn from those who have battled addiction? After the Watch: Episode 1 sets the scene for a series centred on first responders, veterans and the silent burdens they carry. Host and executive director of the JOHN Veterans and First Responders treatment programme, Matt VanLiere, chats with Sanford Behavioral Health CEO Tracy Rogers and clinical director Tessa Sterling about why speaking up still feels so risky in these careers.
Matt draws on three decades in law enforcement and his own recovery to talk about the culture of silence: the shiny first-day uniform that, over the years, hides "dust, and bruises, and blood" and a growing sense that you’re meant to "handle it quietly".
Tracy adds the perspective of a leader and family member of first responders, describing how duty gets placed "over emotions, over family, over birthdays", while the emotional cost gets stuffed down until the uniform itself "becomes extremely painful". Tessa breaks down what happens when trauma and stress aren’t addressed. She explains that the body keeps pumping out adrenaline and cortisol until it starts showing up as "increase in substance use", isolation, hopelessness and even suicidal thinking.
Her message is clear: "seeking support does not have to be career-ending, but not seeking support can absolutely be career-ending and life-ending". You’ll also hear Matt’s honest account of finally asking for help after years of fear about losing his badge, describing that moment as "the most terrifying day of my life" and, at the same time, "career-changing".
Tracy and Tessa talk practical culture shifts: peer support, active listening, leadership without repercussions, and treating mental health check-ins with the same seriousness as fitness tests. This first episode doesn’t try to fix everything; it sets the table for real talk about trauma, PTSD, substance use and mental health, and asks a simple question: what if you didn’t wait until breaking point to reach out?

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