Drop the Pen! What Every Writer Should Know about Real Police Work: PTSD

By David Lane Williams

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This month, I thought I’d write about Post Traumatic Stress Disorder (PTSD) as it applies to first responders. I went back and forth about taking on such a serious topic, but my job in this column is to help you comprehend people like me so you can better understand the characters you’re creating. I just took a few deep breaths, and my head is right. Let’s dive in.  

I’ve been streaming The Pitt, a series set in a woefully short-staffed, often hostile, and always overcrowded emergency room in Pittsburgh. Each season tells the story of a single shift in a place where tragedies and miracles happen every hour, and the medical staff is composed of naïve rookies and burning-out veterans. It is a glorious series that has been in my head since the first episode.  

Other than taking a few unnecessary potshots at cops, it felt so real and accurate for me. It took me back to the glory and gore, the terror and elation in those early days working in Austin when AIDS didn’t even have a name yet, and gang violence swamped swaths of the city.

Our “Pitt” was Brackenridge Trauma Center—Brack—and this show hit those old vibes with an accuracy I’ve rarely seen in medical dramas. I experienced adrenaline dumps at some points, heartache at others. I became choked up during some scenes, glad to be alone with just my dogs and all those memories. One of the characters made a comment about crying: “Tears are just grief leaving the body.”

Amen. 

I don’t know a single police officer, paramedic, or firefighter who doesn’t have some emotional scarring after a few years on the job. Like a combat veteran, the carnage and cruelty can get to you after a while. Multiply that times a twenty, thirty, or longer-year career, and there is little to no chance of escaping without some damage. If you’re going to write about veteran first responders, you have to understand that this is part of the story. It doesn’t have to be front and center all the time, but your cop protagonist has a demon inside his brain, and the demon is always whispering. 

The trick is to learn coping skills, the earlier the better. It can be a nightmare if you don’t. Depression, anxiety, and suicide are all facets of the equation. Careers and marriages are cut short, and officers who had always performed rock-solid in the past make rash, bad decisions. 

I’ve always considered myself lucky. My symptoms include some mild anxiety when in public. People close to me notice that I look over my shoulder as I walk through a parking lot and scan the tops and higher windows of buildings. If I sleep on my back, I have nightmares of being attacked or of drowning, so I always place a pillow on either side of me in bed to stop from rolling supine in the middle of the night. I probably check door locks more than necessary, and I use cameras and motion-sensor lights around the perimeter of my house. 

Despite this, I still consider myself an optimist. While I harbor concerns about some humans, I remain hopeful for humanity. I believe our evolutionary path is leading inevitably toward a new species I like to call Homo Pacificus— Peaceful Man. I’m realistic we’re not there yet, but I believe our descendants will make us proud—even as they wonder how the hell we survived one another. 

I know cops who take a pistol with them into the bathroom and shower. They eat family dinners with one strapped to their ankle, and they get almost frantic if their wife forgets the family rule about always being on his off-hand side as they walk in public. They tend not to associate with others outside their police family because they have serious trust issues. 

Part of this trauma is related to specific cases. Perhaps the nightmares come from the images of destroyed children or a body charred in a house fire. Maybe the pain lingers from seeing a teenage girl ripped in two from a car wreck or a mother who committed suicide during a post-partum depression crisis. Maybe it’s from having to tell one too many parents that their child is never coming home again.

Irrational fear and anger can come from too many people treating the officer like the enemy or Satan for doing their job. Imagine starting a career with ambition and a passion to help, only to find you are not trusted or appreciated, and often despised. 

Then, of course, there are the life-shaking moments when someone tries to shoot you or gets the better of you in a deadly street fight. Winston Churchill is quoted as saying, “Nothing in life is so exhilarating as to be shot at without results.” 

He’s right. It’s thrilling to survive a close brush with death, but weeks, months, or years later, the thrill is gone, replaced with jagged nerves and trembling hands. It’s trauma, and it’s real, and it’s prevalent. 

So, how do first responders cope? Some, too many, crawl into a bottle or seek relief through opioids. Others live at the gym, where every rep of every set is a struggle just to keep the demon exhausted, so sleep will finally come. Some take the stress out on their spouses and kids, and others become hermits except when they’re on duty. 

Culturally, PTSD is kept at bay with dark humor. People who have died violently—especially those who were doing something stupid at the time—can be targets of the most obscene jokes back at the station. Someone who died in a fire is a “crispy critter,” and a motorcycle rider without a helmet is an “organ donor.” The only joke territory considered off limits is children. 

I know how appalling this sounds, but that obsidian-dark humor may be the most reliable and effective means of keeping more cops from hurting themselves and others. If you’re writing about a first responder, bleak humor has to be part of the package. Humor bonds first responders, and sarcasm can keep them sane.

As I mentioned, I’m one of the lucky ones. I have a knack for putting bad thoughts in a file cabinet and closing the drawer. As I write this, I know that comes off as denial. I think of myself, however, as an empathetic human being who wants everyone to be safe and feel safe. That can’t always happen, so my ability to put sad or tragic thoughts away for a while has been beneficial. I know there are therapists and care providers out there who just groaned. I’m aware that shutting haunting thoughts deep into the recesses of my mind might not be the best long-term practice, yet I could also argue it has worked well in my life for four decades. 

I used to carry a little bottle of soap bubbles in my duty jump bag. The kind kids blow at birthday parties. Sometimes I’d pull into a secluded area such as a park or an empty drive-in theater when all the filmgoers had gone home. I would then stand outside my car and blow bubbles, watching them rise and fade in the dark. This practice had a way of taking the edge off whatever stress I’d been fighting. Four, five, maybe six bubble blows later, I’d be ready for whatever the Dispatch Center sent me on next. I never shared this with my colleagues—no one needs a nickname like “Bubbles” in a police squad room—but it was a coping mechanism that worked for me. 

I continue to be proactive in retirement. I exercise six to seven days a week, and I only hang around with people who are healthy, balanced, and humorous. Writing is about the best medicine for me. I don’t self-medicate with opioids, and I am not much of a drinker. I have a wife who cares about me, checks in, and listens. My veteran sons understand me about as well as anyone could, and I am surrounded by family and friends who I know will always be by my side. 

I believe PTSD is like sludgy sewage that has been dumped into a river. It is awful and destructive, but given time, coupled with being around good people and action designed to mitigate the pollutants, the river can clear the toxins. 

Your protagonist has PTSD in some form—why do you think there are so many alcoholic private detectives out there in noir land? I am convinced that writers who keep this in mind create deeper and far more interesting characters. 

And just in case you were thinking about having your guy blow bubbles, I’ve already called dibs on that one.  

Onward.

Literary Alchemy: The Ticking Clock

A series designed to elevate your skills and empower you to write like a pro.

By Chrissy Hicks

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The “ticking clock” is a narrative device that introduces a time constraint or deadline, heightening tension and urgency in a story. It compels characters to act quickly, often leading to dramatic stakes and heightened emotional engagement. This device not only propels the plot forward but also immerses readers in the characters’ race against time, making every moment feel critical.

Why Use the Ticking Clock?

To effectively use this technique, include a deadline—whether it’s something drastic like a timed bomb, or something more subtle, like a bus arrival or cigarette break—the type of deadline will depend on your story’s plot. This can create:

• Heightened tension since a looming deadline creates a sense of urgency that keeps readers on the edge of their seats. In 24 (TV Series), Jack Bauer’s race against time to thwart terrorist attacks amplifies the stakes, making each second count.

• Further character development as the pressure of a ticking clock reveals a character’s true nature, showcasing their strengths and weaknesses. In The Woman in Cabin 10 (Ruth Ware), Lo Blacklock frantically attempts to get the crew to take her seriously about a crime she’s witnessed. If she can’t convince the crew or find evidence of the crime before docking, she risks losing the chance to address the situation entirely, as the potential perpetrator could escape or cover their tracks.

• Gain plot momentum and lose the muddy middle. Time constraints can drive the plot forward, forcing characters to make quick decisions that lead to unexpected twists and turns. In The Da Vinci Code (Dan Brown), Robert Langdon, is thrust into a race against time to solve a murder mystery. The urgency is heightened by the fact he must decipher these clues before a powerful organization can act on their own agenda.

• Pacing is enhanced with this method, because it creates a sense of rhythm that propels the narrative forward. This urgency keeps readers eager to turn the pages, as they feel the pressure alongside the characters. When Lo finds herself trapped below deck, readers are wondering what will happen next and if she’ll escape before the boat leaves the dock (The Woman in Cabin 10).

How and When to Use the Ticking Clock:

To incorporate the ticking clock into your narrative, consider the following techniques:

• Set Clear Deadlines: Establish a specific time frame that characters must adhere to, whether it’s a countdown to an event, a deadline for a mission, or a race against an impending disaster. “I am going to ask you one last time. Who are your co-conspirators? You have until the count of three, or I will kill you” (24).

• Create Consequences: Make it clear what’s at stake if the deadline is missed. This could involve personal loss, failure of a mission, or even life and death situations. “The answer was Trondheim. . . All I had to do was make it until dawn.” (The Woman in Cabin 10).

• Use Real-Time Elements: Consider employing real-time storytelling, where events unfold in sync with the ticking clock, enhancing the urgency and immediacy of the narrative. “Gray... people in this country are dying, and I need some answers. Are you gonna give ‘em to me or am I gonna have to start hurting you?” “Actually, you're hurting me now.” “Trust me, I'm not” (24).

• Incorporate Flashbacks or Foreshadowing: Use these techniques to reveal past events or hint at future consequences, deepening the emotional impact of the ticking clock. “Now, with over four million copies of The Way in circulation in forty-two languages, Opus Dei was the fastest-growing and most financially secure Catholic organization in the world. Unfortunately, Aringarosa had learned, in an age of religious cynicism, cults, and televangelists, Opus Dei’s escalating wealth and power was a magnet for suspicion.” (The Da Vinci Code).

Lookout

Pay attention to how the ticking clock is used in movies you watch and books you read. Analyze how the author or director builds tension and urgency. What techniques do they employ to keep you engaged? How can you apply these insights to your own writing?

Prompt 

Write a scene where a character faces a looming deadline that forces them to make a critical decision. What if you condensed 24 hours to 15 minutes? Consider how the pressure of time influences their choices and the emotional stakes involved.

Further Reading: 

• Screenwriting from Iowa: Ticking Clock

• Narrative Tension and the Ticking Clock

• Use the ticking clock device to add suspense to your stories! (Video)