In this episode of The NOCE Dose, Bianca D. McCall sits down with Dr. Trudy Gilbert-Elliott, trauma specialist and clinician working alongside first responders and crisis teams, for a deeply human conversation about the cost of caring. From “death by a thousand cuts” to the slow, often invisible onset of secondary trauma, Dr. Trudy unpacks what happens when exposure to crisis becomes cumulative—and how easily helpers can lose connection to themselves in the process.
At the heart of this conversation are two powerful truths: we can’t hide our humanness, and too often, we are the only ones keeping someone’s story safe.Together, they explore the importance of psychological safety, trusted relationships, and the internal “checklists” that help us recognize when we’ve crossed the line from present to performing. This episode also highlights the weight of holding others’ stories in isolation—and why healing cannot happen without connection.
Grounded in both clinical expertise and lived experience, this conversation is a reminder that being human is not a liability in this work—it’s the very thing that makes healing possible.
Guest: Trudy Gilbert-Eliot, PhD, LMFT, LCADC
Trudy Gilbert-Eliot, PhD, LMFT, LCADC located in Las Vegas, Nevada, specializes in working with First Responders: police, fire, EMS, physicians, and other hospital personnel. She has responded to many critical incidents to debrief workers such as armed robberies, mass shootings, plane crash, and officer involved shootings. She has extensively trained in Trauma including CBT, PE, EMDR, CPT, EFT, and DBT. She provides workshops on various trauma-related topics including Secondary Trauma, Trauma-informed Treatment, ASAM, Co-occurring Disorders, and Self-Care for Clinicians. She is the author of two books: Healing Secondary Trauma and Trauma Recovery Journal.
Episode Resources:
- Healing Secondary Trauma by Trudy Gilbert-Eliot, PhD, LMFT, LCADC – https://www.amazon.com/
Healing-Secondary-Trauma- Strategies-Professionals/dp/ 1641527560 - Trauma Recovery Journal: Reflective Prompts and Evidence-Based Practices to Help You Recover, Heal, and Thrive by Trudy Gilbert-Eliot, PhD, LMFT, LCADC – https://www.amazon.com/
Trauma-Recovery-Journal- Reflective-Evidence-Based/dp/ 1638781060 - CASAT Conversations hosted 8 episodes to help First Responders and other Frontline workers featuring Trudy Gilbert-Eliot, PhD, LMFT, LCADC. The Podcast episodes are available on ALL podcasting platforms. – https://casatondemand.org/
podcast/season-1/ - Connect with Trudy Gilbert-Eliot, PhD, LMFT, LCADC at Nevada Psychotherapy Practice, LLC – https://nvpsychotherapy.
com/our-therapists - Listening Session: Help the Helper: Healing the System from Within Compassion Fatigue, Postvention, and Sustainable Provider Wellness – https://nvopioidcoe.org/
video/listening-session-help- the-helper-healing-the-system- from-within-compassion- fatigue-postvention-and- sustainable-provider-wellness/