Thrivewell with Misty Guantonio, LMFT, LCADC

Thrivewell with Misty Guantonio, LMFT, LCADC EMDR Therapy & Professional Resilience Recovery for Healthcare Workers & First Responders

04/18/2026

🚨 Burnout doesn’t happen overnight.

It builds. Slowly. Quietly.
Often without you realizing it.

This graphic lays out the 12 stages of burnout—and if you look closely, most people don’t recognize it until they’re already deep into it.

đź§  In this line of work, it can look like:
👉 Pushing harder to prove yourself
👉 Skipping meals, losing sleep
👉 Telling yourself “I’m fine” when you’re not
👉 Pulling away from people
👉 Feeling disconnected, numb, or just… done

And by the time it reaches the later stages—
👉 exhaustion
👉 hopelessness
👉 complete shutdown

…it’s not just stress anymore.

💡 Here’s what matters:
Burnout is not a personal failure.
It’s a signal.

A signal that:
• the demands have been too high for too long
• recovery hasn’t been enough
• something needs to change

🛡️ The earlier you recognize it, the more you can do about it:
✔️ Pay attention to small changes in yourself
✔️ Don’t ignore the early signs
✔️ Talk to someone you trust
✔️ Take breaks before your body forces one

👉 You don’t have to wait until stage 12 to take this seriously.

If any part of this feels familiar—
that’s your sign to check in with yourself.

04/01/2026

Several ways to connect this month!
More details: theporchmovement.com/events

Research shows that writing by hand activates deeper cognitive, emotional, and sensory networks—strengthening memory, in...
03/30/2026

Research shows that writing by hand activates deeper cognitive, emotional, and sensory networks—strengthening memory, insight, and behavioral change.

When on a recovery journey, that difference matters.

Even in adults…
03/23/2026

Even in adults…

Addiction is what we end up seeing.  Be curious and you might discover the truth
03/22/2026

Addiction is what we end up seeing. Be curious and you might discover the truth

Practicing mindfulness is practical when we keep it BRIEF & FREQUENT.
03/07/2026

Practicing mindfulness is practical when we keep it BRIEF & FREQUENT.

You don’t need to be on scene to be activated.

đźš“ Fire
đźš‘ EMS
đźš” Law Enforcement
🎧 Dispatch

Whether you're running into chaos or coordinating it from behind a headset, your nervous system absorbs intensity.

Mindfulness isn’t about sitting cross-legged in silence for an hour.
It’s about learning how to come back down after your system ramps up.

Research shows mindfulness training can:

• Reduce stress reactivity
• Improve emotional regulation
• Strengthen focus and working memory
• Decrease rumination after difficult calls
• Support overall mental health

For dispatchers, especially, who experience high call volume, auditory trauma exposure, and sustained cognitive load, regulation matters just as much as it does in the field.

This is nervous system training.

Just like fi****ms qualification.
Just like airway management.
Just like defensive tactics.

Breathing control, present-moment awareness, and short intentional pauses can retrain your system to stand down when the threat is over.

You are allowed to shift out of survival mode.

Strength is not constant activation.
Strength is knowing when to activate and when to recover.
https://www.annualreviews.org/content/journals/10.1146/annurev-psych-042716-051139/?crawler=true

Truth can look very different depending on perspective.Sometimes we only see one part of the picture.Growth happens when...
03/04/2026

Truth can look very different depending on perspective.

Sometimes we only see one part of the picture.
Growth happens when we slow down and explore the whole story.

CODE PHOENIX Confidential crisis support for healthcare professionals and first responders through Renown Crisis Care Ce...
03/03/2026

CODE PHOENIX

Confidential crisis support for healthcare professionals and first responders through Renown Crisis Care Center.

If you or a colleague are in crisis, call 775-982-HELP (4357) and ask for “Code Phoenix.”
Private entry. Discreet process. Peer support available.

As someone who works closely with first responders and healthcare professionals, I know how important confidential access to care is. Please share with your teams.

In a world that rarely slows down, your nervous system needs intentional pauses.Meditation and breathwork are not luxuri...
02/25/2026

In a world that rarely slows down, your nervous system needs intentional pauses.

Meditation and breathwork are not luxuries — they are regulation tools.

When we slow the breath, we signal safety to the brain.
When we practice stillness, we strengthen emotional resilience.
When we return to the present moment, we reduce stress reactivity.

For healthcare workers, first responders, and high-responsibility professionals especially, structured nervous system recovery is essential — not optional.

Even 3–5 minutes of guided breathing can shift your body from fight-or-flight into rest-and-restore.

If you’d like support building a consistent practice, I’ve created guided meditations and breathwork exercises you can access anytime on Insight Timer: https://insighttimer.com/MistyGuantonio?_branch_match_id=1555303494289600977&utm_source=copy&utm_campaign=web-share&utm_medium=therapist-dashboard&_branch_referrer=H4sIAAAAAAAAA8soKSkottLXz8wrzkzXyyjRD0jNdwor9EsyNUiyrytKTUstKsrMS49PKsovL04tsnXOKMrPTQUAz4p%2FIjYAAAA%3D

Start small. Stay consistent. One breath at a time.

— Misty

One of the most powerful tools we have as a community is the ability to recognize when someone is struggling and to know...
02/21/2026

One of the most powerful tools we have as a community is the ability to recognize when someone is struggling and to know how to respond in a way that is direct, compassionate, and safe.

📣 Training Update
Our safeTALK Training has been rescheduled due to weather and will now take place on Tuesday, March 3, 2026.
We appreciate your understanding and look forward to seeing you there. đź’™

RSVP is required. Call 775-783-1510 to reserve your spot.

02/19/2026

Address

1650 Lucerne Street Ste 205
Minden, NV
89423

Opening Hours

Monday 8am - 4pm
Tuesday 8am - 4pm
Wednesday 8am - 4pm
Thursday 8am - 4pm
Friday 8am - 4pm

Telephone

+17752378020

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