This episode of Fire Service Court addresses the grim reality that more firefighters are lost to suicide than to line-of-duty deaths. The panel covers PTSD, suicidal ideation, issues with the traditional "tough it out" mentality, and how mental health services are evolving within the fire service. They explore the recent executive order directing federal agencies to fast-track psychedelic medications for serious mental illness, marking a potential shift in treatment for emergency responders. The panel discusses the federal action to transition substances like MDMA and psilocybin from restricted Schedule I research silos into clinical tools for treating treatment-resistant depression and PTSD.