First responders routinely face traumatic incidents, chronic stress exposure, and cumulative operational demands that can significantly impact their mental, emotional, and physical well-being. Traditional talk-based interventions may not always adequately address the physiological imprint of trauma stored within the nervous system. This presentation explores the effectiveness of bottom-up therapeutic approaches that target the body and nervous system as pathways to healing and resilience. Participants will gain an understanding of how Eye Movement Desensitization and Reprocessing (EMDR) and somatic-based therapies can be integrated to support first responders experiencing trauma, moral injury, compassion fatigue, burnout, and operational stress. Drawing from neuroscience, polyvagal theory, and trauma-informed care principles, this session will examine how trauma manifests in the body and how clinicians can utilize body-based interventions to promote regulation, processing, and recovery. Through case examples, practical strategies, and clinical applications, attendees will learn how to incorporate EMDR and somatic interventions into their work with firefighters, law enforcement officers, EMS personnel, dispatchers, and other frontline professionals. Special attention will be given to building safety, enhancing nervous system regulation, addressing barriers to treatment, and fostering resilience within a population that often values action over verbal processing.