My faculty mentors in psychiatry warned me to avoid pathologizing patients' normal responses to such extraordinary trauma. Haiti has suffered more than its share of disasters, but the January 12 earthquake was one of the worst natural disasters in history, with over 230,000 deaths and 1.3 million left homeless. Although I was there 8 weeks after the earthquake occurred, most Haitians affected by the catastrophe still did not have adequate access to food, water, health care, shelter, or security. Until these basic needs were met, mental health problems were, by necessity, considered secondary. I volunteered to work with the internal medicine team, partly because I had completed my intern year in internal medicine and felt comfortable ordering antibiotics and pain medications for postoperative patients. However, once my identity as a psychiatric resident was revealed, I provided much needed mental health care to Haitians as well as to some health care volunteers who were overwhelmed by the experience.