In this very original and pioneering chapter, the noted British-based forensic psychoanalytical practitioner, the late Mrs Sira Dermen, has written a very detailed and rather moving encapsulation of her work in Armenia, providing emergency support for survivors of the devastating earthquake which erupted in 1988. This essay serves as an inspiring role model for the ways in which contemporary forensic mental health practitioners can offer not only traditional psychotherapeutic assistance, but also treat the survivors of what we might consider as environmental forensic patients, namely, earthquakes, volcanoes, floods, and other climate change-related bombings.