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Hurricane Katrina created an unprecedented mental health crisis in New Orleans. Once they could return to work, local mental health professionals attempted to treat survivors of the storm while dealing with the storm's impact on themselves. Those working in public settings were offered in-service training and supervision. But clinicians in private practice often found themselves bearing the brunt of posttraumatic uncertainty alone. The current paper includes four experiential reports from area clinicians describing their early struggles to maintain a sense of continuity in their ongoing clinical work, only to realize how much of the personal is also professional in the aftermath of a disaster of this magnitude, and how personal and professional inevitably inform one another when clinicians and patients survived similar dangers and losses. The introduction locates these four papers in the larger context of post-Katrina New Orleans and a program that was specifically tailored to meet the needs of local clinicians. This program demonstrated the ways in which psychoanalytic ideas can be used to give meaning to a traumatized mental health community's profound disorientation.