The reports by Linda M. Floyd, Kathryn L. Nathan, Deborah R. Poitevant, and Elsa Pool convey more powerfully than any scholarly article the physical, personal, professional, and dynamic dilemmas that local mental health professionals had to contend with as they resumed practicing after the catastrophic disruption of Hurricane Katrina. It was “uncharted territory.” This commentary addresses the complex dynamics that emerge when clinician and patient have survived identical or very similar disasters. Under these circumstances, when clinicians work to contain their patients' anxieties, anxieties that in many respects mirror the clinicians' own anxieties, the boundaries between self and other, between inner and outer, between signifier and signified, between private and public, between reality and fantasy are challenged. The significance of these findings advances our understanding of shared trauma.