On Friday, March 11, 2011, one of the worst disasters in the world hit the country of Japan. A magnitude 9.0 earthquake struck off the coast of Japan, forever changing the lives of the people and the state of the country. Not only were lives lost and homes destroyed, the tsunami that followed caused numerous nuclear accidents around the Fukushima nuclear power plant, forcing many to leave their homes and live in evacuation centers miles away. According to the National Police Agency of Japan, this disaster caused close to 16,000 deaths and more than 5,000 injuries. More than 8,000 people are still missing. While miles away from the epicenter of this natural disaster, mental health professionals may have encountered or may encounter Japanese and Japanese American individuals in the United States who were affected by this event. The authors of this article are Japanese and Japanese American school counselor and school psychology graduates and students residing in San Diego, California, who came together to bring about awareness regarding this situation. This article addresses various perspectives of those affected by the earthquake, an overview of the efforts of the mental health professionals in Japan and abroad, and cultural considerations when working with Japanese students in the school system.