Sandtray therapy, in which students use figures and the sand itself to build and design miniature worlds in a tray, can be a powerful and effective tool in meeting the mental health needs of children and adolescents, including and maybe especially children who are deaf and hard of hearing. It is a highly visual approach that crosses language and cultural barriers. In this article, the author illustrates how sandtray therapy can benefit children, especially deaf and hard of hearing children for whom easy linguistic interaction may be impossible and who may experience teasing, ridicule, and bullying in circumstances where their deafness is misunderstood or considered abnormal. Sandtray therapy provides a visual and tactile approach that enables children to figure out how to make order out of chaos and hurt and to determine a way to behave in the face of their experience. As children create their own world in the sand, their internal world becomes visible and begins to make sense to them. With a trained counselor who can "hold" the child's world, healing from within can occur.