Climate change presents the mental health professions with profound challenges in responding to and preparing for acute and chronic, multifaceted, mental health needs in individual patients, families, communities and our larger society. Mental health professionals can be as disoriented as others in integrating the evolving realities of climate change and our multiple social crises. However, we do have understandings and skills that are pathways out of disorientation. This presentation will assist the clinician in being more comfortable and capable in responding to and working with climate change realities and climate change material in treatment. Particular attention will be paid to issues for adolescents, young adults, and parents and what is required for “containment” of climate-related experience. There will be emphasis on the public health aspects of our work and the requirement that we deeply understand our predicament, as we must now “skate to where the puck is going to be”.