On March 11, 2011 the Great East Japan Earthquake and subsequent tsunami struck northeastern Japan, resulting in 15,889 deaths, 6,152 injuries, and 2,601 missing persons. The devastation of the earthquake and tsunami, together with the nuclear meltdown of the Fukushima Daiichi Nuclear Reactor, also displaced around 400,000 people. Today, four years later, as many as 230,000 people continue to live in temporary residences across Japan. Despite the fading media and public attention, there remain many unresolved issues in the disaster-stricken area today, especially among the residents of temporary shelters. In response to these ongoing challenges, an unexpected combination of mental health professionals and religious professionals have been working together to provide kokoro no kea or “psychological and spiritual care” to the displaced persons who are coping with socioeconomic challenges and various forms of post-traumatic stress labeled as PTSD. In this presentation, I discuss my ongoing research on the specific psychotherapeutic practice of “active listening” (keichou) that medical and religious professionals have been using with survivors. My research highlights the psychosocial dynamics between collective trauma and individual experience, and shows the challenges and possibilities of the localization of global psychological discourse and psychiatric practices in addressing survivor’s well-being in Japan.