The recent tragic events in New York, Washington, and Pennsylvania on September 11, 2001 have dramatically and inalterably altered all of our lives. There is great need for those of us in family practice, indeed, for all physicians, to be available to our patients for at least basic counseling to help our patients deal with the serious emotional repercussions of 9-11. Like most primary care physicians, patient counseling has been an important part of what I do since my first day of medical practice. In August of 2000, I retired from traditional family practice to focus on spirituality in medicine. I counsel patients who are depressed, anxious, grieving, or in other forms of distress. I have been amazed at how easy it is to incorporate my personal spirituality in this counseling without infringing on patients belief systems, and with very positive responses.