The disruptive effect Trump s presidency has on our country, our politics, our legal norms, our patients, and our own psyches challenges us as clinicians and as citizens. Faced with information that is often demoralizing, destructive, or untethered to reality, clinicians have to consider when to respond in a therapeutic mode and when to respond with direct action. Participants will engage with the presenter to clarify their thoughts, goals, and sense of responsibility inside and outside the consulting room and consider the place for empathy and the place for action.