The narrative review explores 15 years of research and development in culturally attuned trauma-specific programs for school counseling in occupied Palestine. The review examines the long-standing collaborative partnership between two educational psychologists, one in Palestine, the other in Scotland. The review begins with the context of violent military occupation, a description of our mission, the issues addressed in cross-cultural decision-making, the implementation of culturally sensitive programing, and our praxis of sustainability through a national school counseling network. The review then shifts focus to explore our trajectory of research methodology and the outcomes of our studies. The latter involves the re-conceptualization of trauma exposure and resultant symptomology in occupied Palestine and provides evidence for the efficacy of culturally attuned trauma-specific programs. Finally, the review identifies key lessons learned to continue building a trauma-specific school counseling system in occupied Palestine. Recommendations are made for future practice and research within and beyond Palestine.