Immediately following natural disasters, basic needs are provided; however, the long-term needs of individuals are neglected. The purpose of this study is twofold: first, to explore the comprehensive and long-term impact of a natural disaster on vocationally displaced adults, and second, to explore the benefits of using the narrative career counseling approach (Brott, 2001; Cochran, 1997; Peavy, 1996) for future life planning for these survivors. The subsequent sections include information related to the population of adult survivors of natural disasters, followed by a review of short-term supports, vocational impact of natural disasters, theoretical approaches influencing the services provided to this population, and, finally, a case study that provides a model of using the narrative counseling approach with an adult natural disaster survivor.