Since the devastating earthquake struck Haiti in 2010, all eyes have been on Haiti. In particular, with the influx of foreign psychological and psychosocial efforts, the country’s mental health infrastructure has been under scrutiny. In the context of a strong familial, community, and religious social fabric, the field of formal mental health services, including counseling, is not as strongly developed as in the United States, or other Westernized countries. In the wake of the earthquake, however, service providers in Haiti within the fields of psychology, psychiatry, and social work are moving toward increased organization and structural cohesiveness. This report provides an overview of historical foundations, current context, and future implications surrounding the state of counseling in Haiti.