On May 6, 2011, Drs. Tanigawa and Shigemura entered the restricted zone; this was the first psychiatrist visit following the accident. Dr. Shigemura took this photograph on that day at 8:16 p.m. inside the Daini plant gymnasium. The Daiichi plant workers had to spend their nights in this gym during the days when they had their shifts. The workers showed a myriad of posttraumatic stress responses, including intrusive flashbacks, avoidance of their plant, hypervigilance toward aftershocks, fear of irradiation, and dissociative episodes. They showed immense grief and guilt owing to the deaths of their colleagues and loved ones. They were severely discriminated against; one man reported that his neighbor had posted a paper on his door that stated, “Get out of this apartment.” He thus felt as if he was the disaster perpetrator and was responsible for the accident. We were unable to talk to the thousands of employees individually, so we had to triage the most severe cases to determine who would be interviewed first. Prior to stress management counseling, our urgent task was to express maximal respect to them.