Burundi is one of the world’s poorest countries, ranking 187 out of 193 in the UN Human Development Index. A history of violence, as well as natural disasters which are becoming more extreme due to climate change, has left a legacy of mental health issues but there is little mental health support, and the few psychologists available lack proper supervision or training. Burundians continue to uncover unmarked mass graves from atrocities that have occurred in recent history, and enforced disappearances continue, making many reluctant to talk about what is behind the mental health challenges they face.