Survivors of the 9/11 attacks on the World Trade Center and the Pentagon have now dealt with their aftereffects for a quarter-century. Their personal stories are diverse. Some continue to suffer emotionally with trauma and stress-related disorders. Others who were adversely impacted emotionally eventually recovered and now live stable and well-adjusted lives. Some were able to resume their lives with little or no effect on day-to-day adjustment. And others, over time, grew from their experiences on that fateful day. Four Trajectories Following Trauma These four outcomes—pathology, resilience, invulnerability, and personal growth—are common responses to adversity and trauma.[1] By necessity, mental health professionals focus on understanding and treating pathologies such as post-traumatic stress disorder, anxiety, and depression. It is worth noting, however, that trauma survivors, especially over time, may experience multiple trajectories. With treatment and social support, pathology may be followed by resilience or even personal growth. It is unwise and unfair to categorize anyone’s response to trauma with a single label. The human response to major trauma is complicated and highly personal. A 9/11 Survivor’s …