Dominica has joined the global community in commemorating World Mental Health Day on October 10, a day dedicated to raising awareness about mental health issues and advocating for improved mental health care worldwide. This year’s theme, ‘Access to Services – Mental Health in Catastrophes and Emergencies,’ underscores the urgent need for accessible and culturally relevant mental health support during crises. Dr. Nadia Wallace, Consultant Psychiatrist at the Acute Psychiatric Unit (APU), highlighted the persistent neglect and underfunding of mental health treatment in emergency response efforts. She emphasized that natural disasters, accidents, and humanitarian crises often leave individuals grappling with anxiety, depression, grief, and substance abuse, exacerbated by the loss of homes, income, and community ties. Dr. Wallace stressed that children, older adults, and those with pre-existing conditions are particularly vulnerable. Despite growing awareness, access to mental health care remains inconsistent, especially in crisis-stricken areas. Stigma, a shortage of skilled professionals, and inadequate resources further complicate the provision of support. The World Federation for Mental Health (WFMH) is advocating for the integration of mental health into emergency response frameworks, including training frontline workers in psychological first aid and investing in long-term, trauma-informed care. Dr. Wallace urged global stakeholders to prioritize mental health as an essential component of disaster planning and recovery, emphasizing that mental health care is a necessity, not a luxury, and must be equitable and accessible to all.