Despite a tendency to avoid the warnings, times of crisis summon clinicians to emerge from comfortable consulting rooms.  Daily engaged with human suffering, they now face the inextricably bound together crises of global warming and massive social injustices. After considering historical and emotional causes of climate unconsciousness and of compulsive consumerism, this book argues that only a radical ethics of responsibility to be “my other’s keeper” will truly wake us up to climate change and bring psychoanalysts to actively take on responsibilities, such as demanding change from governments, living more simply, flying less, and caring for the earth and its inhabitants everywhere.  Linking climate justice to radical ethics by way of psychoanalysis, we here explore many relevant aspects of psychoanalytic expertise, referring to work on trauma, mourning, and the transformation of trouble into purpose, even making practical suggestions for action in the psychoanalytic and psychotherapeutic communities: reducing air travel, consolidating organizations and conferences, better use of internet communication and education. We consider both philosophical considerations of egoism (close to psychoanalytic narcissism) as problematic, together with work on shame and envy as motivating compulsive and conspicuous consumption.