The authors analyzed the effects of group sandplay therapy on the psychological health and resilience of adolescent survivors 16 months after the 2015 Nepal earthquake, and explored the themes these adolescents expressed during counseling. Group sandplay was found to have significantly decreased the adolescents' internalizing problems such as anxiety/depression and withdrawal/depression, while their resilience had also significantly improved. The narrative analysis in turn yielded seven themes: magical wish fulfillment/hope for recovery; direct expression of danger of disaster; relationship with gods revealing human's identity; desire for protection and care from danger and damage in reality; recovering the order of life from chaos; creation of a new world from the chaotic world; and return to their normal daily life.