What happens to people in the months and years after a corporation worth billions creates an environmental catastrophe that disfigures their community? Myriad answers emerged a few weeks ago in a hotel conference room in Columbiana, Ohio, where eight people from the East Palestine, Ohio, area met with a Pittsburgh psychiatrist experienced in treating people who’ve endured traumatic events.

One of the first to speak up was Lonnie Miller. She’s been open about discussing her family’s struggles since a Norfolk Southern train tumbled off a set of railroad tracks 1,200 feet from her home on Feb. 3, 2023.

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