This paper examines what psychoanalysis can say about migration, and what it means for psychotherapeutic work with migrants and refugees. Topics addressed include trauma, mourning, depression, melancholia and identity formation. The refugee or migrant faces not only traumatic events and loss experiences from their home country and during flight, but also unexpected phenomena in the country of arrival. Desubjectivization, the decoupling of a language and its effect, given the fact that the unconscious is structured like language, mourning work and the risk of melancholy, the interruption of the Name-of-the-Father, being mirrored and the effect on one’s identity. The migrant is challenged to process trauma and to incorporate it into the framework of life. He must perform mourning work, build a new (shared) Symbolic, and achieve social and psychological integrity. In an analysis, there is the opportunity to be heard, to hear yourself speak, instead of being under scrutiny, to face things, convey movement, to break, and to regain one’s own subjectivity.