This article maps the historical background of First Nations women focusing on the residential school system, subsequent intergenerational trauma, and the effects of the Indian Act. Colonization has impacted the health and current roles and responsibilities of First Nations women. First Nations women's health needs to be viewed in a holistic framework that considers multiple levels of oppression, poverty, colonization, and life as a minority in a dominant culture. Social constructionism provides a new lens from which to question and re-conceptualize ways of working with First Nations women. Suggestions for the non-aboriginal counsellor in facilitating the healing process for First Nations women are offered.