Post Intensive Care Syndrome (PICS) is a recently defined constellation of findings consisting of physical, cognitive and mental health issues affecting survivors of critical illness. These are not new problems but have previously been viewed in isolation, and their prevalence unrecognized. With increasing survivorship these issues are becoming more prevalent, and with improving data sources commonalities are being identified. Two years ago the Society of Critical Medicine formed a section to focus attention on PICS. The goal is to prospectively identify those at risk and prevent/treat the sequelae of critical illness. It is now recognized that in addition to the physical and psychological toll on the patient up to 30% of family members will experience symptoms of PTSD. Surviving a critical illness is not the end of the saga, our goal must be to return patient and family to their pre-morbid condition. Co-ordinated prevention and therapy of PICS, is in its infancy, but awareness along with increasing amounts of data and study are already helping to improve outcome. This presentation will describe the syndrome, briefly cover the physical aspects, and focus on the psychological as well as some of the early interventions being utilized.