Contemporary US and European approaches to ecosystems and mental health have left many feeling disempowered in the face of the climate crisis. This article advocates for holistic approaches to supporting natural complex systems with contemplation and care. It explores how environmental metaphors and nature-based art therapy can foster human-nature connections, call for deep listening, reshape practitioner perceptions, and enhance understandings of internal and external worlds. Further, how existing frameworks such as the Expressive Therapies Continuum (ETC), can highlight the therapeutic qualities of nature-based art therapy and the potential for adaptation through the expressed paradigm shift. This article proposes that responsive mental health care can be adapted to better address the necessary changes required to support the global community and environment as we listen and adapt to climate change.