In this interview, Karen Roush talks with Donna Sabella about her new column in AJN, Mental Health Matters. Sabella always knew she wanted to specialize in mental health and she shares her enthusiasm for this often maligned area of nursing. Sabella talks about the important role nurses have in providing mental health care and some of the rewards and challenges it presents. All nurses need to be able to recognize and respond to mental health needs, whether for a grief-stricken family member in the ICU or a patient with decompensated schizophrenia in the Emergency Department.