I was born in 1954 in New York City, raised in the Bronx in the 50's and 60's. I went to Medical School in France, did my clinical rotations at Columbia in Manhattan, and then moved to the San Francisco peninsula for my internship and residency. I moved to Dallas in 1985 to start a Psychiatry practice, and teach at the medical school in Dallas. This talk will discuss the culture shock, bewilderment about religiosity in the buckle of the Bible Belt, and eventual adaptation after thirty years. Humor, anecdotes, much learning, and animated engagement intended.