Trauma from natural disasters such as the earthquake affected people who have an especially adverse effect on adolescents living in welfare facilities, they suffer psychological distress and post-traumatic stress. This study analyzes the symbols, verbal and non-verbal expression expressed during sandplay therapy for adolescent who suffered the Nepal earthquake and living in welfare facilities. In April 2015, 9 months after the great earthquake in Nepal, sandplay therapy were provided to 18 adolescents living in welfare facilities in the Kathmandu, under the consent of the care-giver, records from three adolescents were provided. The sandplay therapy was conducted one-on-one between a patient and a therapist, for 45-minute each three sessions over 10 days. Sandplay therapy takes a Dora Kalff's approach where a safe and protected environment is provided in a non-directive, non-structured approach. There five themes were commonly found in treatment sessions: Safety and protection, peaceful garden, scene of risk or earthquake, God who is related to everything, and the future of life and independence. In at least two sessions, they have made pictures of direct verbal expression and scene of risk or earthquake, and simultaneously expressed religious image of Buddha or Shiva. Additionally, they decorated a garden praying for paradise or expressed this verbally.