In this article, David Powlison discusses how Psalm 10 maps out the heart’s thoughts and speech before God when facing sufferings and conflicts that are insoluble at a human level. Powlison argues that the Psalm has four movements: First, the sufferer who believes in God honestly cries, “Where are You?” Second, the sufferer thinks hard about what harmful people are like. Third, the sufferer cries to God, “Act to aid the hurting.” Finally, the sufferer rests in the confident affirmation, “The Lord will right wrongs.” Powlison concludes with a detailed case study, application questions and suggestions for walking with victims through suffering.