This study aims at suggesting a treatment method for wounds from the social system to help North Korean refugees cope with social environmental changes through a pastoral counseling model. According to the qualitative study, the North Korean system trauma anxiety was based on the North Korean’s existent persecution and deprivation anxiety and the terror anxiety from the NKST anxiety mechanism caused by the Kim family’s Pavlovian control system. The result of the interviews of the elite class showed abandonment anxiety, existent persecution and deprivation anxiety, terror anxiety, rumination anxiety, and purge anticipatory anxiety. The people in the normal class exhibited surveillance and control anxiety, existent persecution and deprivation anxiety, and terror anxiety while the alienated class showed origin related anxiety, existent persecution and deprivation anxiety, terror anxiety, and additional punishment anticipatory anxiety. Due to the vicious circle of false self, North Korean refugees have many difficulties in adapting to South Korea after they move from a totalitarian to a democratic society. This study calls attention to the need for treating the wounds created by a social system(false self) caused by the tragic division of the country. Curing the false self of North Korean refugees is an important issue not only for their stable adaptation in South Korea but also an urgent problem after the unification.