In this paper, we discuss narratives of spirit influenced affliction and healing in Nunavik (Northern Québec). Efforts at healing individual and collective trauma are central to recent popular evangelical religious movements. In this context, spirit interactions ground the ability to heal within Inuit communities and provide a supportive social milieu for personal change. Other forms of spirit interaction less commonly encountered in a religious context - notably uuttuluttaq, and uirsaq/nuliarsaq - have themes similar to evangelical teachings but derive from older conceptions of spirit agency. These phenomena situate unusual behaviour and personal distress within basic social and moral frameworks. Within the community, episodes of spirit possession and influence are not defined by rigid criteria, nor can they be reduced to a simple diagnostic category. Different interpretations of spirit interactions and experiences with the spirit world reflect the diversity of information available about the nature and causes of individual and social distress in the North today. These can serve to contest conventional responses to social suffering, by providing culturally resonant alternatives which support local authority over illness and healing.