GenAI is hurtling towards whichever conceptual beach you are on. Impact is imminent, and impact will be very different for culturally diverse groups. There is an unprecedented opportunity to harness the potential and to provide access and reach for mental and physical health concerns. To achieve this, it is necessary to accept the massive disruptive force and to think outside of the boxes we know. Co-creation and culturally appropriate governance are critically important, and community engagement is necessary. These ideas and concepts will be raised in relation to Indigenous Peoples and what we may learn.