This case study was originally presented as part of a keynote address given to the New York Art Therapy Association’s 4th Annual Educational Symposium, “Creativity and the Role of Art Therapy in Our Quest for Inspiration and Authenticity,” at the Maria Fareri Children’s Hospital at Westchester Medical Center in October 2008. It was initially intended to be a brief illustrative example of how creative, expressive modalities can be integrated into intensive depth-oriented psychoanalytic treatment, drawing from ego psychology, object relations, Freudian, and Post-Freudian analytic theories. The paper was then first published in “Psych Perspectives: A Journal of Integration and Innovation”, Issue 7.2, Fall 2010, and republished here, with permission and with additional images and content.