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Survivors of child sexual abuse are often overwhelmed by various residual effects which have the potential to limit their functioning and interfere with their interpersonal relationships. This article is a case presentation describing clinical and theoretical aspects of an integrative relational approach to a therapeutic journey with a survivor of childhood sexual abuse. The clients' needs were prioritised as a need for trust, safety, empowerment, and establishment of a therapeutic window while working within the client's resilience capacity. Our psychotherapy focused on making her unconscious affect and physiological experience conscious and attending to her developmental needs for a dependable, consistent and involved relationship.