This case study recounts the first years of an analysis that began as therapy for depression but rapidly shifted its focus to promoting coconsciousness and cooperation among personalities who were discovered to be comprising a rigidly dissociated sense of self. At first, unusual ways of experiencing the world were only hinted at, but as the treatment progressed, acute pain and confusion surfaced—both during sessions and in the events and artwork brought to them—revealing a perplexing realm in which facts could be invented accidentally and logic was a threat. As time went on, self-states were heard internally more clearly, and there was greater dialogue and engagement both among the patient's self-states and with the therapist's, enhancing self-knowledge and heightening cohesion within both parties.