This single-case study explores the psychoanalytic treatment of a severely traumatized adolescent presenting with psychotic symptoms, utilizing a Lacanian framework within an inpatient psychiatric setting. Following profound sexual and emotional trauma, Ayla exhibited symbolic collapse, with hallucinations, delusions, and severe affective dysregulation. The therapy focused on restoring symbolic functions by facilitating the articulation of previously unspeakable experiences. Through cultural signifiers such as the figure of the djinn, and by working with linguistic slips like the CIN/djinn homophone, the patient gradually transitioned from fragmented Real experiences into narratable Symbolic structures. Pharmacotherapy provided initial stabilization, creating the necessary space for psychoanalytic work, but enduring change emerged through transference elaboration, symbolic interpretation, and narrative reconstruction. The paper emphasizes the delicate handling of transference-countertransference dynamics, cultural sensitivity, and the reconfiguration of the gaze and subjectivity. This case highlights how psychotic phenomena, when approached with respect for the singularity of language and cultural context, can be reintegrated into the symbolic order, offering a path toward psychic healing. Clinical, theoretical, and technical reflections are discussed to illustrate the practical applications and limits of Lacanian work in institutional settings.