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The author begins by coining the term, bounded openness, flexible boundaries informed by mindful attunement to both the patient’s needs as well as to the therapist’s limits within a particular dyad. This focus allows the therapist to expand his/her capacities to engage more deeply and co-create more mutative experiences for and with the patient. Taking readers through her own journey towards the application of this notion, the author focuses both on actions that make sense for a particular patient but may indicate an expansion of conventional boundaries, as well as the therapist’s efforts to widen the affective range for both herself and her patient. The author illustrates the concept with examples of critical clinical moments informed by the concept of bounded openness.