This paper builds on Kohut’s creative use of empathy by exploring and delineating the advantages of embracing the concept of permeable boundaries. After describing our theoretical understanding of permeable boundaries, we suggest how its use can facilitate a treatment characterized by an unusual depth, intimacy, and healing. Instead of illustrating the theory using interactions with our patients, we used excerpts from our own therapeutic relationship to capture an experience near understanding of what permeable boundaries looks and feels like in clinical practice. In this way we are proposing a new frame along with a definition which therapists can use to guide and expand their therapeutic work. We then turn to the impact of permeable boundaries on several of the healing processes that occur in many treatments: heightened affective moments, internalization, corrective emotional experiences, the forward edge and interpretative work, and repairing disruptions.