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Anorexia nervosa presents a clinical paradox: its physical manifestations are overt, yet its psychological underpinnings remain opaque, often embedded in metaphor, dissociation, and unmet relational needs. This paper approaches anorexia not as a disorder of weight or control, but as a relational disorder, often born of a failed dialogue between self and other, inner and outer, body and mind. Through the case of Molly, a middle-aged Hispanic woman with chronic anorexia who did not respond to CBT or DBT treatment, the paper illustrates how psychodynamic treatment, particularly informed by self psychological principles and Winnicottian object relations theory, can facilitate the restoration of symbolic thinking and the re-emergence of a self that no longer needs to disappear to be known. This paper adds to the growing body of work that understands anorexia as rooted in relational and developmental disruptions, and shows how a therapeutic relationship, attuned to the patient’s inner world and cultural context, can help bring forward parts of the self that have been hidden, silenced, or split off.