This paper describes the transformational moments created by the telling of three horrifying nightmares of a 10-year-old girl during her treatment. The process of sharing these nightmares allowed this child to share her struggles and needs in a new way, which helped advance the treatment, intensify the patient/therapist relationship and provide her with a new way of accessing and being with another, expanding her repertoire of “implicit relational knowing.” These special moments co-created by the patient and therapist were initiated by the reporting of these nightmares and were like the “moments of meeting” described by the Boston Change Process Study Group. The work of the Boston Change Process Study group helped illuminate the special moments discussed in the paper.