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Caregiver–child interactions starting in infancy play a crucial role in socio-emotional development, including the formation of object representations and defense mechanisms. Projective tests, such as the Thematic Apperception Test (TAT), have been used to explore these unconscious processes. In the TAT, participants create narratives based on images depicting characters in various emotional states and interpersonal situations. In doing so, participants project aspects of their internal world into the stories they construct. While the TAT has been effective in differentiating diagnostic groups and providing insights into socio-emotional functioning in both children and adults, few studies have directly compared TAT narratives between caregivers and children. This paper presents a case-based examination of caregiver–child TAT narratives drawn from data from a larger mixed-methods research study of 20 dyads. In this paper, six dyads were selected to illustrate how the process of in-depth analysis of key relational and emotional themes, language use, and narrative structure can offer important insights for treatment planning with children, caregivers, and families. The findings underscore how narrative material can illuminate relational patterns and guide individualized interventions in child and family therapy.