Through close clinical observation, this paper considers how psychotic symptoms may serve as efforts to manage unbearable affect and relational dislocation. The author offers detailed vignettes to illustrate a treatment stance rooted in responsiveness to the patient's experience, where safety and attunement take precedence over interpretive urgency. Particular attention is given to the ways hallucinations and delusions can convey psychic meaning, often reflecting underlying needs for contact, protection, and continuity. Rather than imposing a unified theory, the paper outlines a flexible, patient-centered approach that privileges collaboration, respects the logic within the symptom, and views the therapeutic relationship as a potential site of anchoring and repair.