In this paper I explore what I am calling a “state of grace.” I describe how the convergence of a personal life event that left me more vulnerable—and more available—intersected with my patient Ruth’s fortuitous wish to resume a long-terminated treatment. This convergence allowed both my patient and me to repair the impact of early trauma and create a transcendent experience of new growth. The paper narrates how the process that unfolded became the medium through which Ruth, who felt a persistent experience of aloneness, allowed herself to feel, over time, the necessary primal experience of dependency and the subsequent overwhelming experience of basic need.