This paper describes how video technology may provide a less intrusive path for patient/therapist engagement, and create a potential for shared explorations in a transitional space. However, while video facilitated treatment may provide a less intrusive realm for fragile patients who struggle with anxiety and toxic shame, it also excludes aspects of the sensory and embodied realm. I discuss how video technology ultimately contributed to the deepening and expansion of the treatment and offered a path to engage dissociated shame states, thereby facilitating greater coherence and integration, but also presenting challenges in addressing the embodied dimension of the patient’s experience.