Music has been used as a potent metaphor for understanding what happens in the mind and in the psychoanalytic encounter. This paper presents a therapy process conducted at the end of life in which music, and particularly songs selected by the patient and sung by the therapist, played a central role in a process grounded in Winnicottian holding. As patient and therapist were seized by intense affective experiences including erotic longing, fear, despair, disgust, and overwhelm, the music communicated, contained, and intensified unconscious, unformulated, and/or unspeakable feelings.