Many mental health service users engage in potentially therapeutic amateur music practice, though the role of this in the maintenance of mental health is largely unexplored. The application of psychoanalytic ideas to music-playing gives suggestions for how this activity could helpfully sublimate distress. For this study, six men who attend adult mental health services and play a musical instrument took part in three unstructured hour-long interviews. The material was analysed with a psychoanalytically informed method. Four inter-related themes emerged: ‘Left on the outside’; ‘Playing and linking’; ‘A beautiful gift to myself’; and ‘Frustrating play’. In the lives of these amateur musicians, music’s role as a transitional object and means of containing distress is explored. There is discussion of the narcissistic function of music and the dynamics around music as an exhibitionistic act. The value of paying attention to music in the life of a patient is considered.