An elementary-aged female attending a specialized development center for severely emotionally disturbed students created this painting after 18 months of art therapy. Initially non-verbal and mistrustful, she would make noises, demand silence during sessions and fill countless pieces of drawing paper with superfluous images made from stamps. She was always encouraged and acknowledged with comments such as, "I see you doing that…I hear you." She gradually became more trusting and responded to more structured art tasks. As time passed her eye contact improved and her imagery became more realistic. She is now beginning to make verbal associations to the imagery and communicating them to the art therapist.