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This case study describes one year of treatment with a 17-year-old boy who was seen at the Nordoff-Robbins Music Therapy Clinic at New York University. He has numerous developmental delays, as well as emotional handicaps triggered by, among other things, a history of abuse. However, a major strength for him is his intense connection to music. He brought to the sessions a chil­ dren’s fantasy, which he adapted to include some elements in his life. This article describes our clinical journey through three phases of treatment, discussing how music was used to elaborate the drama, engage the client, and bring about change. Audiotape excerpts are included.

The Journey by Train: Creative Music Therapy with a 17-Year-Old Boy