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This article aims to further dialogue between drama therapists and other mental health professionals by scaffolding and bridging knowledge of common psychodynamic processes to illuminate drama therapy’s potential to deepen psychodynamic trauma therapy. While there are many converges between drama therapy and other forms of psychotherapy, clinical vignettes will show dramatic reality’s unique potential to address and transform common areas impacted by complex trauma: self-concept, affect regulation and the ability to be in a relationship.