This aim of this case study was to build theory on the development of client–therapist mutuality in person-centered psychotherapy. A case study focusing on a 42-year-old female client who had presented for therapy following trauma within interpersonal relationships has been used. A reflective, theory-building, case study method was adopted that used data gathered from verbatim session notes and research interviews between the therapist (first author) and research supervisor (second author). Three primary therapeutic processes that contributed to the development of mutuality are discussed. First, the development of mutual empathy in the relationship; second, strategies for disconnection and staying out of relationship are identified. Third, client agency and mutuality is explored. In conclusion the study proposes that mutuality is a key construct within person-centered psychotherapy and develops as a natural consequence of the presence of Rogers’ therapeutic conditions
