DescriptionThis case study raises the question of the effect of mental health treatment on the developing sense of self through the examination of the experience of a teen growing up in residential care. Ben, an adolescent with a history of selective mutism, presents with a maladaptive identification with mental illness. He has incorporated its vocabulary into everyday conversation, and converted typical emotional reactions to the pathological. The influences of the culture within a residential setting, coupled with the impact of the discourse held during therapeutic sessions connect Ben's sense of self with the mental health treatment he received. The use of expressive therapy, namely Cinematherapy, is highlighted as a means to protect self-esteem while challenging Ben's over-identification with mental illness.