In my clinical practice with non-speaking clients on the autism spectrum, I have questioned my understanding of who the people I work with are and how that informs what we do together in therapy. This autoethnographic study provides a narrative account of my early music therapy practice informed by the question “How do I see you, and what does that mean for us?” Autoethnography provides a fitting framework for reflexive questioning, as it requires me as both researcher and participant to turn the lens inward and examine my own experiences as a music therapist. Through narrative dialogues about an impactful client encounter, I explore my clinical perspective in order to understand how I see my clients and how this impacts the world we create together during sessions.