This case report explores the shifts in therapeutic power relations during the COVID-19 pandemic between an art therapist and her Deaf client diagnosed with schizophrenia. A therapeutic journey of two and a half years is described, accompanied by examples of the client's artwork. This case report demonstrates how a shared reality in times of global crisis enabled the rethinking of therapeutic power relations and the way art was used to shift these dynamics. The art therapist's ability to use her shared reality experience to reposition herself to facilitate the therapeutic relationship is discussed.