The case of Gina is used to study the emergence of consciousness during a series of play therapy sessions. This study exemplifies an increase in consciousness as related to increasing indices of self-awareness. Recognizing that play therapists are increasingly moving toward integrative thinking, the Play Therapy Dimensions Model was developed as a decision-making model for the intentional, integrative play therapist. One of the primary integrative approaches in the adult psychotherapy literature is referred to as Theoretical Integration. As will be illustrated in the case of Gina, the conceptualization of the two primary domains, and the resulting four quadrants, assists the therapist in navigating the complex client-therapist-treatment interactions in order to tailor the treatment approach. Although there is no single way practitioners view working with consciousness, Siegel has raised the idea of the working memory as one way of understanding conscious awareness.