This case study applies feminist identity development (FID) theory to a feminist-oriented psychotherapy treatment. Although there is a strong body of literature on the principles of feminist psychotherapy, the concept of FID must be further integrated into this work. As a link between psychiatric symptoms and different levels of FID has been empirically supported, FID has a natural connection with psychotherapeutic treatment. This case presentation follows Tara, a working-class woman in her midtwenties, who initially presented in psychotherapy with symptoms of anxiety, depression, and some indication of thought disorder. During her 3½ year treatment, she confronted issues of her mental health, employment and education, and issues related to pregnancy, childbirth, and parenting. These topics were addressed in the context of Tara's emerging understanding of her identity as a woman in a patriarchal society. Attention to issues related to FID facilitated understanding of key issues in treatment.