This paper explores the potential application of an impermanent art therapy method as a means to enhance attunement between client and therapist. Inspired by David Read Johnson’s (2000) Developmental Transformations (DvT), a drama therapy approach that accentuates encounter through free flowing improvisation, this study explores the theoretical and practical underpinnings required to integrate DvT concepts into an art therapy intervention. Within this paper, therapeutic attunement, interactive art therapy practices, as well as the Buddhist concept of impermanence are reviewed and examined as a means to develop an intervention technique that considers the potential of an improvised and interactive art method.