This research will explore current theory and methods of practice to develop an intervention design for visual journaling that can be used during art therapy with people receiving early psychosis treatment. Essentially, the visual journal as symbol, process, and container of integrated knowledge situates art as a form of language. To justify a visual journal’s clinical scope of operations as an early psychosis intervention design, a number of methodological evidence-based concerns must be addressed first. Simply, these include determining with clarity the psychological mechanisms underlying psychosis and psychosis-like experiences; art therapy; and visual journaling. By reviewing relevant gaps in the psychological and psychiatric literature, this intervention’s metacognitive function and the choice of art therapy as a guiding framework together highlight an important bridge which may support the long-term needs of clients while advancing a field of research. That said, because the active uncovering and processing of crisis-related experiences for a clinically vulnerable population with reality-testing thought disorder poses an ethical concern, this research must also be thorough and parsimonious. Accordingly, the projected benefits and counter-indicated risks of visual journaling with clients who experience psychosis are critical considerations to be developed through a discussion of the triadic relationship’s fundamental qualities to art therapy. The presented hypothesis is limited as a first step and clinical recommendations need to be piloted before efficacy can be evaluated.