The phenomenon of silence during a therapy session is commonly observed by psychotherapists. The reasons for silence may have various sources springs. The psychoanalytic theory tries to describe and explain them. Different psychoanalytic currents propose diverse concepts of the appearance of silence during psychotherapy sessions. The article presents views of such schools as classical Freudian psychoanalysis, ego psychology, Klein school, self-psychology, and Bionian school. Especially the views derived from the Bionian school, according to the author, allow clearly and legibly read the message included in the patient’s silence in the session. The author demonstrates the topic by means of the clinical case presentation of a work with a female patient who is silent on the therapy session.