The development of modern technologies and algorithms of medical care allows for the most effective treatment of patients with almost any pathology. At the same time, it is becoming increasingly important to create and develop new psychological rehabilitation programs for patients who have undergone or are undergoing treatment in outpatient or inpatient settings. Within the framework of psychological rehabilitation of patients in somatic wards, it becomes important to use an individual approach that considers the current state of the patient's inner picture of the disease, allowing to increase the effectiveness of treatment of the underlying disease, and improve the long-term prognosis for and the quality of life of the patient. The article presents the analysis and the result of the search for a connection between the process of identification of the Self with itself, the achievement of self-identity of Self, the inner dialogue and the formation of an inner picture of the disease in the studies of individuals with disabilities. The assumptions about the place of the concepts of dialogue and self-identity of the Self in the model of an ‘inner picture of illness’ are substantiated. The study presents a case of positive dynamics of the self-identity of the Self in dialogue with itself of a young female patient with traumatic blepharoptosis who has undergone a course of medical and psychological rehabilitation.