Patients with neurally connected AI implants have reported the sense of self-estrangement or identity rupture. That is, while the implant often becomes integrated into self-identity for many patients, others experience a sense of alienation from the device implanted within them that appears to act autonomously and independently from the patient’s own volition. They experience this device as an alien entity within them with which they share consciousness. This presents a unique set of issues that the legal and bioethical debates on AI regulation have not fully engaged. The limited scholarship on this problem uniformly assumes that patients who cannot fuse the implant into their sense of identity should be denied the implant. This essay argues that other alternatives are possible. Drawing from scholarship on psychology, it argues that where individuals have a fraught relationship with their implant, the goal should not be to force them to view the implant as part of themselves. Rather, the goal should be to create a relationship of trust between the patient and (what they see as) the implant.