Critical theory has historically assumed an undialectical either/or between reformist therapy and revolutionary politics. Frantz Fanon’s dialectical, psycho-social approach to recovery as disalienation offers us a way out. Lying at the intersection of critical theory, political strategy and the history of political thought, this article highlights a lesser-known French tradition of Freudo-Marxist psycho-politics contemporaneous with the first generation of the Frankfurt School, but which placed therapeutic imperatives front and centre of its psycho-political praxis. This article uses Fanonian institutional psychotherapy to (...) contest the anti-psychiatric conceit that madness is liberating and that therapy obstructs freedom. Fanon’s critical therapy speaks to the recent care-ethical turn of the contemporary organized left, whilst maintaining a structural critique of the aetiology and treatment of mental illness. This article concludes that recovery involves a permanent psycho-political revolution between the subjective and objective, which requires a radical transformation of both mental healthcare and the pathogenic social world to and within which it responds. (shrink)