Psychology in South Africa has a conflicted history. It was once instrumentalised to justify colonialism and apartheid, as exemplified by Verwoerd's use of psychological knowledge to engineer systemic oppression. Yet psychology also contributed to liberation, through the voices of Sobukwe, Biko, Black Consciousness, the Truth and Reconciliation Commission, and the establishment of professional bodies such as PsySSA. Despite these advances, structural violence—manifest in economic inequality, poor public health and education, corruption, and disrupted family systems—continues to undermine the relevance and efficacy of psychotherapy. As Gordon Lewis observed, "there can be no hope for [mental health] efforts of normalisation in an abnormal society." This presentation applies Frantz Fanon's emancipatory framework to the South African therapy room, critically examining how decolonial methods can be developed within psychotherapeutic practice. It draws on socio-political analysis, clinical reflection, and liberation psychology to interrogate the conditions under which agency and psychological emancipation can occur. Mental health cannot be narrowly defined as the absence of symptoms but must also encompass freedom from structural violence. Fanon's insistence that emancipation is achieved through agency, not bestowed, necessitates therapeutic practices that foster liberation rather than compliance. In a context marked by poverty, gender-based violence, xenophobia, and failing public services, conventional Eurocentric approaches risk silencing rather than empowering clients. The paper argues for training and practice reforms that embed decolonial praxis within psychotherapy. It offers critical recommendations for developing "emancipatory therapeutic methods of liberation" that align clinical work with the broader project of social transformation in postcolonial South Africa.