<p>Social inequality and power relations—such as the dimension of social class—have received little attention in psychotherapeutic research and practice to date. Building on Bourdieu’s theory of capital and habitus, this article therefore discusses the relevance of social class in psychotherapeutic care. People with low socio-economic status suffer more frequently from mental illness, but have poorer access to psychotherapy due to structural barriers and often achieve less successful treatment outcomes. Despite the implicit orientation of psychotherapeutic methods towards the living environments of higher social classes, the social causes of psychological conflicts are often neglected in practice. This article shows how social inequalities influence the therapeutic process and relationship through the habitual dispositions of patients and therapists. It advocates for the systematic integration of social class into research, training and practice in order to achieve equity in care.</p>