This article provides an overview of the development of psychoanalysis in China based on literature and personal observations. We situate this history in the context of the cognate disciplines of psychiatry, psychology, and psychotherapy, all of which are shaped by the massive political and social transformations of modern and contemporary China. Our account starts with a preliminary beginning prior to 1949, which fell largely outside the clinical domain. What follows is a brief description of how this nascent development was extinguished under three decades of radical socialism. The main part of the article deals with the post-reform period that began in the late 1970s, as the introduction of Western psychotherapy and psychoanalysis became possible again after the Cultural Revolution. Emphasis is placed on the past 15 years or so, a period known for an explosive growth of professional and popular interests in psychoanalysis, psychotherapy, and psychology in China’s major cities.