Social work is rich in ideologies and traditions. One of our defining characteristics has been that we struggle with dichotomies. The focus of this article relates to our practice dichotomy: the struggle between service to the individual and change of the environment. This article uses critical theory as an ideological foundation to bridge the dichotomous approach between micro and macro social work practice. Applying critical theory to social work practice fits well with the professional values of enhancement of people's well-being, promotion of social justice, and empowerment of oppressed populations, while blending micro and macro practice. The article concludes with guidelines for critical social work practice.