Finding out more about the “Open Dialogue” approach on the web UA-10331854-1
≡ Menu

If you are new to this site, Questions and Answers about Recovery can be a good place to start!

Finding out more about the “Open Dialogue” approach on the web

The Open Dialogue method has the best reported outcomes for any method of assisting those who are beginning to show “psychotic symptoms.”  Rather than relying primarily on medications, it aims to facilitate dialogue throughout a person’s close social network.  You can find out a lot about it just by clicking on the links below.

“Five-year experience of first-episode nonaffective psychosis in open-dialogue approach: Treatment principles, follow-up outcomes, and two case studies”  Psychotherapy Research, March 2006; 16(2): 214_/228

“Healing Elements of Therapeutic Conversation: Dialogue as an Embodiment of Love”  Fam Proc 44:461–475, 2005

“Open Dialogue Approach: Treatment Principles and Preliminary Results of a Two- year Follow-up on First Episode Schizophrenia” Ethical and Human Sciences and Services, 2003, 5(3), 163-182.

“Open Dialogue in Psychosis II:  A Comparison of Good and Poor Outcome Cases” Journal of Constructivist Psychology, 14:267-284, 2001

“The Open Dialog Approach to Acute Psychosis: It’s Poetics and Micropolitics” Family Process, Vol 42, No 3, 2003

“Inner and outer voices in the present moment of family and network therapy” Journal of Family Therapy (2008) 30: 478–491

“Open Dialogues with Good And Poor Outcomes For Psychotic Crises: Examples From Families With Violence”  Journal of Marital and Family Therapy  July 2002 Vol 28 No 3 263-274

Family and Network Therapy Training for a System of Care: “A Pedagogy of Hope:” [In Lightburn, A. & Sessions, P. (Editors). (in press). The handbook of community-based clinical practice. New York: Oxford University Press.]

Book chapter on Scandinavia/Finland approach to psychosis:


“Dialogue Is the Change: Understanding Psychotherapy as a Semiotic Process of Bakhtin, Voloshinov, and Vygotsk”

Becoming Dialogical: Psychotherapy or a Way of Life? by Jaakko Seikkula

The Australian and New Zealand Journal of Family Therapy has a whole issue, available online, concerning “dialogical practices” (approaches which have some components of Open Dialogue) at

Madness Radio: Open Dialog Alternative, interview with Mary Olson

Mary Olson on VoiceAmerica

A PowerPoint:

A film about the Open Dialogue approach is available on a DVD which you can buy at Or, you can watch the whole film for free on YouTube,

Training in the methods used in the Open Dialogue Approach is available in the US:  Details at

“Preparing the Open Dialogue Approach for Implementation in the U.S.” and “THE KEY ELEMENTS OF DIALOGIC PRACTICE IN OPEN DIALOGUE: FIDELITY CRITERIA” by Olson, M., Seikkula, J., & Ziedonis, D. at

Jaakko Seikkula – Challenges in Developing Open Dialogue Practice – a 1:11 long talk on youtube,

Mary Olson, “An Introduction to Dialogical Practice” is a recorded webinar with Q/A that reviews the basics of Open Dialogue, tells the story of how Mary got involved with it, and also touches on how to use dialogical approaches when working in other settings.

“All in the Mind” in Australia taped an insightful interview on Open Dialogue,

If you have a bit of money to spend, a recorded 2 day training in Open Dialogue is available for $45.45 at  Presented by Markku Sutela, MA, who was the Chief Psychologist at Keropudas Hospital in Western Lapland, recorded in 2014.

There are additional resources on Will Hall’s collection of resources.

20 comments… add one
  • Message to site. A lot of the links on this page are broken. Please update.


  • Open Dialogue sounds fantastic. Do they take patients in from other countries? Do they only work with patients who are experiencing a psychotic episode for the first time or do they offer help to patients who have had several psychotic episodes and have been treated with neuroleptics for a few years?

    • I have never heard of Open Dialogue taking patients from outside of their treatment area. I do know they mostly work with first experiences of psychosis, though I have heard of the method being used with people who have been treated for years in different systems. I think that is more difficult, but still possibly effective.