The Open Dialogue approach is “too expensive”? Listening and connecting to a client takes patience and compassion. Dismissing a person who has psychosis and controlling him/her through forced drugging and hospitalization is far more expensive and certainly degrading. The problem is with many “professionals” who like control and power and do not have the ability or just too lazy to truly empathize and connect. Why are we in the field if connecting and healing is not the purpose? It certainly is frustrating, humbling and painful at times to be in it with someone experiencing difficult emotional states and psychotic thinking, but certainly worthwhile and one of the most rewarding experiences I have ever had. I was surprised to hear that Aaron Beck is still teaching at 97. I agree with writer that his approach is more “There is a problem in this person, how do we fix it?” versus a more humane and healing approach of “There is a person, how do we connect?”. Trust and respect in any relationship is essential. Thinking someone is broken does not create a healthy connection nor a healthy relationship.