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The article is a personal reflection of clinical experience that was influenced by theory of social construction and dialogical approaches in psychotherapy and family therapy. The author highlights those ideas of the theory of social construction and dialogical approach which he found attractive and inspiring in the beginning and during his professional career. The challenges one can encounter when applying those ideas in psychotherapy and psychiatry institutions are discussed. Attention is paid to individual, institutional, and social factors that may impede the application of dialogical principles not only in psychotherapy practice.