Motivational Interviewing: Conversations about Change: Communication Styles

As clinicians, we are usually thinking about how to have the most effective conversations with our clients. And even with putting our best effort and best intentions forward, sometimes these conversations can be messy. One thing we know about MI is that there is not one formula that works for every client and that MI … Continue reading Motivational Interviewing: Conversations about Change: Communication Styles

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Motivational Interviewing Questions: Responding to Discord

I believe it is important to start by discussing how Motivational Interviewing initially thought about disharmony between a client and a clinician as they explored change. When the first edition of Motivational Interviewing: Helping People Change by Miller and Rollnick was released, the term “resistance” was chosen to represent the phenomenon of disagreement, tension, or … Continue reading Motivational Interviewing Questions: Responding to Discord

Motivational Interviewing Questions: Responding to Change Talk

In a conversation about change with our clients, we are attempting to guide them towards making meaningful change in their lives that is sustainable. And as we all know, there will be some ambivalence along the way that needs to be worked through for this change to occur. How are we aware of this ambivalence? … Continue reading Motivational Interviewing Questions: Responding to Change Talk

Motivational Interviewing Questions: Evoking Change Talk Through “Exploring Goals and Values”

When we ask the client what matters most to them, it can be a good way to continue building rapport. This conversation can explore what the client really cares about and how these goals and values may guide their lives. And we also know that goals and values are aspirations, so there may be some … Continue reading Motivational Interviewing Questions: Evoking Change Talk Through “Exploring Goals and Values”

Motivational Interviewing Questions: Evoking Change Talk Through “Querying Extremes, Looking Back, and Looking Forward”

The first approach we will explore together is Querying Extremes. This technique is designed to elicit change talk by asking the client to talk about the extremes of their (or others’) concerns or potential consequences about their particular condition or behavior. As well, it also asks the client to describe and imagine the best outcome … Continue reading Motivational Interviewing Questions: Evoking Change Talk Through “Querying Extremes, Looking Back, and Looking Forward”

Motivational Interviewing Questions: Evoking Change Talk Through “Importance and Confidence” Rulers

We know that adopting new behaviors, or changing old ones, can result from motivation (importance) and self-efficacy (confidence) as well as an individual’s personal characteristics and social and environmental factors. Exploring these factors with a client allows us to learn about facilitators and barriers and can help us guide the client towards change and make … Continue reading Motivational Interviewing Questions: Evoking Change Talk Through “Importance and Confidence” Rulers

Motivational Interviewing Questions: Evoking Change Talk

When a practitioner works with a client, the practitioner can significantly influence how much change talk (movement towards changing behavior) and sustain talk (movement towards maintaining current behavior) they will hear. And the difference is not when the practitioner is just being nice to the client, but rather, from strategic approaches that actually evoke change … Continue reading Motivational Interviewing Questions: Evoking Change Talk

Motivational Interviewing Questions: Speaking one’s own motivation for change

There may be many thoughts that come to mind when we think about the importance of speaking one’s own motivation for change; perhaps words such as ownership, commitment, accountability, and support come up for us. And our actual role as practitioners is to try to guide or facilitate the client in talking themselves into the … Continue reading Motivational Interviewing Questions: Speaking one’s own motivation for change

Motivational Interviewing Questions: Listening and Reflective Listening

When we think about what is the most effective way for us, as practitioners, to respond to a client as they attempt to explore making a change, many initial thoughts and ideas may emerge. What we do know is that before a person speaks, they have a particular message or meaning they would like to … Continue reading Motivational Interviewing Questions: Listening and Reflective Listening