Motivational Interviewing: Conversations about Change: Engaging

Engaging is the first of the four processes in MI (engaging, focusing, evoking, and planning) and lays the groundwork for the first session and the sessions to follow. And as you likely know from experience, engagement can occur with some clients in a matter of minutes, and with other clients, it may take more than … Continue reading Motivational Interviewing: Conversations about Change: Engaging

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Motivational Interviewing: Conversations about Change: Next Steps following a MI training

We continue with our “conversations about change” and focus this month on what we do after we go to a MI training or receive some exposure to MI. What we know from our own experience, and from research, is that continued practicing, coaching, and feedback is essential for us to integrate the information, knowledge, and … Continue reading Motivational Interviewing: Conversations about Change: Next Steps following a MI training

Motivational Interviewing: Conversations about Change: What MI is Not!

In this MI blog, we have focused on many important aspects of MI including techniques, processes, spirit, and ambivalence. What we haven’t talked about much is “What MI is NOT” and clarifying some things related to MI that may be confusing. For example, when working with a client, the clinician always has a direction in … Continue reading Motivational Interviewing: Conversations about Change: What MI is Not!

Motivational Interviewing: Conversations about Change: The Spirit of MI

When Motivational Interviewing was first introduced, there was a great deal of focus on specific techniques that would support the client in exploring behavior change. However, Rollnick and Miller (1995) felt like something was missing as they went around and trained people. They felt like they had taught people the words of Motivational Interviewing but … Continue reading Motivational Interviewing: Conversations about Change: The Spirit of MI

Motivational Interviewing: Conversations about Change: Potential Dynamics

In early counseling therapies and treatment, there were many approaches where the clinician attempted to convince the client to make healthier choices in their lives. If the clinician were able to ask appropriate questions, provide important information, encourage certain emotions, and persuade the client to see things in a certain way, the client would be … Continue reading Motivational Interviewing: Conversations about Change: Potential Dynamics

Motivational Interviewing: Conversations about Change: The Righting Reflex and Ambivalence

As a helping professional or clinician, there are times when we witness our clients making choices that we believe are not in their best interests and will not support them in reaching their desired goals. And in many cases, it can be extremely challenging to allow these behaviors to continue without wanting to “step in” … Continue reading Motivational Interviewing: Conversations about Change: The Righting Reflex and Ambivalence

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

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