Motivational Interviewing “I know I should…, but…” An Introduction to the Spirit and Practice of Motivational Interviewing

Transtheoretical Model of Health Behavior Change

 “Motivational interviewing is a directive, client- centered counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence.” What is Motivational Interviewing?

Who Benefits from Motivational Interviewing? People who are ambivalent about life choices

 “Simultaneous and contradictory attitudes or feelings (as attraction and repulsion) toward an object, person, or action.” “If I stop smoking I will feel better about myself, but I may also put on weight, which will make me feel unhappy and unattractive.” Ambivalence

Why Do People Change?

Inspiring behavior change. Spirit

 Express Empathy  Support Self-Efficacy  Roll with Resistance  Develop Discrepancy Four Principles of Motivational Interviewing “The spirit in motivational interviewing relies upon identifying and mobilizing the client’s intrinsic values and goals to stimulate behavior change.”

Motivational Interviewing process occurs in two phases: Phase 1: “building motivation for change” Phase 2: “strengthening commitment to change”

 Basic Approach (OARS ) Open-ended questions Affirmations Reflective listening Summaries Motivational Interviewing Process Phase 1: “Building motivation for change”

 Being “Care-frontation” “What do you want to do?” “What are you thinking about?” “What are you going to do about this?” “How are you going to manage this?” “What do you want to do now that you know this?”  Five Types of Change Talk: DARN-C Desire/Ability/Reasons/Need Statements Commitment Language Motivational Interviewing Process Phase 2: “Strengthening commitment to change”

Change Talk & Self-Reassurance Use accurate empathic reflection to help make change talk occur.

In a nutshell

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