Motivational Interviewing is an effective counseling approach based on expressing empathy, rolling with resistance, developing discrepancy, and supporting self-efficacy. It focuses on resolving ambivalence about change through open-ended questions, affirmations, reflections, and summaries. The counselor acts as a partner rather than expert to elicit the client's own motivations for change and develop a specific, measurable plan for change.
Josué Guadarrama MA Presentation at 2016 Science of HOPE
Motivational Interviewing (MI) is a directive, client-centered counseling and/or communication style for eliciting behavior change by helping individuals to explore and resolve ambivalence, while minimizing resistance and maximizing intrinsic motivation. Compared with nondirective counseling, MI is more focused and goal-directed. Based on the physics of behavior change, participants will learn assessment and communication skills that foster sustained behavior change by tapping into intrinsic motivation. Aside from a didactic approach, there will be video examples and skill practice. Audience participation is highly encouraged.
Josué Guadarrama MA Presentation at 2016 Science of HOPE
Motivational Interviewing (MI) is a directive, client-centered counseling and/or communication style for eliciting behavior change by helping individuals to explore and resolve ambivalence, while minimizing resistance and maximizing intrinsic motivation. Compared with nondirective counseling, MI is more focused and goal-directed. Based on the physics of behavior change, participants will learn assessment and communication skills that foster sustained behavior change by tapping into intrinsic motivation. Aside from a didactic approach, there will be video examples and skill practice. Audience participation is highly encouraged.
A discussion of motivational interviewing: what is it, how does it work, and how can we start to use it with students face forced behavior change in academics?
Hi!
I am SHIV PRAKASH (PhD Research Scholar),This slide presentation, I have created it for teaching purpose. I have used this slide to present the concept of CBT for Nursing Student in the department of psychiatry, I.M.S. Banaras Hindu University in Varanasi.
I hope this will be help full for everyone.
Thank you!
CBT is a for of psychological therapy used to alter subjects thoughts to improve behaviors and or feelings. it is great tool to be used for psychological disease or chronic diseases. this presentation cover the basics aspects of CBT with some studies about use of CBT in pulmonary diseases.
Cognitive behavioral therapy (CBT) is a short-term, goal-oriented psychotherapy treatment that takes a hands-on, practical approach to problem-solving. Its goal is to change patterns of thinking or behavior that are behind people's difficulties, and so change the way they feel.
This course provides training and CEUs for addicitons counselors and LPCs working in Addictions, Mental Health and Co-Occurring Disorders will help counselors, social workers, marriage and family therapists, alcohol and drug counselors and addictions professionals get continuing education and certification training to aid them in providing services guided by best practices. AllCEUs is approved by the california Association of Alcohol and Drug Abuse Counselors (CAADAC), NAADAC, the Association for Addictions Professionals, the Alcohol and Drug Abuse Counseling Board of Georgia (ADACB-GA), the National Board for Certified Counselors (NBCC) and most states.
Presented during the Psychology Congress, Lyceum of the Philippines, Intramuros, Manila, Philippines, October 8, 2009.
Looking for customized in-house training sessions that fit your needs, particularly in the Philippines? Please send me an email at clarencegapostol@gmail.com or WhatsApp +971507678124. When your request is received I will follow up with you as soon as possible.Thank you!
A discussion of motivational interviewing: what is it, how does it work, and how can we start to use it with students face forced behavior change in academics?
Hi!
I am SHIV PRAKASH (PhD Research Scholar),This slide presentation, I have created it for teaching purpose. I have used this slide to present the concept of CBT for Nursing Student in the department of psychiatry, I.M.S. Banaras Hindu University in Varanasi.
I hope this will be help full for everyone.
Thank you!
CBT is a for of psychological therapy used to alter subjects thoughts to improve behaviors and or feelings. it is great tool to be used for psychological disease or chronic diseases. this presentation cover the basics aspects of CBT with some studies about use of CBT in pulmonary diseases.
Cognitive behavioral therapy (CBT) is a short-term, goal-oriented psychotherapy treatment that takes a hands-on, practical approach to problem-solving. Its goal is to change patterns of thinking or behavior that are behind people's difficulties, and so change the way they feel.
This course provides training and CEUs for addicitons counselors and LPCs working in Addictions, Mental Health and Co-Occurring Disorders will help counselors, social workers, marriage and family therapists, alcohol and drug counselors and addictions professionals get continuing education and certification training to aid them in providing services guided by best practices. AllCEUs is approved by the california Association of Alcohol and Drug Abuse Counselors (CAADAC), NAADAC, the Association for Addictions Professionals, the Alcohol and Drug Abuse Counseling Board of Georgia (ADACB-GA), the National Board for Certified Counselors (NBCC) and most states.
Presented during the Psychology Congress, Lyceum of the Philippines, Intramuros, Manila, Philippines, October 8, 2009.
Looking for customized in-house training sessions that fit your needs, particularly in the Philippines? Please send me an email at clarencegapostol@gmail.com or WhatsApp +971507678124. When your request is received I will follow up with you as soon as possible.Thank you!
This presentation was part of Embody's Safe Healthy Strong 2015 conference on sexuality education (www.ppwi.org/safehealthystrong). Embody is Planned Parenthood of Wisconsin's education and training programs. Learn more: www.ppwi.org/embody
DESCRIPTION
Reproductive life planning (RLP) is a client-based assessment of personal life goals to determine if and where childbearing fits in with education, family, relationships, work, and more. This assessment then informs the development of a flexible strategy to prevent or plan future pregnancies in order to successfully meet these goals.
However, getting patients to modify their health or sexual habits isn’t always easy. The practice of motivational interviewing (MI) is an effective catalyst for behavior change. MI is a quick, effective, client-centered counseling technique that allows clients to define their own goals and make their own choices by helping them identify what is personally meaningful and valuable in their own lives, and to act in ways that will help them meet their goals. Best of all, it works.
This full-day pre-conference workshop introduced participants to the core concepts of motivational interviewing, placed within the context of reproductive life planning, a process which allows individuals to make appropriate decisions regarding their sexual and reproductive health, desire to have children, and birth spacing.
Participants learned the basic techniques of motivational interviewing and discovered how to help clients assess their own goals, make a plan that will help them meet those goals, and find ways to overcome obstacles that may occur along the way.
ABOUT THE PRESENTERS
Meghan Benson, MPH, CHES, has worked in the field of sexuality education since she was a teen peer HIV educator in high school. Throughout her education and professional experience, she remained dedicated to advocacy and education around women’s sexual health. She completed her MPH in Community Health Sciences with a focus on adolescent health and development at the University of Illinois-Chicago and will be pursuing her PhD at the UW-Milwaukee Zilber School of Public Health in Fall 2015. As the director of Embody, Meghan develops programming and coordinates educational opportunities throughout the state. Meghan is a board member for the Association of Planned Parenthood Leaders in Education, a Wisconsin Alliance for Women's Health board member, and a member of the Dane County Youth Commission.
Anne Brosowsky-Roth has been with Planned Parenthood of Wisconsin for over 20 years. During that time, she has held various positions within the patient services and community education departments. In her current role, she provides direct education for Planned Parenthood staff and other health professionals on reproductive and sexual health. Anne also provides research and support for staff as the manager of the Maurice Ritz Resource Center, the Planned Parenthood of Wisconsin community library.
Motivational interviewing scaffolded offender's journey - a.j.bencosmeArturo J. Bencosme, PhD
Motivational Interviewing is a well known counseling vehicle. It frequently connected to the stages of change. Nevertheless, its scope and impact becomes expanded if connected to the subjective experience of the person receiving counsel as portrayed through the hero's journey. The case illustrated here is that of using MI to help offenders rehabilitate and reenter society.
Detailed understanding of Motivational Enhancement Therapy for management of Substance Use Disorders with contextual inputs for Indian population and sub-culture.
Motivational Interviewing - Dr Igor Koutsenok MD, MSjames_harvey_phd
Session 1 "Motivational Interviewing Course: Assisting Patients in Making Sustainable Positive Lifestyle Changes"
Presented by Dr Igor Koutsenok MD, MS (University of California San Diego, Department of Psychiatry) on 05/06/2020 during the first session of an ISSUP virtual training on MI.
**PLEASE NOTE that video slides have been removed to reduce file size**
Presentation content and learning outcomes:
After orientation to the underlying spirit and principles of MI, practical exercises will help participants to strengthen empathy skills, recognize and elicit change talk, and roll with resistance. Research evidence will be reviewed for the efficacy of MI and for the importance of building a therapeutic relationship in clients’ outcomes. Integration of MI with other treatment modalities will be considered.
Learning outcomes:
Introduction: Motivation and behavioral change in addiction medicine
Review of the concepts of Ambivalence, Stages of change, the righting reflex, limits of persuasion.
Spirit of MI
Expressing empathy
Roadblocks to communication
Four Processes in MI
Full details: https://www.issup.net/about-issup/news/2020-05/motivational-interviewing-course
Attendees will gain insight into the stigma that is attached to individuals who have dual diagnosis and criminal justice involvement, as well as, the importance of instilling power and hope to the individual. They will increase knowledge of the stages of change and utilizing motivational interviewing techniques to assist the individual through their path of recovery from mental illness, substance abuse, and criminal justice involvement.
In this guide I provide information and tools for people to ask and answer five basic questions to create and implement their plan. Each year, people make resolutions that don’t seem to stick. This is because they are short sighted and are not grounded in a longer term plan and direction for their life. My goal in this guide is to get people thinking and planning based on what you want they want out of their life in the future and setting goals and strategies now to get there.
A 'Taste' of Motivational Interviewing with Dr. Ellen GlovskyEllen Glovsky
This is an informative and exciting one-hour webinar, in which I will provided an overview of the "spirit" and technique of Motivational Interviewing. The webinar included 40 minutes of lecture and ample opportunity for questions and answers.
MI is an evidence-based approach to health behavior change counseling. The method has been successfully used in many types of interventions, including the lifestyle changes recommended for weight management, diabetes, heart disease, eating disorders, HIV and cancer, the promotion of breast feeding, and nutrition for wellness and the prevention of chronic disease.
For more on MI and how it works, please sign up for my monthly newsletter http://eepurl.com/tbf81 , The Changing Times.
Please join me on Facebook https://www.facebook.com/TrainingwithDrEllenGlovsky and please join me on Facebook at my new 'book' page http://on.fb.me/1c0Iz73
Feel free to email any questions or comments you may have to Ellen@TrainingWithDrEllen.com
📌 Free Webinar on "Counselling Ethics during Therapy Session"
Ethics in counseling are suggested standards of conduct based on professional values and moral decision-making. Ethics in counseling are concerned with doing what is best for the client and these are important to protect both the client and the counselor.
Therapy is a way to help people with a broad variety of mental illnesses and emotional difficulties.
Purpose:
The Main Purpose of this session is basically the awareness about Counselling Ethics and teach the Counselors how they can develop a bond of trust and respect with their clients.
2. The Definition of MI
Motivational Interviewing is an effective way of talking with
individuals about the work of change.
3. What makes MI effective?
MI is evidenced based, 1200 publications or more supports it’s effectiveness.
4. There are four core principles of MI:
Express empathy----Build rapport
Roll with resistance---respect client autonomy
Develop discrepancy----Elicit pros and cons….identify between
goals and current behavior.
Support self-efficacy----communicate to the client he/she is
capable of change.
CORE PRINCIPLES
5.
6. Change is not quick or easy.
What kind of change are we talking about?
People face many decisions that require change at every stage of life.
Addictions/Drugs Housing Career Marriage/Relationships
That’s just to name a few.
9. When change is hard its NOT always because of
Lack of information
Laziness
Oppositional personality
Denial
10. When change is hard its often because of
Ambivalence
Wanting and not wanting change at the
same time.
11. Because ambivalence is uncomfortable it often leads to
Procrastination
Which is often seen by the counselor as resistance. In motivational interviewing we revert from the term
resistance.
12.
13. Partnership: Work together, avoid the role of the expert. Equal partnership working with the client. “ I value you and am
delighted to work with you”.
Acceptances: Respect the clients autonomy strength and hope.
Compassion: Keep the clients best interest in mind.
Evocation: The best ideas come from the client.
14. 4 Skills of MI
(OARS)
1. Open Questions
2. Affirmations
3. Reflections
4. Summaries
15. Open Questions
1. You might ask your client:
How much alcohol do you drink everyday?
Translated into MI speak:
What role does alcohol play in your life?
16. 2. Affirmations
Awards Words of Encouragement
Attempts
Achievements
Accomplishments
Anything the clinician see’s positive about the client.
17. Affirmation Examples
You really care about your family.
This is hard work that you are engaged in.
It took a lot of courage coming in today knowing that you would test positive today.
18.
19. 3. Reflection
Understanding what the client is thinking & feeling and saying it back to the client.
No questions just reflection. In MI the clinician use reflection to convey empathy and
understanding. To see the world through the eyes of the client.
20. 4. Summary
A long reflection of more than one client
statement._______________________________________________________________
____________________________________________________________________
____________________________________________________________________
__________________________________________
Reinforce patient’s motivation to change
Highlight realizations
Identify transitions, progress or themes
23. Dis- engaging
Assessing----
Telling----
Client is seen as impaired, unable to understand situation;
Counselor imposes “reality” of situation
“Client is assumed to lack capacity for self-direction;
Counselor tells patient what he/she must do”
Power---- Authority figure. “I'm the Counselor”
Labeling-----
24. “I've learned that people will forget what you said, people will forget what you did, but people will never forget how you
made them feel.”
Maya Angelou
25. Focusing
An ongoing process of seeking and maintaining direction.
Agreeing on an agenda, goals & priorities, clear direction.
28. Change Talk
Client speech that favors movement in the direction of change.
“I want” … “I wish”…. “The reasons are” …. “ I can” … “It would solve problems”
30. Smart Plan
S – Specific
M – Measureable
A – Attainable
R – Realistic
T – Timely
31. Develop a Change Plan
SMART: Specific. Measureable. Attainable. Reasonable. Timely.
“I will try to quit smoking”
VS.
“Starting on Monday, I will cut back on 1 cigarette per day until I
have reached zero cigarettes.”
32.
33. Additional Resources
Miller, William and Rollnick, Stephen, Motivational
Interviewing: Helping People Change. Third Edition. New
York: Guilford Press, 2012.
Prochaska, J., Norcross, J. and DiClemente, C. Changing
for Good. New York: Harper and Collins, 1994
Rollnick, S. and Miller, W.R., What is Motivational
Interviewing? Behavioral and Cognitive Psychotherapy,
23, 325-334, 1995.
Rollnick, Stephen, Miller, William, and Butler, Christopher,
Motivational Interviewing in Health Care, New York,
Guilford Press, 2008.
Rosengren, David, Building Motivational Skills: A
Practitioner Workbook, Guilford Press, 2009.
Editor's Notes
Miller & Rollnick definition is included in the handout.
(MI) is an evidence-based treatment that addresses ambivalence to change. MI is a conversational approach designed to help people with the following:
Discover their own interest in considering and/or making a change in their life (e.g., diet, exercise, managing symptoms of physical or mental illness, reducing and eliminating the use of alcohol, tobacco, and other drugs)
Express in their own words their desire for change (i.e., "change-talk")
Examine their ambivalence about the change
Plan for and begin the process of change
Elicit and strengthen change-talk
Enhance their confidence in taking action and noticing that even small, incremental changes are important
Strengthen their commitment to change
MI is one of the core components of a variety of interventions used by direct-service providers, supervisors, team leaders, and organizations in the following service areas:
Substance abuse (addiction services)
Mental health
Psychiatry
Primary healthcare
Nursing
Supported employment
Tobacco cessation & recovery
Vocational rehabilitation
Residential
Housing
Healthcare
Criminal justice
Stage #1: Pre-Contemplation
People at this stage may be aware of the costs of their addiction. However, they do not see them as significant as compared to the benefits. Of course, others may view this situation differently. Characteristics of this stage are a lack of interest in change, and having no plan or intention to change. We might describe this person as unaware.
Stage#2: Contemplation
People in the contemplation stage have become aware of problems associated with their behavior. However, they are ambivalent about whether or not it is worthwhile to change. Characteristics of this stage are: exploring the potential to change; desiring change but lacking the confidence and commitment to change behavior; and having the intention to change at some unspecified time in the future. We might describe this person as aware and open to change.
Between stage 2 and 3: A decision is made. People conclude that the negatives of their behavior outweigh the positives. They choose to change their behavior. They make a commitment to change. This decision represents an event, not a process.
Stage #3: Preparation
At this stage people accept responsibility to change their behavior. They evaluate and select techniques for behavioral change. Characteristics of this stage include: developing a plan to make the needed changes; building confidence and commitment to change; and having the intention to change within one month. We might describe this person as willing to change and anticipating of the benefits of change.
Stage #4: Action
At this stage people engage in self-directed behavioral change efforts while gaining new insights and developing new skills. Although these change efforts are self-directed, outside help may be sought. This might include rehab or therapy. Characteristics of this stage include: consciously choosing new behavior; learning to overcome the tendencies toward unwanted behavior; and engaging in change actions for less than six months. We might describe this person as enthusiastically embracing change and gaining momentum.
Stage #5: Maintenance
People in the maintenance stage have mastered the ability to sustain new behavior with minimal effort. They have established new behavioral patterns and self-control. Characteristics of this stage include: remaining alert to high-risk situations; maintaining a focus on relapse prevention; and behavioral change that has been sustained six months. We might describe this person as persevering and consolidating their change efforts. They are integrating change into the way they live their life.
Ambivalence is a natural state of uncertainty that each of us experiences throughout most change processes (e.g., dieting; exercising; maintaining health; restructuring an organization). Ambivalence occurs because of conflicting feelings about the process and outcomes of change.
Client is own expert;
Counselor creates atmosphere that is conducive rather than coercive, and built on partnership /Evocation…Client has resources and motivation to change within;
Counselor must evoke this from patient./
Patient is own expert;
Counselor creates atmosphere that is conducive rather than coercive, and built on partnership
OPENED-ENDED QUESTIONS
Rationale: When counselors
use open-ended questions it allows for a richer, deeper conversation
that flows and builds empathy with clients. In contrast, too many back-to-back closed- or dead ended
questions can feel like an interrogation (e. g., “How often do you use cocaine?” “How
many years have you had an alcohol problem?” “How many times have you been arrested?”).
Open-ended questions encourage clients to do most of the talking, while the therapist listens and
responds with a reflection or summary statement. The goal is to promote further dialogue that
can be reflected back to the client by the therapist. Open-ended questions allow clients to tell
their stories.
“It sounds like you’ve made some progress since last time we spoke. You have cut back to 5 cigarettes per day, and you mentioned that you don’t really miss the ones you’ve cut out. At the same time you’re nervous about cutting back further because of some stressful situations that have been happening over the past week. What else?”
Examples of the opposite of MI
Challenging the client to think about what are there continued reasons and motivations for change. IOP …. Motivational boxes.
Planning ---- the client, the individual, as well as the agency.