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Motivational
Interviewing
Relationship-based
Practice
Definition
• “Motivational interviewing is a person-
centered, goal oriented method of
communication for eliciting and strengthening
intrinsic motivation for positive change.”
• (Miller, 2009)
Premise
• Facilitate and engage intrinsic motivation with
client in order to change behavior
• Collaborative, goal oriented
• Attention to language of change
• Atmosphere of acceptance and compassion
Stages of Change
• Pre-contemplation
• Contemplation
• Preparation
• Action
• Maintenance
• Possible relapse
Four Principles
• Roll with resistance
• Express empathy; reflective listening – person
centered skills
• Develop discrepancy
• Support self efficacy - affirmations
By listening to person; understanding
motivation; resisting the reflex to fix; and
empowering the person
Emphasis in Therapy
• Empathy – seeking to understand the nature
of client’s challenges and problems
• Guide, evoke ideas to let people come up with
the changes
• Making sure person understands goals and
goals align with core values
• Summarizing – linking materials and reflecting
back
Therapist
• Collaborative – respect client’s expertise
• Evocative – drawing out ideas and solutions
from client as the experts about themselves
• Honor autonomy – decision making left to
client
Evocative Questions
For what are you motivated?
What changes do you want most?
On a scale of 1-10 how important is it to you to change?
What are your most important reasons for changing?
What are the benefits of changing?
How will you do it?
In what ways are you already able to make the changes you
want to make
Costs – Benefits to Change
Change Status Quo
Benefits Benefits of changing Benefits of not changing
Costs Consequence of changing Consequence of not changing
Signs of Readiness for
Change
• Decreased resistance
• Decreased discussion about the problem
• Resolve
• Change talk/self-motivational statements
• Questions about change
• Envisioning
• Experimenting

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Motivational interviewing slides

  • 2. Definition • “Motivational interviewing is a person- centered, goal oriented method of communication for eliciting and strengthening intrinsic motivation for positive change.” • (Miller, 2009)
  • 3. Premise • Facilitate and engage intrinsic motivation with client in order to change behavior • Collaborative, goal oriented • Attention to language of change • Atmosphere of acceptance and compassion
  • 4. Stages of Change • Pre-contemplation • Contemplation • Preparation • Action • Maintenance • Possible relapse
  • 5. Four Principles • Roll with resistance • Express empathy; reflective listening – person centered skills • Develop discrepancy • Support self efficacy - affirmations By listening to person; understanding motivation; resisting the reflex to fix; and empowering the person
  • 6. Emphasis in Therapy • Empathy – seeking to understand the nature of client’s challenges and problems • Guide, evoke ideas to let people come up with the changes • Making sure person understands goals and goals align with core values • Summarizing – linking materials and reflecting back
  • 7. Therapist • Collaborative – respect client’s expertise • Evocative – drawing out ideas and solutions from client as the experts about themselves • Honor autonomy – decision making left to client
  • 8. Evocative Questions For what are you motivated? What changes do you want most? On a scale of 1-10 how important is it to you to change? What are your most important reasons for changing? What are the benefits of changing? How will you do it? In what ways are you already able to make the changes you want to make
  • 9. Costs – Benefits to Change Change Status Quo Benefits Benefits of changing Benefits of not changing Costs Consequence of changing Consequence of not changing
  • 10. Signs of Readiness for Change • Decreased resistance • Decreased discussion about the problem • Resolve • Change talk/self-motivational statements • Questions about change • Envisioning • Experimenting