Counseling

Question 1

What are the 6 stages of Change?

Answer 1

Pre contemplation (not ready), contemplation (getting ready), preparation (ready), action, maintenance, and relapse.

Question 2

I’m providing information and discussing pros and cons of a change a patient should make, what process of change is this?

Answer 2

Consciousness raising

Question 3

Encouraging the patient to pay attention to feelings, what process of change is this?

Answer 3

Dramatic relief

Question 4

Patient should create a new self identity, what process of change is this?

Answer 4

Self re-evaluation

Question 5

You discuss with the patient how their decisions or bad habits are affecting other people, what process of change is this?

Answer 5

Environmental re-evaluation

Question 6

Patient is considering their social support system for their desired change, what process of change we are talking about?

Answer 6

Social liberation

Question 7

Patient actually makes the commitment, what process of change is this?

Answer 7

Self liberation

Question 8

Help patient get the support they need, what is the process of change?

Answer 8

Helping relationships

Question 9

Help patient figure out what they will use as substitutes for their bad habit, what is this process of change called?

Answer 9

Counter conditioning

Question 10

Using rewards to help with breaking bad habits is what process of change?

Answer 10

Reinforcement management

Question 11

Helping the patient manage their environment is what process of change?

Answer 11

Stimulus control

Question 12

What is the general principle behind motivational interviewing?

Answer 12

You want the idea of change to come from the patient. You are convincing them it is their idea so everything has its source in them.

Question 13

6 steps of motivational interviewing?

Answer 13

1. Get permission
2. Start with open ended questions
3. Reflective listening
4. Propose the discrepancy
5. Summarize
6. Elicit the self motivational statements

Question 14

What do we mean by developing discrepancy?

Answer 14

You say something to the patient like the following…
You say you want to be here but you are here and you aren’t progressing because of these excuses, so how can we get from a to b. How can we knock out all these excuses.

Question 15

4 behaviors of resistance?

Answer 15

Arguing, interrupting, negating and ignoring.

Question 16

What is important “talk” we need to pay attention to and what is a good way to propose change to a patient?

Answer 16

Change talk.

Menu of change and help them prioritize what they should do first. Little pieces.

Question 17

What are the 5 A’s?

Answer 17

Assess
Advise
Agree
Assist
Arrange