Module 10: What to do When There's Little Time

Question 1

Narrow the focus

Answer 1

Narrow down to one or two things they want to change

Question 2

Take every opportunity to affirm

Answer 2

Make affirmations throughout to increase their confidence and self-efficacy

Question 3

Ask permission before providing information

Answer 3

Always ask permission to give recommendations

Question 4

Check In

Answer 4

Check in using elicit-provide-elicit to avoid lecturing clients
Encourage client-centered goal setting
They will feel more empowered to change if they have control over what is changing

Question 5

Address possible barriers

Answer 5

Give them a chance to troubleshoot by asking what they think might get in their way

Question 6

Describe and discuss appropriates strategies for working with a talkative client.

Answer 6

• Reflective listening and summaries: rephrase what they said about the change talk, not the tangent
• Refocusing: if they start getting off topic or alternating between topics, we can ask which topic they want to discuss first – this will get them to choose one to focus on
• Breaking in with kindness and compassion: we can say “If I may jump in for just a moment, I’m concerned we’re not going to be able to discuss the reason your doctor sent you to see me. Unfortunately, we only have about 10 minutes today and I want to make sure I have time to answer any questions you might have.”

Question 7

Plan – FOCUS

Answer 7

• First ask permission
• Offer ideas
• Concise
• Use a menu
• Solicit what the client thinks