Motivational Interview Flashcards
Where can we use motivational interviewing? (general)
Anywhere you want to bring change
Like in the chronic pain cycle
Name a few disciplines where we could use motivational interviewing?
Substance abuse (addiction services) Mental health Psychiatry Primary healthcare Nursing Supported employment Vocational rehabilitation Residential Housing Criminal justice Physical Therapy Occupational Therapy
What are the core principles of motivational interviewing?
Express empathy through reflective listening.
Develop discrepancy between clients’ goals or values and their current behavior.
Avoid argument and direct confrontation.
Adjust to client resistance rather than opposing it directly.
Support self-efficacy and optimism
What is the difference between empathy and sympathy?
Empathy: the ability to understand and share the feelings of another
Sympathy does not require the sharing of the same emotional state.
How do we develop the discrepancy between the present state and the possible goals?
Developing awareness of consequences helps clients examine their behavior.
A discrepancy between present behavior and important goals motivates change.
The client should present the arguments for change
What are some good questions to help develop the discrepancy between the present state and the possible goals?
This is where you are right now/ Are you happy where you are?
Where do you want to be?
With where you are right now, do you think you will be ale to do shopping, gardening, play outside with your kids?
What do you think we need to change?
Why do we need to avoid argument?
Arguments are counterproductive.
Defending breeds defensiveness.
Resistance is a signal to change strategies.
Labeling is unnecessary.
What are the 4 types of resistance?
Four types of resistance: Arguing,
Interrupting,
Denying,
Ignoring.
What are some reasons we should roll with the resistance of our patients?
Momentum can be used to good advantage.
New perspectives are invited but not imposed.
The patient is a valuable resource in finding solutions to problems.
Why is it important to promote self-efficacy?
Belief in the possibility of change is an important motivator.
The client is responsible for choosing and carrying out personal change.
There is hope in the range of alternative approaches available.
What are the Five Opening Strategies For Early Sessions?
Ask Open-Ended Questions Listen Reflectively Summarize Affirm Elicit Self-Motivational Statements
give some examples of open -ended questions:
Tell me what you like about your current lifestyle?
“What’s happened since we last met?”
“What makes you think it might be time for a change?”
“What brought you here today?”
“What happens when you behave that way?”
“Tell me more about when this first began.”
“What’s different for you this time?”
“What was that like for you?”
give some examples of reflective listening phrases
“It sounds like….”
“What I hear you saying…”
“So on the one hand it sounds like …. And, yet on the other hand….”
“It seems as if….”
“I get the sense that….”
“It feels as though….”
What is “normalizing” intended to Do?
Normalizing is intended to communicate to clients that having difficulties while changing is not uncommon, that they are not alone in their experience, or in their ambivalence about changing.
What is “normalizing” NOT intended to Do?
Normalizing is not intended to make clients feel comfortable with not changing; rather it is to help them understand that many people experience difficulty changing.
