Motivational interviewing

Question 1

preparing your attitude: wat is belangrijk?

Answer 1

• extreme respect for the client
• respect clients wisdom, knowledge and ability to make decisions for their own life
• own role not as an expert to persuade the client to see things from your own POV
• work in partnership and see things from the clients POV
• not to motivate the client but to explore the clients own motivation

Question 2

spirit summed up in 4 words:

Answer 2

PACE

partnership
acceptance
compassion
evocation

Question 3

you want to accomplish 4 things:

Answer 3

RULE

resist: tendency to tell patients what to do
understand: their own motivations and solutions
listen: empathically and carefully, strive to understand
empower: encourage hope and optimism

Question 4

checklist for preparing the session

Answer 4

• Anticipate that this client = very important person deserving of your respect & appreciation
• Put other concerns out of mind/on hold until after session so can devote all attention to client
• Free environment of clutter & distractions
• Anticipate & plan for interruptions

Question 5

goals at the beginning of the session

Answer 5

• Establishing rapport
• Engaging client
• Express appreciation for client coming in/keeping appointment
• Structure session so they know what to expect
• But allow enough flexibility

Question 6

engaging=

Answer 6

process of establishing mutually trusting and respectful helping relationship

Question 7

4 processes of MI

Answer 7

engaging
focusing
evoking
planning

Question 8

things to avoid

Answer 8

• Asking too many questions (creates disengagement, promotive passive stance in client)
• Being ‘expert’/offering advice/solutions (also promotes disengagement)
• Labeling client
• Assigning blame for problem
• Simply chatting w client

Question 9

focusing=

Answer 9

ongoing process of seeking and maintaining direction

Question 10

specific tools used in the beginning of a session

Answer 10

OARS

open questions
affirmations
reflections
summaries

Question 11

wat zijn goede starters voor een reflectie

Answer 11

• het klinkt alsof
• dat laat me denken dat
• als ik het goed begrijp
• wat ik hoor is

Question 12

wat kan je doen met een samenvatting wat je niet met een reflectie kan

Answer 12

vragen om feedback

Question 13

follow up vragen na een scaling vraag

Answer 13

• Why did you pick _ and not a lower number?
• What would it take to move it to a higher number?

Question 14

5 types of change talk

Answer 14

DARN-C

desire
ability
reason
need
commitment to change

Question 15

desire=

Answer 15

expressions of wanting, wishing and hoping for

Question 16

ability change talk

Answer 16

i can, im going to, im able

Question 17

reason change talk

Answer 17

benefits of change

Question 18

need change talk

Answer 18

need to, got to, have to, problems with current situation

Question 19

commitment change talk

Answer 19

implies action: im going to start, i intend on going to, i plan on…

Question 20

welke change talk is het meest voorspellend voor verandering

Answer 20

commitment change talk

Question 21

open vragen

Answer 21

–> Why would you want to? (desire)
–> How do you know that you could do it if you tried? (ability)
–> What are 3 best reasons to? (reason)
–> In what ways does your … concern you? (need)
–> How will you do it? (commitment)

Question 22

SMART

Answer 22

specific
measurable
attainable
realistic
timely