Motivational Interviewing Flashcards
the dilemma leading to mi
if you tell a client to do something, they will want to/do the opposite
who created mi
miller and rollnick
-to treat addicts
we don’t choose miser, instead we:
cope in unhealthy ways
directive client centered therapy
rogerian, but with a plan
when do we guide towards change
when they are ready
how do we know a client is ready
when the cost of staying the same is more than changing
-when they feel they can act on it
friction
small lockages towards meeting goals
-ex: czirr changing in the mornings was friction for her meeting a new goal of running in the mornings
change talk
start with empathy, end with its worth…
-highlighting discrepancies
sustain talk
client justifying staying the same
-usually shifting blame to outside factors and feeling as though you have no control
socratic questioning
teaching indirecting through questions
-explore the sustain first and change second
resistance
justifying sustaining
decisional balance scale
using body language and hand motions to indicate important things
-leaning forward
-small vs
voice inflection
using tone to indicate important points
roll with resistance
respecting it while staying curious
-bad behaviors are there for a reason, find out why
amplification
dramaticizing resistance to show its not true
-be careful using this
changing the subject
come back to it later
discrepancy
when there is a difference between reality and what we want
