motivational interviewing

Question 1

why do we do MI

Answer 1

A directive, patient-centered counselling style for helping patients explore and resolve ambivalence about behavior change

Question 2

our role in MI is….?

Answer 2

lead the conversation, empathy their situation and support their autonomy. We need patient understand:
1. Risks involved of not changing (e.g. severity of outcome ____) → motivation for change.
2. Self-efficacy → Build it, make them believe they can change (as if low, patient may avoid/deny the issue)
A confrontational style is never used

Question 3

what are the 4 basic skills

Answer 3

Open Questions → develop discrepancy, amplify ambivalence

Affirmations (positive feedback) → express empathy, support self-efficacy

Reflective listening → express empathy, minimize resistance

Summary statements
Self Belief

Question 4

5 general principles of MI achieved by the 4 basic skills

Answer 4

• develop discrepancy
• amplify ambivalence
• express empathy
• roll with resistance
• support self efficacy

Question 5

what are the strategies for handling resistance

Answer 5

1. Simple Reflection: simple acknowledgement of the client’s disagreement, emotion, or perception
2. Double-sided Reflection: acknowledge what the client has said and add to it the other side of the client’s ambivalence
3. Clarification: verify your understanding matches the client’s perspective
4. Shifting Focus: shift the client’s attention away from what seems to be a stumbling block
5. Emphasizing Personal: assure the person that in the end, it is the client who determines what happens