Motivational Interviewing

Question 1

Key Points

Answer 1

aimed at reducing client ambivalence about change and increasing intrinsic motivation

Question 2

Ambivalence to change

Answer 2

Ex:Having a heart attack not being enough to change diet

Multiple DUIs not enough to stop drinking

Question 3

The Stages of Change Model

Answer 3

1. Pre-contemplation
2. Contemplation
3. Preparation
4. Action
5. Maintenance/Relapse

Question 4

1. Pre-contemplation

Answer 4

• Clients have either not considered changing or they do not see why change is necessary.
• May deny having a problem/ do not see negative

Question 5

2. Contemplation

Answer 5

clients are considering change but not yet ready to engage in the actual change process

Question 6

3. Preparation

Answer 6

• client realizes that his/her behavior is having enough of a negative impact to need change.
• Ready to begin taking steps.

Question 7

4. Action

Answer 7

when the change plan is implemented

Question 8

5. Maintenance/Relapse

Answer 8

maintaining the new, healthy and positive behaviors

Question 9

Change

Answer 9

requires that the clients make up their mind to do something different!

Question 10

Resistance

Answer 10

An interpersonal exchange whereby a client appears to be working against change while a counselor may seem to be arguing for change

Question 11

4 Key Principles of Motivational Interviewing

Answer 11

1. Express Empathy!
2. Develop Discrepancy
3. Roll with Resistance (Avoid Argumentation)
4. Support Self-Efficacy

Question 12

O.A.R.S.

Answer 12

O- Open-Ended Questions
A- Affirmations
R- Reflective Listening
S- Summerizing