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I hope there have been some interesting and helpful posts along the way. I like to think of MI as a conversation about the possibility of change, integration, or adherence of a new behavior where we empower and support the client in creating the change they want in their lives....

When a client is in the process of making a change, and exploring ambivalence, it can be extremely intense. They may clearly see the benefits of the change but also the amount of effort that may be involved. The client may feel that it is just easier, and safer, to...

Client: Oh, I don鈥檛 want it to take a long time. I want this to be over. Clinician: I do understand how confusing this feels, and I want to help you get through it. It鈥檚 hard but you can do this, and we鈥檒l take as long as you need with...

In counseling situations where there is a change goal for the client, there is likely ambivalence too. Therefore, the clinician has a decision to make. Should the clinician remain neutral or support movement in a particular direction? A different approach would be needed for the clinician in each situation. In...

When MI was originally developed, the purpose was to support a client in strengthening both motivation and commitment to making a change. And even though we are present there with the client, the ultimate choice of whether to make a change is up to them. In some situations, it may...

When we think about all the things that are going on with our clients, it is often easy to understand why they may come into a session and feel threatened or vulnerable. At the same time, it may not always be the client that is feeling vulnerable or stressed. It...

One way to assess how important changing a behavior is to the client is to ask them using an Importance Ruler. This ruler invites the client to rate their level of perceived importance on a scale (Butler, Rollnick, Cohen, Russell, Bachmann, & Scott, 1999). The scale typically ranges from 0...

We have talked a lot about, and know, that no two sessions are ever the same and how important it is for us, as clinicians, to bring our curiosity, and openness to being surprised to every session. And after we have invested a good deal of time engaging with the...

We continue with our 鈥渃onversations about change鈥� and focus this month on what we do after we go to a MI training or receive some exposure to MI. What we know from our own experience, and from research, is that continued practicing, coaching, and feedback is essential for us to...

How many of you know people who do everything their doctor tells them to, no questions asked, just because 鈥渢hey鈥檙e the doctor鈥�? Even in less extreme situations, most interactions in healthcare settings have a flavor of that dynamic where the provider or counselor is the expert and the patient or...

In Motivational Interviewing, whenever we open a conversation, share information, or ask questions of our clients, a respectful way to do this is by Asking for Permission. In addition, when speaking with a client, we want to focus on using autonomy-supportive language as much as possible. When our communication has...

Summaries are the last of the 4 core Motivational Interviewing skills. Summaries are pulling together several things the client has told you and offering it back to them. In the early processes of MI, summaries provide an opportunity for the client to know that you have been listening carefully and...