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Conversations about Change: Responding to Change Talk

July 27, 2020
  After a client and clinician have been exploring a topic, the clinician decides when the appropriate time is to offer a summary. 聽In counseling, there is very little guidance in terms of what should go into a summary, and what should be left out. The clinician must make the...

Conversations about Change: Responding to Change Talk

June 30, 2020
When there is change talk being expressed by the client, and we, as clinicians, reflect this back to the client, what often comes next is more change talk. And the more we reflect change talk, the more we will receive it. If the client is speaking about change and there...

Conversations about Change: Responding to Change Talk

May 27, 2020
When we are hearing our clients talk about change, we want to make sure we acknowledge it! This will not only be appreciated by the client, who will likely have felt heard, but it will also encourage more change talk. And when we acknowledge change talk from a client, affirmations...

Conversations about Change: Responding to Change Talk

May 1, 2020
Whether we are working with someone as they explore the reasons they do not want to escape (and go back to using substances) during the COVID-19 crisis or someone who is thinking about changing careers, some basic MI skills are important to consider. One of the most important skills we...

Conversations about Change: Dubious Change Talk and Focusing on Specifics

March 30, 2020
In the last few blogs, we have been discussing the balance between change talk and sustain talk and how a skillful clinician can find the change talk to focus on. However, in the case where the client is offering 鈥渄ubious鈥 change talk, where it does not appear that they really...

Conversations about Change: Balance of Change Talk and Sustain Talk

February 27, 2020
In the last few blogs, we have talked about how the more change talk expressed by the client in a session, results in more desired change in their life. And in a skillful MI session, the sustain talk does not go away, but it becomes less frequent. There are some...

Conversations about Change: Additional strategies for change

February 4, 2020
It is always the hope that when we meet with our clients, that they will be motivated to create the needed changes in their lives. However, as we all know, this is not always the case. Many clients would prefer to maintain the status quo and keeps things the way...

Conversations about Change: Using the Importance Ruler

January 7, 2020
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...

Conversations about Change: Evocative Questions

December 4, 2019
One of the best outcomes in our work is when a client talks themselves into the change they want to see in their lives. It is often the case that when someone hears themselves speak about change, and when they are in the presence of another, that they are more...

Conversations about Change: Evoking and Ambivalence

November 1, 2019
For anyone wanting to make a behavior change in their life, it is likely that they will need to resolve ambivalence around the advantages and disadvantages of making a change. This is a normal process that almost everyone goes through in order to make a change and for the change...

Conversations about Change: Moving Forward in Focusing

September 27, 2019
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...

Conversations about Change: Focusing Scenarios

August 31, 2019
Often, when we meet with our clients, no two sessions are ever the same. Each one may have just a little different flavor and that is part of what makes MI so interesting. As clinicians, we are constantly bringing our curiosities to the sessions, and being open to the element...