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Conversations about Change: Next Steps following a MI training

July 28, 2018
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...

Conversations about Change: What MI is Not!

June 28, 2018
In this MI blog, we have focused on many important aspects of MI including techniques, processes, spirit, and ambivalence. What we haven鈥檛 talked about much is 鈥淲hat MI is NOT鈥 and clarifying some things related to MI that may be confusing. For example, when working with a client, the clinician...

Conversations about Change: The Spirit of MI

May 29, 2018
When Motivational Interviewing was first introduced, there was a great deal of focus on specific techniques that would support the client in exploring behavior change. However, Rollnick and Miller (1995) felt like something was missing as they went around and trained people. They felt like they had taught people the...

Conversations about Change: Potential Dynamics

May 1, 2018
In early counseling therapies and treatment, there were many approaches where the clinician attempted to convince the client to make healthier choices in their lives. If the clinician were able to ask appropriate questions, provide important information, encourage certain emotions, and persuade the client to see things in a certain...

Conversations about Change: The Righting Reflex and Ambivalence

March 23, 2018
As a helping professional or clinician, there are times when we witness our clients making choices that we believe are not in their best interests and will not support them in reaching their desired goals. And in many cases, it can be extremely challenging to allow these behaviors to continue...

Conversations about Change: Communication Styles

February 20, 2018
As clinicians, we are usually thinking about how to have the most effective conversations with our clients. And even with putting our best effort and best intentions forward, sometimes these conversations can be messy. One thing we know about MI is that there is not one formula that works for...

MI Questions: Responding to Discord

January 24, 2018
I believe it is important to start by discussing how Motivational Interviewing initially thought about disharmony between a client and a clinician as they explored change. When the first edition of Motivational Interviewing: Helping People Change by Miller and Rollnick was released, the term 鈥渞esistance鈥 was chosen to represent the...

MI Questions: Responding to Sustain Talk

January 2, 2018
In a conversation about change with our clients, we are aware that ambivalence is a normal part of the process and we expect to hear some sustain talk. When we hear our clients using sustain talk or wanting to maintain the status quo, or stating that they don鈥檛 think they...

MI Blog: Exploring Goals and Values

December 14, 2017
When we ask the client what matters most to them, it can be a good way to continue building rapport. This conversation can explore what the client really cares about and how these goals and values may guide their lives. And we also know that goals and values are aspirations,...

MI Questions: Responding to Change Talk

November 28, 2017
In a conversation about change with our clients, we are attempting to guide them towards making meaningful change in their lives that is sustainable. And as we all know, there will be some ambivalence along the way that needs to be worked through for this change to occur. How are...

MI Questions: Evoking Change Talk Through 鈥淓xploring Goals and Values鈥

October 30, 2017
When we ask the client what matters most to them, it can be a good way to continue building rapport. This conversation can explore what the client really cares about and how these goals and values may guide their lives. And we also know that goals and values are aspirations,...

MI Questions: Evoking Change Talk Through 鈥淨uerying Extremes, Looking Back, and Looking Forward鈥

September 26, 2017
The first approach we will explore together is Querying Extremes. This technique is designed to elicit change talk by asking the client to talk about the extremes of their (or others鈥) concerns or potential consequences about their particular condition or behavior. As well, it also asks the client to describe...