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There have been many definitions offered of Motivational Interviewing. Most of them are very similar, and generally, have the same basic components. The definition I prefer to use is one offered by the founders, Bill Miller and Stephen Rollnick: Motivational Interviewing is a person-centered counseling style for addressing the common...

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...

Reflective listening is another effective communication technique, and is often considered the most important, because the counselor uses statements and not questions to make sure the client knows and feels that you understand them鈥�both how they are feeling and/or what they are saying. This technique also keeps the conversation going...

Affirmations are used when we acknowledge and recognize an individual鈥檚 strengths and effort; where the statements we say to a client matter to them and are genuine. Affirmations are not praise like 鈥済ood job鈥� but rather, they are very specific about how a client has perhaps persevered, or prioritized making...

For the next several months, we will 鈥済o back to the basics鈥� and explore the four core motivational interviewing skills:聽Open questions, Affirmations, Reflective listening, and Summaries (OARS). Again, we will collaborate with the client and utilize these foundational skills for mutual understanding. An open question is one that allows the...

The last of the 4 MI processes is Planning. After you have engaged with the client, established a focus, and evoked the client鈥檚 own motivations for change, it is time to begin Planning. This is where the client is moving from talking about why he or she wants to change...

We continue this week with the third 鈥減rocess鈥� of Motivational Interviewing, Evoking. In our last post, we talked about the client strengthening their motivation for change. This change for the individual could be related to desire, ability, reasons, or need. The practice for the counselor is to not only recognize...

We continue our series on the 4 processes of Motivational Interviewing鈥� Engaging, Focusing, Evoking, and Planning. This month, we will focus on the third process, Evoking. We have talked about creating a therapeutic relationship (Engaging) and establishing a clear focus for the session (Focusing) and now we move to Evoking,...

Last week, we discussed the second Motivational Interviewing process, Focusing. Again, the process of Focusing is finding a direction and then working towards very specific achievable goals. This sounds simple, but obtaining focus can be difficult in practice. Here is one strategy and an associated tool to help in the...

Last month, we discussed the first process of motivational interviewing (MI), Engaging. This month, we will be focusing on Focusing, the second process of MI.聽 After a basic foundation of engagement has been established, Focusing聽is guided by the clinician in order to develop and maintain a specific direction in the...