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Our most recent blogs have been focused on building confidence with our clients using the approaches of open questions, confidence rulers, affirming strengths, and reviewing past successes. In addition, last month we reviewed the techniques of reframing and hypothetical thinking. These are great options for building confidence but what if...

When a client is contemplating making a change, there is almost always going to be some ambivalence between changing and doing things the same way. There will be the benefits of changing (pros) and the negatives of changing (cons). Sustain talk is when the client wants to keep things the...

  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...

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...

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...

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...

Reflections can be extremely simple or very complex. At times, just repeating back to the client what they just shared can keep the conversation moving forward. The example below illustrates how the clinician repeats back to the client almost exactly what was said: Client: I鈥檓 feeling very anxious today. Clinician:...

Overshooting and undershooting are useful reflection techniques where statements can be offered back to the client for more personal exploration on a particular topic. As I mentioned above, these techniques can be particularly helpful when there is emotional content involved. There are so many ways we can describe emotion, and...

Forming a refection is attempting to understand what the client is communicating to us. We listen to what the client is expressing and we provide a response in the form of a statement, and not a question. The reason we do this is because asking questions of the client often...

Listening can appear to be a very passive experience, but if you really want to listen, and offer a reflection back to a client as you attempt to understand what they are attempting to communicate, it can take quite a while to become very skilled at having these reflections come...

Engaging is the first of the four processes in MI (engaging, focusing, evoking, and planning) and lays the groundwork for the first session and the sessions to follow. And as you likely know from experience, engagement can occur with some clients in a matter of minutes, and with other clients,...

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...