Motivational interviewing FRHD

Ambivalence

a natural feeling of having mixed or conflicting emotions about making a change.

• It’s normal to see both the benefits of changing and the fears or challenges that come with it

• Ambivalence can show up as anxiety, hesitation, or uncertainty,

• recognizing it can actually help a person move forward toward change.

example of ambivalence

I want to eat healthier, but I really love fast foo

Aim of MI

• Helps people strengthen their own motivation 

• Help people commit to change 

• Help people resolve ambivalence 

skills of motivational interviewing

• Open questions – encourage deeper exploration, not yes/no answers

• Affirmations – recognize strengths and efforts to  build confidence

• Reflective listening – restate or paraphrase what someone says to show you understand their thoughts and feeling

• Summarizing – – collect key points, reinforce discussion, guide next steps

additional skills for MI

ellict change talk

highlight inconsistencies

roll with resistance

promote self-effeicnecy

change talk

any statement that indicates motivation to change

desire (change talk)

“I wish I could be healthier.”

ability (change talk)

 “I think I could start small, like walking more.”

reasons (change talk)

 “If I exercise, I’ll have more energy for my kids.”

need (change talk)

 “I really need to stop smoking for my health.”

commitment (change talk)

“I will start this week by going to the gym onc

steps of motivational intervewing

• 
  Identify a goal 

• Determine the stage of change 

• Help move them forward 

stages of change model

1. pre contemplation- not considering change

2. contemplation- unsure/conflicted

3. perpartion- getting ready to change

4. action- actively making changes

5. maintenance- trying to sustain the change