Motivational Interviewing (MI)

A client-centered, directive method for enhancing intrinsic motivation to change by exploring and resolving ambivalence

What is MI?

RULE

resist telling them what to do

understand their motivation

listen with empathy

empower them

What are the tx principles of MI?

(PCPAMT)

Precontemplation

Contemplation

Preparation

Action

Maintenance

Termination

Stages of Change

Substance use, chronic illness, IPV offenders; clients ambivalent about change, in early stages of readiness

Who is MI for?

Supports autonomy and collaboration

Adaptable and culturally responsive

Effective in many domains (addiction, health, behavior change)

Can be combined with CBT, DBT

What are the strengths of MI?

Less effective for severe personality disorders

Requires strong clinician skill (training intensive)

Short-term benefits unless integrated with other therapies

What are the limitations of MI?

(Preparing for change)

Desire to change: I want to change

Ability to change: I can change

Reason: It's important to change

Need: I should change

(Implementing change)

Commitment: I will make changes Activation: I am ready and willing to change

Taking steps: I am taking specific actions to change

What is DARNCAT?

Not wanting to change vs willing to change

Sustain vs change talk

Client-centered information sharing

Ask-Tell-Ask (Elicit-Provide-Elicit)

(EFEP)

Engaging

Focus Agenda

Evoking Motivation

Planning

What are the phases of MI?