✨Motivational interviewing✨

Motivational interviewing is…. (3)

1. Person-centered

2. Directive

3. Method of communication for enhancing intrinsic motivation to change by exploring and resolving ambivalence

Method of communication for enhancing intrinsic motivation to change by _______ and ________ ambivalence

Exploring, resolving

3 things that make up the spirit of motivational interviewing

1. Collaboration

2. Evocation

3. Autonomy

How long does motivational interviewing take

3-5 minutes

Motivational interviewing is developed to identify ______

Stage of readiness

Motivational interviewing uses ______________ and strategies to move people forward

Stage specific skills

Motivational interviewing addresses what 2 things

Ambivalence and resistance

What are the 5 general principles of motivational interviewing

1. Roll with resistance

2. Express empathy

3. Avoid arguing

4. Develop discrepancy

5. Support self-efficacy

What are the 4 types of motivational statements that can be identified

1. Cognitive recognition

2. Affective expression

3. Direct or implicit intention

4. Optimism

I guess this is more serious than I thought, is an example of

Cognitive recognition

I’m really worried about what is happening, is an example of

Affective expression

I’ve got to do something about this, is an example of

Direct or implicit intention

I know that if I try, I can really do it, is an example of

Optimism

What are the 4 types of patient resistance

1. Arguing

2. Interrupting

3. Denying

4. Ignoring

Do not say what statement for nonresistance

So what I hear you saying is

The simplest approach to responding to resistance is with ____

Nonresistance

Simple reflection

How can you defuse resistance?

Helping the client shift focus away from obstacles and barriers

Shifting focus

What does shifting focus away from obstacles and barriers do for patient?

Offers opportunity to affirm your clients personal choice regarding the conduct of their own life

when to use reframing strategy

When a client denies personal problems

What is reframing?

Offering a new and positive interpretation of negative information provided by the client

What does reframing acknowledge?

Validity of client’s raw observations but offers a new meaning

Momentum can be used to good advantage, perceptions can be shifted, new perspectives are invited but not imposed, client is valuable resource. What is this motivational interviewing skill?

Rolling with resistance

This motivational strategy takes up the negative voice in the discussion

Side with the negative

This strategy is the belief that one can perform a behavior or accomplish a particular task, belief in the possibility of change is an important motivator, client is responsible for choosing and carrying out personal change

Self-efficacy

Resistance is a signal to do what?

Change strategies

What is reflective listening?

Way of checking rather than assuming that you know what is meant

Empathy communicates what

Acceptance

Acceptance facilitates what

Change

This skill is fundamental to expressing empathy

Reflective listening

What does developing discrepancy mean?

Motivation for change is enhanced when clients perceive differences between their current situation and their hopes for the future

How many motivational interviewing strategies are there

12

What are the motivational interviewing?

Simple reflection, shifting focus, reframing, rolling with resistance, siding with the negative, avoid arguing, open ended-questions, listen reflectively, express empathy, develop discrepancy, and affirm