What Are The 5 Principles Of Motivational Interviewing?

What is an example of motivational interviewing?

Concern: “If I don’t stop, something bad is going to happen.” Intent to change: “I’m going to do something, I’m just not sure what it is yet.” Optimism: “I know I can get a handle on this problem.”.

How do you respond to changes to talk?

Elaborate: • Ask for elaboration: how? In what ways? Why? Say more about that… • … Affirm: • Express agreement, appreciation, and encouragement.Reflect: • This is the most common response to change talk–to offer a simple. or complex reflection.Summary: • Change talk is also collected in “bouquet” summaries.

What are the stages of motivational interviewing?

The 4 Processes include Engaging, Focusing, Evoking, and Planning. These processes are not linear or a step by step guide to MI. Engaging naturally comes first because you need to have good engagement prior to having a conversation about change.

How do you start a motivational interview?

Motivational interviewing: four steps to get startedAsk open-ended questions instead of “yes” or “no” questions. … Offer affirmations. … Practice reflective listening. … Summarize the visit.

What is rolling with resistance?

“Rolling with Resistance” is a key technique which recognises that simply attacking or confronting someone directly does not always work – it may drive people deeper into their shell or lead them to be highly defensive or confrontational themself.

What does the acronym dears stand for in relation to the principles of motivational interviewing?

The spirit of MI can be translated into five central principles summarised by the acronym DEARS: Develop discrepancy. Express empathy. Amplify ambivalence. Roll with resistance.

What are the limitations of motivational interviewing?

Limitations of Motivational InterviewingYou Need Time to Build a Relationship. Clients often become very resistant to changing when they don’t like their therapists. … Patients Need Cognitive Clarity. Motivational interviewing only works if clients can participate fully in the process. … Not One-Size-Fits-All. … Follow-Up Is Crucial.

What is change talk in motivational interviewing?

Change talk in general refers to clients’ statements about their desire, ability, reasons and need for change, whereas commitment language represents a more assertive declaration about commitment/actions to change.

What is motivational interviewing for substance abuse?

Motivational interviewing is a counseling approach in which clinicians use a patient-centered stance paired with eliciting techniques to help patients explore and resolve their ambivalences about changing behaviors that are not healthy.

What are the five stages of change?

Based on more than 15 years of research, the TTM has found that individuals move through a series of five stages (precontemplation, contemplation, preparation, action, maintenance) in the adoption of healthy behaviors or cessation of unhealthy ones.

What are some CBT strategies?

Some of the techniques that are most often used with CBT include the following 9 strategies:Cognitive restructuring or reframing. … Guided discovery. … Exposure therapy. … Journaling and thought records. … Activity scheduling and behavior activation. … Behavioral experiments. … Relaxation and stress reduction techniques. … Role playing.More items…•

What should you not do in motivational interviewing?

Motivational Interviewing: Do’s and Don’tsDO: Roll with resistance—listen to your patient’s problems and fears. … DO: Pause before discussing how a patient can make changes. … DO: Listen for a patient’s insights and ideas. … DO: Collaborate. … DON’T: Pressure, fix, or control. … DON’T: Use scare tactics. … DON’T: Neglect to praise your patient’s efforts.More items…•

Is motivational interviewing evidence based?

Motivational interviewing is an evidenced-based counseling approach that health care providers can use to help patients adhere to treatment recommendations. It emphasizes using a directive, patient-centered style of interaction to promote behavioral change by helping patients explore and resolve ambivalence.

What does frames stand for in motivational interviewing?

Motivational interviewing uses a guide toward change called FRAMES; the acronym stands for Feedback, Responsibility, Advice, Menu Options, Empathy and Self-Efficacy.

What kind of therapy is act?

Acceptance and Commitment TherapyDeveloped within a coherent theoretical and philosophical framework, Acceptance and Commitment Therapy (ACT) is a unique empirically based psychological intervention that uses acceptance and mindfulness strategies, together with commitment and behavior change strategies, to increase psychological flexibility.

What is the main goal of motivational interviewing?

The aim of motivational interviewing is to encourage the patient to become an active participant in the change process by evoking their intrinsic motivations for change. And all this despite ambivalence and what often seems like resistance, which is considered a normal part of the change process.

How can I improve my motivational interviewing skills?

Five Principles of Motivational InterviewingExpress empathy through reflective listening.Develop discrepancy between clients’ goals or values and their current behavior.Avoid argument and direct confrontation.Adjust to client resistance rather than opposing it directly.Support self-efficacy and optimism.

How do you move clients through the stages of change?

In the Precontemplation stage, clinicians should practice the following:Commend the client for coming to treatment.Establish rapport, ask permission to address the topic of change, and build trust.Elicit, listen to, and acknowledge the aspects of the problem behavior the client enjoys.More items…•

How do you elicit change?

Techniques for Eliciting Change Talk• Ask evocative questions. ( Good for eliciting Desire, Ability, Reason)• Ask for elaboration. Once change talk is expressed, ask for more detail. ( … • Ask for examples. … • Look forward or backward. … • Query extremes. … • The readiness ruler. … • Explore goals and values.

What are the 4 principles of motivational interviewing?

Motivational interviewing is a counselling method that involves enhancing a patient’s motivation to change by means of four guiding principles, represented by the acronym RULE: Resist the righting reflex; Understand the patient’s own motivations; Listen with empathy; and Empower the patient.

Is motivational interviewing a form of CBT?

Motivational Interviewing (MI) is a therapeutic strategy that addresses ambivalence about change in clinical interventions. … Exposure-related and cognitive restructuring methods are some of the most widely used and well-validated CBT intervention strategies for the treatment of anxiety disorders.

How is motivational interviewing effective?

Motivational interviewing helps the patient identify the thoughts and feelings that cause her to continue “unhealthy” behaviors and help her to develop new thought patterns to aid in behavior change. This technique is implemented most effectively after the physician has established a trusting rapport with the patient.

What is the spirit of motivational interviewing?

The “Spirit” of Motivational Interviewing The spirit of MI is based on three key elements: collaboration between the therapist and the client; evoking or drawing out the client’s ideas about change; and emphasizing the autonomy of the client.

What type of therapy is motivational interviewing?

Motivational interviewing (MI) is a counseling approach developed in part by clinical psychologists William R. Miller and Stephen Rollnick. It is a directive, client-centered counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence.

Can motivational interviewing be used for depression?

Motivational interviewing used to treat depression specifically was found to result in a more favorable trajectory of the Patient Health Questionnaire-9 and a higher remission rate compared to standard management of depression.

What are the 6 stages of change?

The TTM posits that individuals move through six stages of change: precontemplation, contemplation, preparation, action, maintenance, and termination.

Is ACT part of CBT?

ACT is considered a “third wave” therapy – therapies that move beyond the more traditional cognitive therapies and add other skills into the mix (e.g. mindfulness, visualisation, personal values etc.) CBT and ACT are both behaviour-based therapies, but they differ primarily in the view they take around thoughts.