Motivational Interviewing (MI): Evidence-Based Skills to Motivate Clients Toward Change – Stephen Rollnick

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• Instill client change without confrontation, argument and wasted time!
• Adjust your language, attitude, style, and pace to notice change and sustain talk
• Overcome ambivalence with clarifying questions and interviewing techniques

It was the worst session of my life… In the early years of my career, before I helped develop Motivational Interviewing, I was put in charge of a group of alcoholics. One evening, a notoriously resistant client walked in and sat down. He said nothing.

At the end of the session he left, went home, and shot his wife and himself in front of their two children.

I’m Stephen Rollnick, co-founder of Motivational Interviewing (MI). I’ve asked myself many serious questions about how we can truly care for our clients, especially those that challenge our skills as a therapist and make us feel as if we are failing them.

Those questions led to new treatment strategies that became the foundation of Motivational Interviewing: an evidence-based practice that enables us to escape the pattern of struggling with clients and instead evoke their own motivation to change.

Now I want to teach you step by step how to integrate Motivational Interviewing with your current treatment strategies and increase your positive outcomes.

Stephen Rollnick, Ph.D.

Co-founder of Motivational Interviewing (MI)

1. Apply the 4-process framework of motivational interviewing to your clinical practice.
2. Model the underlying style of motivational interviewing that impacts client change.
3. Construct questions designed to explore client ambivalence about change, and utilize active listening to evoke change talk in the therapeutic session.
4. Choose appropriate motivational interviewing strategies to avoid the “righting reflex” and other traps when promoting client change.
5. Detect the “change language” clients use and describe how listening promotes change.
6. Clarify the provider’s role and the client’s role throughout the change process.

Motivational Interviewing

• New 4-process framework
• Address any problem connected to lifestyle, mood, anxiety & addiction
• Ambivalence about change
• MI with goal setting and change planning

Behavior Change

• Hold back from solving problems for the client
• Rapid engagement: why, what and how?
• Live demonstration
• The principles of MI are universal

Traps that Prevent Change

• The “Righting Reflex” & other traps
• Apply MI skills to avoid traps

Advice-Giving with Skill

• What does skillful advice-giving look like?
• Video and a live demonstration

Your Style and State of Mind

• Three communication styles
• Your state of mind and your progress in MI

Integrate Motivational Interviewing in Your Practice

• MI complementing any therapeutic orientation
• The language you and the client use makes a big difference!
• Addressing motivational problems in:
  • Anxiety
  • Depression
  • Addictions
  • Medication adherence
  • Lifestyle & health behavior changes

Core Competencies & Skills of Motivational Interviewing

• The spirit
• Principles
• Definition
• Goal
• Change talk & sustain talk
• Listening MI style
• Focus on change talk

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