Motivational Interviewing

a directive, client-centered counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence.

Patient-Centered & Directed

Ambivalence I want to, I don’t want to – Smoker example Demonstrated through decision balance

Motivational interviewing Fundamental approach – Collaborative – Evocative – Autonomy Reflective Statements

Motivational interviewing Child: I don’t want to eat my carrots Parent: So you don’t want to vegetables. Child: No I don’t want to eat my vegetables because they taste bad Parent…

General Principles Express empathy – Acceptance facilitates change Develop discrepancy – Patient-centered Roll with resistance – Avoid arguments – Turn problem back to person Support Self-efficacy