1. Introduction To Motivational Interviewing Darryl Tonemah Ph.D.

2. Conceptual Beliefs of Motivational Interviewing
Started with alcohol and other drug cessation, has expanded it’s applications to many other settings
Addresses difficult discussions about behavior change in a safe way
Deals with individual being actively involved in their own care
The professional does not carry all the responsibility of change
Creates a collaborative relationship, not adversarial
It is not so much a series of techniques, but a way of being with people
We are “Co-Healers”
Address behavior change in an interpersonal context, how do two people respond to one another
A combination of client centered and directive counseling
Uses social psychological tenets that “The more I hear myself the more I believe myself”
Client verbalizes reasons for change
Promotes self-efficacy
Ready, Willing, and Able to change, MI tries to pull all three together

3. Principles of Motivational Interviewing
Express Empathy
Avoid Argumentation
Rolling with Resistance
Support Self Efficacy
Develop Discrepancy

4. Beginning- Setting the Tone Avoid the Traps
Premature Focus Trap
Confrontation Denial Trap
Labeling Trap
Blaming Trap
Q and A Trap
Expert Trap

5. Opening Strategies Ask open ended questions Listen reflectively
Summarize-reflect what you heard
Affirm
Elicit self motivating statements

6. 4 Types of Self-Motivational Statements
Problem Recognition
Expression of Concern
Intention to Change
Optimism for Change

7. How to Elicit Self-Motivating Statements
Ask evocative questions
Explore pro’s and con’s
Ask for elaboration
Imagining extremes
Look forward
Looking back

8. Listening & Summarizing
Strategy #1
Listening & Summarizing
Purpose: To build rapport with people and understand their points of view so we can be effective collaborators.

9. Resolving Ambivalence “The good things versus the not so good things”
Strategy #2
Resolving Ambivalence
“The good things versus the not so good things”
Purpose: To explore the behavior in question in a non-threatening manner and to help people view their own ambivalence about changing or not changing, as the case may be.

10. Building Motivation & Strengthening Commitment
Strategy #3
Building Motivation & Strengthening Commitment
“Importance and Confidence Scales”
Purpose: To quickly assess and support readiness for change.

11. Providing Information
Strategy #4
Providing Information
Ask/Provide/Ask
Purpose: To offer relevant new information in a way that maintains the sense of collaboration and minimizes resistance.

12. Responding to Resistance

13. What is resistance?
Describe.

14. Two Categories for responding to Resistance
Reflective Response
Strategic Response

15. Three Reflective Strategies
Simple Reflection
Amplified Reflection
Double Sided Reflection

16. Strategic Responses Shifting focus Reframing Agreement with a twist
Emphasize person’s choice and control
Siding with the negative

17. Thank You
Be Well