Motivational Interviewing

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Motivational Interviewing

• Changing Behavior

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The Big Question is

• Why People Dont Change

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Different Reasons Why People Decide To Make A
Change

• Natural Change
• Brief counseling time span
• Longer counseling time span
• Faith/Hope Effects
• Counselor Effects

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Many People Are Slow to Change Due To A
Decisional Balance
What are the Benefits for Change? What
are the Cost for Change?
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Carl Rogers, Ph.D

• Known for Rogerian Therapy or Client-Centered
  Therapy
• Felt therapist should not lead the client
• Be there as client directs the progress of the
  therapy

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Carl Rogers, Ph.D

• Felt a therapist should have
• Congruence- honest with the client
• Empathy- ability to feel what the client feels
• Respect- acceptance, unconditional positive
  regard toward the client

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Definition of Motivational Interviewing
Client-centered, directive method for enhancing
intrinsic motivation to change by exploring and
resolving ambivalence.
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Definition in Parts

• Client-centered- focused on persons present
  interest, concerns, experiences and values
• Directive method- responding to speech in a way
  that resolves ambivalence
• Communication- not techniques but develops
  natural change

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Definition in Parts

• Intrinsic motivation for change- internal and
  social environmental rearrangement
• Exploring and resolving ambivalence- process
  within the individual that persuade change. It
  is geared toward the persons own values, beliefs
  and concerns

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We want to Build

• SELF-EFFICACY

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What is Self-Efficacy?

• Persons belief in his or her ability to carry
  out and succeed with a specific task

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Steps of Motivational Interviewing

• Ask open ended questions
• Listen reflectively
• Affirm
• Summarize

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Steps of Motivational Interviewing

• Create an atmosphere for change talk
• Give information and advise
• ONLY if
• requested by client
• With the persons permission
• Set Goals
• Methods of achieving goals

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Example of Questions that Provoke Change

• What would be the good things about losing
  weight?
• What strengths do you have to help you succeed
  in losing weight?
• What makes you think that if you did decide to
  lose weight that you could do it?
• What do you think you might do?

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In Nutrition Education, We have people that are

• Know it alls
• You cant tell me what to do
• I am a failure so why bother
• It aint broke so why fix it

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Stages of Change and Motivational Interviewing

• Precontemplators
• Express feelings
• identify barriers
• discuss why resistant
• diffuse resistance
• Instill hope
• However, the client is responsible in determining
  progress in and out of stage

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Stages of Change and Motivational Interviewing

• Contemplation Stage
• Think of benefits of change
• Instill hope that change is possible
• Preparation for Action Stage
• Assess strengths for change
• Work out a plan for change

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Stages of Change and Motivational Interviewing
Building Self-Efficacy

• Action Stage
• Listening
• Affirmation and Assurance
• Additional goal planning

• Maintenance and Relapse
• Reassurance
• Listening

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Group Motivational Therapy..