When people are learning the basic skills of MI, they often ask “Doesn’t using reflections just sound like I’m repeating what they just said?” They feel it sounds awkward, and that the other person would just ask why they are repeating. The answer is that with increased skill, you learn how to make the reflective […]
Finding Satisfaction with Food is a Metaphor for How We Live
Recently I read an article in Oprah’s Magazine, by Ann Lamotte, titled “Feeling Full” . (You can read the article here.) Lamotte writes about the home she grew up in, where her parents were smart, sophisticated, and accomplished, but cold, unemotional and hated each other. Her mother made gourmet meals, but the family table was […]
Accepting Our Patient’s Decisions About Changing
How can we accept our patient/client’s decisions not to change behavior when we think those changes are crucial? A very important idea in MI is that we must accept our client’s decisions about if, when and how they will change. This might include not making any changes, or not the ones we feel they must […]
How People Make Decisions about Change
How can we understand when patients or clients don’t change a behavior that we think is critical for them to change? For example, the person whose diabetes is out of control, the smoker who has emphysema, the person with high blood pressure who won’t take their medication. To understand this, I encourage you to think […]
Motivational Interviewing and Stages of Change
I teach Motivational Interviewing to many different audiences, and am often asked how the behavior change theories such as Stages of Change interface with MI. Are they separate? Competing? How can I use them together in my practice? The table below is from a wonderful manual designed for use with college students, to help them […]
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