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 […]
Powerful Techniques for Positive Behavior Change: Basic Concepts in Motivational Interviewing
One of my favorite parts of at least one of the definitions of MI talks about “intrinsic motivation”. This refers to the patient or client’s reason for talking with you about a proposed change in behavior. You may often deal with patients who seem very resistant to the idea of change, and most clinicians find […]
More Powerful, Positive Techniques for Change in Motivational Interviewing
In my last post, I discussed a technique used in Motivational Interviewing called “importance scaling”. The follow up questions are called “confidence scaling” and work in a similar fashion. Here’s how it works. Clinician: Thinking about ________________ change we’ve been discussing, how would you rate your confidence that you could make this change? Use a […]
Powerful, Positive Change Techniques in Motivational Interviewing
Motivational Interviewing has many very simple and useful techniques designed to help clients move forward in the direction of positive change. One of these is called “Importance Scaling”. Here’s how it works. Clinician: Think about _____________change we have been discussing. Now let me ask you on a scale from 0 to 10, in which 0 […]
Humans Are Designed to Eat Every 3 to 4 Hours
Many of my clients and other people I meet tell me they don’t understand why they are “always hungry”. When I ask what they mean, they tell me they eat breakfast at 7:00 a.m. and then are hungry again before lunch, at 10:00 a.m. or 11:00 a.m. They are unhappy about this, and think there […]
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