Motivational Interviewing Julie Gutowski CASAC, LMHC
Three Components to Change • Willingness • Ability • Readiness
Willingness • Help the person weigh his/her importance of change • Questions to ask: • On a scale of 0 to 10, how important is it for you to…. • What would you need to do to move up the scale?
Ability • Sense of confidence in the change technique and the person’s confidence in his/her ability to perform the technique • Questions to ask: • On a scale from 0 to 10, how confident are you that this ….can be helpful? • Why are you at ___ and not zero? • What would need to happen for you to move up the scale one point? • On a scale of 0 to 10, how confident that you could…..
Readiness • Priority the person places on making the change at this moment • Questions to ask: • On a scale of 0 to 10, 0 being not important at all and ten being the highest priority in your life, where would you rate the priority of making this change? • What changes if any are you thinking of making? • What are your options?
Barriers to Change: Roadblocks from the Therapist 1. Ordering, directing or commanding 2. Warning or threatening 3. Giving advice, making suggestions or providing solutions 4. Persuading with logic, arguing or lecturing 5. Moralizing, preaching or telling client that he/she should 6. Disagreeing, judging, criticizing or blaming
Roadblocks from the Therapist Continued 7. Agreeing, approving, praising 8. Shaming, ridiculing or labeling 9. Reassuring, sympathizing, or consoling 10. Interpreting or analyzing 11. Questioning or probing 12. Withdrawing, distracting, humoring or changing the subject