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Application of motivational interviewing
Application of motivational interviewing
Application of motivational interviewing
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Motivational interviewing (MI) is a form of interviewing to promote change talk. It is not a way to make people do things they do not want to do, but instead is a way to motivate them into accomplishing the good changes they have been thinking of. The spirit of motivational interviewing is that it is collaborative, evocative and it honours patient autonomy. Collaboration addresses the specific situation where client behaviour change is required, and this is achieved by working together, as counsellor and client, to find the answer. Unlike motivational interviewing, heath care often gives the client what they lack, whether that be medication or an answer to fix their problem. MI invokes what clients already have within to find the answer they are looking for, which is why it is evocative. Lastly, MI requires a certain degree of attachment …show more content…
As a counsellor, you can help the client find that answer or discover what they want to do/change, by guiding them in the right direction with specific questions. This is what we did when creating our counselling videos, while maintaining an open body posture and eye contact, asking open ended questions and summarizing what they are saying to ensure both are on the same page, by using minimal encouragers and asking appropriate questions, we were able to encourage the client to open up and speak about their issues while also coming to a conclusion about their next steps to change/recovery.
When watching my motivational video with Annie, I found that I could have spoken up more so that Annie could hear me better. I also found that I could have made better eye contact. I thought I had open body posture when speaking with Annie, and asked the correct questions, which were open ended, and
These techniques include showing concern for clients through active listening and empathy, showing respect for and confidence in clients, focusing on client’s strong points and positive traits, resources, replacing discouraging thoughts with encouraging ones, and helping clients to develop a sense of humor about life. (Watts & Pietrzak,2000,p 443) Another method, as mentioned earlier is building a strong rapport with the client. Therapists use a variety of techniques to facilitate change in the client’s behavior. Therapists help clients to choose alternative behaviors to the behaviors that are maladaptive. The next method is getting the client to change how he or she views a situation. This is done inside and outside of counseling. Through this technique a client comes to realize their abilities and strengths. Last but not least, therapists help clients draw on their resources and strengths when faced with a situation that seems troublesome. (Watts & Pietrzak,2000,p
Coronary heart disease is a common term for the build-up of plaque in the heart’s arteries that could lead to heart attack (Coronary Heart Disease, 2017). Furthermore, there are many known coronary heart disease factors that can be controlled. These are high blood cholesterol, high blood pressure, diabetes and pre-diabetes, obesity, smoking, lack of physical activity, unhealthy diet and stress (Coronary Heart Disease Factors, n.d). The techniques of motivational interviewing are more persuasive than coercive and more supportive than argumentative. The motivational interviewer must advance with a firm sense of purpose, clear methods and skills for seeking that purpose, and a sense of timing to mediate in specific ways at quick brief periods of time (Miller and Rollnick, 1991). The clinician uses motivational interviewing on account of four general principles in mind. The key principles are to express empathy, avoid argument, roll with resistance and support self-efficacy (Treatment, C. for S. A.,
Although, this session ended with amazing results, I feel as though I need more practice with this type of therapy. I have to continue to practice on allowing the patient to come up with their own solutions. I found it hard not giving advice to my client, because I already knew the situation. However, in the end I found myself very proud, because even though this was not a real therapy session, but the client was able to find a real solution to her problem. This experience is one that teaches the therapist restraint, it allows one to step back and listen. It also gives the client the opportunity to reach a solution themselves without someone giving them the answer to their
233). From this, clients should want to change as well as believe in their capacity for change. For Jim, he can benefit from motivational interviewing since it can be used to help him overcome ambivalence to change. A collaborative, and nonconfrontational relationship are part of motivational interviewing. This is important for the client Jim in order to respect and encourage his self-determination. Motivational interviewing gives clients like Jim the opportunity to discover their own reasons for making change. One of the principles for motivational interviewing is expressing empathy where it gives clients the chance to freely explore their values, perceptions, goals and the implications of their present situation without being judged. The counsellor who is working with Jim can use active listening skills for expressing empathy in order for Jim to feel like he is being heard. The second principle is developing
What is Motivational Interviewing? Motivational interviewing (MI) is a patient-centered method for enhancing intrinsic motivation to change health behavior by exploring and resolving ambivalence. What will be discussed is how can organizations help the patients change negative behavior to a positive behavioral change, diminishing the lack of motivational behavior. (Miller & Rollnick, 2002) states that we have to help clients overcome their ambivalence or lack of motivation toward changing their behavior in positive way. Also, figuring out a solution on how to overcome this negative behavioral challenge of lack of intrinsic motivation to change. How will we overcome it? by focusing on the MI (Motivational Interviewing) approach, and finding
The Motivational Interviewing film was very informative. I was able to get a clear understanding of what is to be expected by the therapist during a session. The film explained the therapist should engage in reflective listening, develop a growing discrepancy, avoid arguing with clients, roll with resistance and support self-advocacy. Miller believed that this approach was far more effective than traditional methods, where the therapist pushed for change. In contrast, Miller explained that motivational interviewing focused on empowerment and helping clients to become motivationally driven to change. Also, Miller stressed the importance of working alongside clients, a term he referred to as dancing. The process in which the client leads
The client is leading the conversation by stating what their biggest concerns are currently in their life. They verbalize the concerns and issues that need changed in their lives. The counselor is there to be empathic to the client and establish a relationship with them. This part of the interview is where the client decides if the counselor is right for them, if not, then the client moves on to another
The counselor accomplishes the above by expressing empathy, developing discrepancies, going along with resistance and supporting self-efficacy. Moreover, the counselor guides the client toward a solution that will lead to permanent posi...
...p their own solutions to problems. Clients may need some guidance, education, or direction depending on their abilities and how the therapy is going. It is then that I want to be able to help them feel more empowered and recognize that they can make changes with effort on their part.
The Egan Model of counseling can be integrated into one of the principles of psychiatric nursing called motivational interviewing. Egan Model is used to help the counselor use structured and specific skills to assist the client to move forward. Motivational Interviewing “is a client centered, directive therapeutic style to enhance readiness by helping clients explore and resolve ambivalence” (Hettema, 2005, page 91). These models can easily be integrated into each other; there are many ideas and steps that overlap and complement each other.
People inherently have the power to solve their own problems and come to their own solutions. Clients are expected to play and active role in their own change by being open to expressing their problems,creating goals and ultimately evaluating their progress. Clients often use stories to explore their problems in preparation for deciding which goals they want to set and subsequently accomplish. Each client has specific issues and life experiences which the goal should reflect. Clients are expected to put great effort into discovering a desire that the client has deep convictions about and will commit to putting in the work it takes to change behaviors that are no longer working in their life. When the client discovers what they want to be changed it can become their goal. The goal needs to be important to the client and not something that someone else wants them to change. When ...
When trying to help a client Young (2017, p. 149) suggests that high support and moderate levels of challenge lead to the best conditions for change. Two building blocks that helpers use to challenge clients include giving feedback and confrontation. When confronting a client the counsellor is pointing out inconsistencies and blind spots within the client's story (Young, 2017 p. 167). In this video the counsellor was moderately confrontational as she did not want to insult the client or lose their trust, but rather to gain clarity and to help the client realize her discrepancies where she may not have noticed them prior to the session.
trust (Sung, Steven, Feng & Tabachnick, 2004). Most models of mental health treatment are not designed for non-voluntary clients, leading to lack of participation and overall less effective treatment with mandated clients. Suggested methods for better engaging a mandated client include motivational interviewing, solution-focused therapy, and strengths-based interviewing (Clark, 1996; Corcoran, 2011). These methods focus on meeting the client where they are at, focusing on goals the client sets for themselves, and building the client’s motivation to succeed (Jong & Berg, 2001).
Throughout my schooling, the scariest part to date was the dreaded Motivational Interviewing class for my AAS in Alcohol and Drug Studies. Each week we would have to meet as a group and do tapes, transcribe the tapes, code the responses accordingly, and then present them to the class and the instructor. The most nerve wracking and most rewarding experience of my education. Without those tapes I would never have gained the skills that I feel I carry today. Fast forward, to yet another taped counseling session, I was ready.
Counselling is collaboration of steps that is aimed to help clients cope better and learn to deal with situations that they are facing. This includes teaching the client to focus on their thoughts and emotions, and to teach them to make positive choices and changes. It is a method for helping individuals to lessen primary anguish ensuing from a challenging situation and guaranteeing long-term constructive handling of stressful situations.