Stephen Rollnick. Hit enter to search or ESC to close. About Motivational Interviewing. Motivational Interviewing Videos. Watch short clips from the Motivational Interviewing online course. What is Motivational Interviewing? Find out more about online MI courses. People have within themselves resources and skills needed for change. Evocative questions guide the client to reflect on how change may be meaningful or possible.
Reflections are based on careful listening and trying to understand what the person is saying, by repeating, rephrasing or offering a deeper guess about what the person is trying to communicate.
This is a foundational skill of MI and how we express empathy. Summarizing ensures shared understanding and reinforces key points made by the client. Attending to the language of change identifies what is being said against change sustain talk and in favor of change change talk and, where appropriate, encouraging a movement away from sustain talk toward change talk. Exchange of information respects that both the clinician and client have expertise.
Sharing information is considered a two way street and needs to be responsive to what the client is saying.
MI has four fundamental processes. Focusing : In this process an agenda is negotiated that draws on both the client and practitioner expertise to agree on a shared purpose, which gives the clinician permission to move into a directional conversation about change.
Ambivalence is normalized, explored without judgement and, as a result, may be resolved. This process is optional and may not be required, but if it is the timing and readiness of the client for planning is important. There are a number of benefits of learning MI amongst other approaches to helping conversations: MI has been applied across a broad range of settings e. MI compares well to other evidence-based approaches in formal research studies. Motivational interviewing can also be used as a supplement to cognitive behavioral therapy CBT for anxiety disorders, such as generalized anxiety disorder, social anxiety disorder, and post-traumatic stress disorder PTSD.
This approach has even been used to reduce the fear of childbirth. There are several reasons why motivational interviewing is a widely used form of mental health therapy, including:. Motivational interviewing is especially beneficial to people who are initially resistant to starting a treatment program or who are unprepared to make the necessary life changes.
Since motivational interviewing was first introduced in the s, studies have shown that it can effectively treat a range of psychological and physical health conditions. One meta-analysis of 72 clinical trials found that motivational interviewing led to smoking cessation, weight loss, and cholesterol level control. Research also reveals that motivational interviewing can aid in addiction treatment. Another review showed that, of the 39 studies reviewed, two-thirds found that motivational interviewing was associated with significant reductions in adolescent substance use.
Yet another review indicates that motivational interviewing can effectively reduce binge drinking as well as the frequency and quantity of alcohol consumed. Motivational interviewing can effectively treat a variety of conditions. But keep in mind that there is no one form of therapy that is appropriate for everyone and works in every instance. Although motivational interviewing has helped many people find the motivation to make both small and major behavior changes, it's not the ideal course of treatment for everyone.
Motivational interviewing works best for people who have mixed feelings about changing their behavior. If you have absolutely no desire to change your behavior, or are already highly motivated to change, you may not reap the benefits of this approach. If you feel that you or someone you love might benefit from this counseling approach, consider the following first steps:. Learn the best ways to manage stress and negativity in your life.
Miller WR, Rollnick S. Motivational interviewing: Helping people change. Guilford Press; Bandura A. Self-efficacy: Toward a unifying theory of behavioral change.
Psychol Rev. Motivational interviewing as an adjunct to cognitive behavior therapy for anxiety disorders: A critical review of the literature. Cogn Behav Pract. Effect of psychotherapy on reduction of fear of childbirth and pregnancy stress: A randomized controlled trial. Front Psychol. Motivational interviewing: A systematic review and meta-analysis. Br J Gen Pract. Motivational interviewing for adolescent substance use: A review of the literature. Addict Behav. Effectiveness of Motivational Interviewing on adult behaviour change in health and social care settings: A systematic review of reviews.
PLoS One. Rollnick S, Miller WR. What is motivational interviewing? Behav Cogn Psychother. Your Privacy Rights. To change or withdraw your consent choices for VerywellMind. At any time, you can update your settings through the "EU Privacy" link at the bottom of any page. These choices will be signaled globally to our partners and will not affect browsing data. We and our partners process data to: Actively scan device characteristics for identification.
I Accept Show Purposes. Table of Contents View All. Table of Contents. Key Concepts. Things to Consider. How to Get Started. What Is Motivational Interviewing? The 6 Stages of Behavior Change. The Best Online Therapy Programs We've tried, tested and written unbiased reviews of the best online therapy programs including Talkspace, Betterhelp, and Regain.
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