MMN 024: Motivational Interviewing – with Kali Worley

On this episode of the Make a Mental Note podcast, Kali Worley, a motivational interviewing trainer, discusses the basic elements of helping people change using principles of Motivational Interviewing (MI). Give it a listen and find out why this episode is worthy of a mental note!

Kali Worley interview (click on Kali’s name to listen to interview)

Mental Notes:

* Motivational Interviewing (MI) – a communication style that’s goal oriented and helps people resolve their ambivalence toward change.

* Understanding and navigating conversations is an important part of the helper role.

* MI was first used as a new approach to use with clients with addictions as confrontational approaches had been used prior to that without much success. MI is more a person-centered approach to conversation.

* MI was developed to help people resolve a “two-way feeling…I would like to change, but…”

* Four step MI process: 1) engage with client (building trust), 2) focusing the conversation (what are the client’s options pertaining to change?), 3) evoking (drawing out from the client their own reasons to change/desire to have a different outcome), and 4) plan (what is next step if client makes a decision to change?).

* Stages of Change model – MI helps clients move through stages of change – especially the first three stages. 1) Pre-contemplation (I’m not thinking about change), 2) Contemplation (I’m thinking about change, but haven’t done anything yet), 3) Preparation (I’ve made a decision to change, but haven’t followed through on the steps), 4) Action (I’m taking steps to make changes), 5) Maintenance (Maintaining changes that were made).

* Change can be scary for clients. In addition, clients may feel guilty, depressed, anxious, etc. depending on the particular issues that they’re dealing with.

* Because MI is a communication style it pairs really well with other theoretical approaches.

* It is important to remind clients that change is hard, normal and vital to survival.

* Dancing metaphor – there is a leader and a follower. The same is true of therapeutic conversation. The therapist guides the client toward change through the use of conversation/using MI skills.

Mental Notes Takeaway:

* MI focuses on conversations pertaining to change. The role of the helper is to cultivate change talk, which can be done using counseling skills such as open questions, reflective listening responses, affirmations, and summarizing.

Check It Out:

* Kali Worley’s web page:

* Kali’s phone number: 615-693-0665

209 Castlewood Drive Suite D
Murfreesboro, TN. 37129
(615) 403-5227

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